1 edition of utilization of physician services in Ontario by adults found in the catalog.
utilization of physician services in Ontario by adults
by Institute for Clinical Evaluative Sciences in Ontario in Ontario
Written in English
OBJECTIVE. To examine current trends in the utilization of general practitioner and specialist services by adults in Ontario, the sociodemographic characteristics of persons who contact physicians, and features associated with higher utilization levels of physician services. DESIGN. A population-based cross-sectional survey of 45,650 Ontario adults. Multiple sociodemographic characteristics, need-based variables, health behaviour and insurance variables from the 1990 Ontario Health Survey (OHS) used as factors potentially related to utilization. OUTCOME MEASURES. Self-reported visits to physicians in a 1 year period were considered separately for males and females for those who reported no visits compared to those who made at least 1 visit. For those persons reporting at least 1 visit, persons reporting 6 or more visits during a one year period were compared to those reporting 1-5 visits. All outcomes were considered separately for general practitioners and specialists. RESULTS. During a one year period, 75.6% of males and 86.0% of females made at least 1 visit to a general practitioner, and 25.2% of males and 36.3% of females reported at least 1 visit to a specialist. Differences between males and females were primarily due to differences in physician visits for the age groups 16-24 and 25-44. Variables indicating a need for medical care were more strongly associated with all categories of physician visits than any other factors. Whereas socioeconomic variables were not associated with males and females making at least 1 visit to a general practitioner (GP), males in the highest income level had an adjusted odds ratio (OR) of 0.67 for making 6 or more GP visits compared to a male in a low income level. High income females had an OR of 0.66 for 6 or more GP visits compared to low income females. However, the trend was opposite for adults who reported making at least 1 visit to a specialist. Males in the highest income level had an OR of 1.42 for a specialist visit compared to males in the lowest income level. Similarly, females in the highest income level had an OR of 1.25 for a specialist visit compared to those in the lowest income level. Persons who reported that they did not have prescription drug insurance were less likely to make at least 1 visit to either a GP or a specialist.(ABSTRACT TRUNCATED AT 400 WORDS)
|Statement||W. J. McIsaac, V. Goel, C. D. Naylor.|
|Series||ICES working paper series -- no. 20|
|Contributions||McIsaac, W. J., Goel, V., Naylor, C. D., Institute for Clinical Evaluative Sciences in Ontario.|
|The Physical Object|
|Number of Pages||67|
From / to /, there were more patient visits in Northern Ontario than in Southern Ontario. Although utilization in Northern Ontario continued to grow, by the end of the study period, just under 40% of visits were taking place with patients from the north (38% in / and 39% in /), down from 75% in / relating to the health care services provided to patients by all hospital facilities in Ontario. Our measure of total utilization events was computed by summing all utilization events occurring during the study period (i.e. FP visits, specialist physician visits, ED visits, inpatient admissions, drug claims, lab claims, X-rays, CT scans and MRI.
Materials and Methods:We used OTN medical service utilization data collected through the Ontario Health Insurance Plan and provided by the Ministry of Health and Long Term Care. Using census subdivisions grouped by Northern and Southern Ontario as well as urban and rural areas, we calculated utilization rates per fiscal year and total from Methods: New adult patients (N = ) were randomly assigned to primary care physicians at a university medical center. Their use of health care services and associated charges were monitored for 1 year of care. Self-reported health status was measured using the Medical Outcomes Study Short Form (SF).
We aimed to determine whether loneliness is associated with higher health care utilization among older adults in the United States. Methods. We used panel data from the Health and Retirement Study ( and ) to examine the long . Population-based estimates of health care utilization and expenditures by adults during the last 2 years of life in Canada’s single-payer health system. The objective of this study was to examine population-level trends in health care utilization and expenditures in the 2 years before death in Canada's single-payer health system.
The Lewis, Harrison, Bezer, Schoolfield ancestry of John H. Lewis, d. 1907, of Lynchburg and the Wiatt ancestry of his wife, Elizabeth D. Langhorne, d. 1946
Ppkg Essentials of Psych Case 7e + Integ
Immigration and other interests of Prescott Farnsworth Hall
Genealogical abstracts from reported deaths, the Nashville Christian advocate, 1915-1919; 1929
new era in chemistry
US Army Military Vehicles WW2
Dictionary of Sri Aurobindos yoga
First cuts are deepest
Extract of the work entitled Principles of music by Salvatore Bertezèn. = Estratto dell opera de Principj della musica, &c
William Williams Brown (1788-1856) of Allerton Hall, Chapel Allerton Leeds and London banker
Dorchester, past and present
A Population-Based Study of Older Adults in Ontario: Dementia, Frailty and Utilization of Physician Specialist Services Prepared for the Provincial Geriatrics Leadership Office of Ontario Report Prepared by: Dr.
Dallas Seitz MD PhD Associate Professor of Psychiatry, Queen’s University Principal, Strategic Evidence Inc. The patterns of outpatient physician services utilization are shown in table 1, broken down by age group and ive data from Ontario are included for comparison. As shown in table 1, youth received % of their outpatient care from primary care physicians (% from GPs/FM specialists and % from pediatricians).A similar pattern was seen in adults Cited by: A Population-Based Study of Older Adults in Ontario: Dementia, Frailty and Utilization of Physician Specialist Services This current report provides information on the number of older adults in Ontario, and by local health integration network (LHIN) to identify potential needs related to health services for these populations in Ontario.
The Ontario Ministry of Health and Long-term Care provide publicly-funded, universal coverage for medically necessary hospital, diagnostic, and physician services without the use of copayments. Over 90% of Ontario physicians are paid on a fee-for-service (FFS) basis or submit shadow bills [ 18, 19 ].Author: Y.
Raja Rampersaud, Y. Raja Rampersaud, J. Denise Power, Anthony V. Perruccio, Anthony V. Perruccio. The annual rates of outpatient physician visits per persons were for youth and for adults with SB. These rates were approximately and times higher, repectively, than for their age-matched peers.
On average, 12% of youth and 24% of adults Cited by: This paper examines year trends in the utilization of hospital and physician services by Manitobans aged 75 and more, using data from the Manitoba Population Health.
The authors retrospectively analyze how people respond to the changes in a 3-month therapeutic exercise program. The results suggest that the program creates significant reduction in falls, physician visits and hospitalization rates, hence confirming that physical activity is beneficial in reducing healthcare utilization for older adults.
This indicates that a few individuals are likely heavier users of these health services than the majority of Veterans, similar to non-Veteran service utilization in Ontario [15, 16]. Within users of primary care, older Veterans had a higher average number of family physician visits than younger Veterans.
1. Introduction. Epilepsy is one of the most common neurological disorders in children, with a prevalence of – per in North America.Children with epilepsy frequently have mental health and developmental comorbidities such as depression, anxiety, learning disability, attention deficit hyperactivity disorder (ADHD), and autistic spectrum.
The data in the Physician and Other Supplier PUF covers calendar years through and contains % final-action physician/supplier Part B non-institutional line items for the Medicare fee-for-service population. While the Physician and Other Supplier PUF has a wealth of information on payment and utilization for Medicare Part B services.
Methods. A retrospective, cross-sectional time series analysis was used to assess the presence and strength of seasonal and temporal patterns in primary care visits for respiratory diseases in Ontario, Canada, for a year period from January 1, to Decem By applying utilization management, the provider aims to have a Utilization Management Guidelines & Manual | Texas Health and Human Services Texans can dial (option 6) for information on COVID and local resources on health care, utilities, food, housing and more.
Supply and Utilization of General Practitioner and Family Physician Services in Ontario. Chan BT, Schultz SE. August The face of family medicine has changed substantially with a decreasing physician supply, an aging workforce and less comprehensive care.
Are the treating physicians at the hospital Questions to evaluate your educated regularly on the importance of complete documentation, the need to work closely with case/utilization management and Physician Advisors, and the role they play in ensuring both hospital and physician regulatory compliance.
We assessed health care utilization by homeless single men and women and adults in families and their age- and gender-matched low-income controls in Toronto, Ontario, from tousing repeated-measures general linear models to calculate risk ratios and 95% confidence intervals (CIs).
Results. Many of the characteristics of frequent service users are shared by socially isolated adults, including poor physical and mental health, 15, 16 disability, greater age, female sex, and widowhood. 17 They often experience transportation and housing issues, poverty, 18 and family dysfunction.
19 Social isolation is defined as “a state in which. Utilization of physicians' services in the community is partially related to physicians' recall patterns but is to a large extent determined by patients' needs and desires.
12 The mean per capita expenditure on out-of-hospital services was about $ higher among urban residents than among rural residents. This difference may be due, in part. "[n]egotiations to establish the next Physician Services Agreement will begin no later than Janu "22 The Physician Services Committee (PSC) was established under the Agreement.
It was specifically designed to make recommendations to the Minister of Health and Long-Term Care regarding utilization. Physician services provided to Ontario residents were classified into 16 broad categories of medical services, and expenditures were classified by service date, age group, and type of medical service.
Conclusions were drawn about how much Ontario residents spent for physician services in the United States and the types of services that they sought. During pregnancy, women with asthma may be at higher risk of exacerbation.
The objective of this study was to determine whether women with asthma in Ontario, Canada have increased health services utilization (HSU) during pregnancy. Rates of asthma-specific, asthma-related and non-pregnancy-related HSU were calculated in a population-based cohort of.
Capitation payments control use of health care resources by putting the physician at financial risk for services provided to patients. At the same time, in order to ensure that patients do not receive suboptimal care through under-utilization of health care services, managed care organizations measure rates of resource utilization in physician.PHYSICIAN AUTHORIZATION I certify that the resident is under my care and has a medical diagnosis with associated physical/mental limitations warranting the provision of the personal care services in the above care plan.
The resident may take therapeutic leave as needed.1. Internal analysis based on HCPCS data. InterQual Care Planning Criteria InterQual Care Planning Criteria help to identify when imaging studies, procedures, molecular diagnostics, durable medical equipment, specialty referral consultations and specialty pharmaceuticals are medically appropriate based on the evidence.