The Optimal Psychiatrist-to-Population Ratio: A Canadian Perspective

el‐Guebaly, Nady; P, Beauséjour; Woodside, Blake; Smith, Derryck H.; Kapkin, I.A.

doi:10.1177/070674379103600103

Cited by 16 publications

(14 citation statements)

References 17 publications

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“…According to Canadian guidelines 36 , the ideal number of child psychiatrists for the province would be about 15. At the time of the pilot, there were only five.…”

Section: Rationale For the Projectmentioning

confidence: 99%

A prospective satisfaction study and cost analysis of a pilot child telepsychiatry service in Newfoundland

Elford¹,

et al. 2001

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We evaluated user satisfaction with a PC-based videoconferencing system used for child psychiatry assessments and performed a cost analysis. Thirty patients (aged 5-16 years), accompanied by a parent, completed a psychiatric assessment using the videoconferencing system. One of five child psychiatrists was randomly assigned to each assessment. Satisfaction questionnaires were completed after each assessment by the psychiatrist, patient and parent. Parents also completed a cost questionnaire. The telecommunications bandwidth was 336 kbit/s. The psychiatrists stated that they were either 'very satisfied' or 'satisfied' with the telepsychiatry assessments. On a five-point Likert scale (1 = lowest, 5 = highest), 28 of the 30 parents (93%) rated their satisfaction level as 5; the other two rated it 4. All 30 parents (100%) stated that they 'liked' the telepsychiatry assessment and would use the system again. Twenty-nine parents (97%) indicated that they would prefer to use the telepsychiatry system to travelling to see a child psychiatrist in person. Eleven children (aged 5-12) participated and all (100%) said they 'liked' using the telepsychiatry system. Five out of nine children (56%) stated they liked the 'television doctor' better than the 'real' doctor; four said they had no preference. Nineteen adolescents (aged 13-16 years) participated and most were very satisfied or satisfied with the system. Seventeen of the 19 adolescents (89%) said they would prefer to see the psychiatrist on the videoconferencing system to travelling for an assessment, and the same number said that they would use telepsychiatry again. The estimated total travel cost for the 30 patients was $12,849, an average of $428 per patient. The total cost of the telepsychiatry service for the three-month pilot was $12,575, or $419 per patient.

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“…According to Canadian guidelines 36 , the ideal number of child psychiatrists for the province would be about 15. At the time of the pilot, there were only five.…”

Section: Rationale For the Projectmentioning

confidence: 99%

A prospective satisfaction study and cost analysis of a pilot child telepsychiatry service in Newfoundland

Elford¹,

et al. 2001

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“…Two significant issues may affect the numbers of child psychiatrists entering the profession in the near future. Canadian policies regarding acceptance of foreign medical graduates have changed over the past years, reducing the numbers of foreign medical residents selecting psychiatry residency training in Ontario (5). This trend should be monitored, as it may negatively affect the overall number of residents entering child psychiatry training programs.…”

Section: Discussionmentioning

confidence: 99%

“…The "demand" for services is influenced by standard of living, educational sophistication about health care, method of health care financing, and society's willingness to address social problems through the health care system. The "productivity" of physicians is influenced by work schedules, the number of patients seen per hour, the mode of health caredelivery, and technical innovations (5).…”

mentioning

confidence: 99%

Child Psychiatry Practice Patterns in Ontario

Steele

Wolfe

1999

Can J Psychiatry

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An optimal ratio of child psychiatrists per population served still needs to be determined, with special consideration given to the needs of rural communities. The small ratio of child psychiatrists to the population of children with mental health needs highlights the importance of collaborating with other medical and mental health professionals. Recruiting and retaining child psychiatrists will need to be monitored. Child psychiatrists in Ontario need a unified voice to address these issues.

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“…In 2005, women made up around one third of psychiatrists in Australia and half of psychiatry trainees [ 1 ], with a higher proportion of women in the younger age groups than in the workforce as a whole [ 1 , 2 , 9 ]. As female psychiatrists tend to work fewer hours than their male counterparts [ 1 , 12 , 13 ], this younger female workforce may be limited in its capacity to replace the mostly male older cohorts.…”

Section: Introductionmentioning

confidence: 99%

“…In terms of the demographics and growth of the workforce, the patterns in Australian psychiatry are similar to those observed in other countries. The United States and Canada have both seen a rise in the number of psychiatrists [ 14 - 16 ] and proportion of women [ 12 , 16 - 18 ] in recent times. Women in the United Kingdom are also joining the profession in greater numbers [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

The impact of generational change and retirement on psychiatry to 2025

Fletcher

Schofield

2007

BMC Health Serv Res

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BackgroundAustralia is currently experiencing widespread shortages of psychiatrists. The changing nature of the workforce and increasing demand mean that these shortages are unlikely to ease. This study aims to identify demographic change and retirement patterns of the Australian psychiatry workforce from 1995 to 2003, and the implications of those changes for future workforce planning.MethodsData from the Australian Institute of Health and Welfare (AIHW) Medical Labour Force Survey from 1995 to 2003 is used to examine ageing of the psychiatry workforce and attrition of psychiatrists aged 50 years and over. Future attrition from the workforce is projected to 2025.ResultsSixty two percent of psychiatrists practicing in the year 2000 are predicted to have retired by 2025. Most psychiatrists continue to work until late in life, with only 18 per cent retiring before age 65. The psychiatry workforce aged significantly between 1995 and 2003 (p < 0.001), with men older than women in both years. A reduction in hours worked by psychiatrists reflects both the increasing proportion of females and the older members of the profession reducing their hours in preparation for retirement.ConclusionThe impact of ageing of the workforce may be more immediate for psychiatry than for some other health professions. With the growing proportion of females and their typically lower workforce participation, more than one younger psychiatrist will be required to replace each of the mostly male retirees.

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The Optimal Psychiatrist-to-Population Ratio: A Canadian Perspective

Cited by 16 publications

References 17 publications

A prospective satisfaction study and cost analysis of a pilot child telepsychiatry service in Newfoundland

A prospective satisfaction study and cost analysis of a pilot child telepsychiatry service in Newfoundland

Child Psychiatry Practice Patterns in Ontario

The impact of generational change and retirement on psychiatry to 2025

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