Patterns of practice among older physicians in Ontario

Area of Science:

• Medical workforce analysis
• Physician demographics and practice patterns
• Healthcare policy and aging populations

Background:

• Canadian healthcare policy increasingly focuses on the aging physician workforce.
• This study analyzes practice patterns of Ontario physicians aged 65 and older to inform policy.
• Understanding the role of older physicians is crucial for future healthcare planning.

Purpose of the Study:

• To analyze the practice patterns of physicians aged 65 and over in Ontario.
• To compare the services provided and patient demographics of older physicians versus younger physicians.
• To inform policy decisions regarding physician supply and healthcare access.

Main Methods:

• Cross-sectional and longitudinal analysis of physician claims data (1989/90–1995/96).
• Calculation of full-time equivalent (FTE) physicians by age, location, and specialty.
• Examination of differences in services and patient populations between age groups.

Main Results:

• The proportion of physicians aged 65+ increased from 5.3% to 7.0% during the study period.
• Older physicians were less likely to provide obstetrics, emergency services, or house calls compared to younger physicians.
• Physicians aged 75 in 1989/90 had a 50% chance of still practicing six years later; rural areas had more older specialists.

Conclusions:

• Ontario's physician population is aging, potentially impacting future obstetrics and emergency care availability.
• Policies encouraging retirement could open opportunities for new graduates but require careful consideration for rural and elderly patient access.
• Ensuring continued service to rural communities and older patients is vital when implementing physician retirement policies.