Beneath the calm surface: the changing face of physician-service use in British Columbia, 1985/86 versus 1996/97

Family physician workloads and access to care in Winnipeg: 1991 to 2001

“…Although others have also documented temporal homeostasis in aggregate supply and use of FPs in British Columbia, 14 the most intriguing finding of our study is that, despite this stability, there were substantive shifts in age-related workloads. By 2000/01, FPs between 30 and 49 years (the baby boomer generation, constituting 64% of the workforce) provided approximately 20% fewer visits per year to their patients than did their same-age peers 10 years previously.…”

Do they care too much to work? The influence of caregiving intensity on the labour force participation of unpaid caregivers in Canada

“…This growth in the proportion of seniors in the population is expected to impact societies broadly, in both predictable and unanticipated ways. Whether or not population aging will overwhelm health system resources is debatable (Barer et al, 1987(Barer et al, , 2004Payne et al, 2009). Nevertheless, perpetuating an aging "crisis" allows governments to seek methods that limit state health expenditures (Barer et al, 2004) through the promotion of strategies such as aging at home, where cost-sharing with individuals and family members is higher than in institutional settings (Lundsgaard, 2005;Stabile et al, 2006;Tranmer et al, 2005).…”

Sustainability of health care in Canada

“…Our purpose 1 was to identify the key components in physician billings as a means of isolating both what was and what was not happening. The observation of major changes in the patterns of contact between patients and general practitioners is, we think, quite new: we found that GPs are increasingly sharing their patients, yet the net impact on costs is minimal.…”