The anatomy of a doctor 'shortage' - a population-based analysis of changing patterns of practice

Project number: 
06-001
Approval date: 
Wednesday, December 13, 2006
Principal Investigator: 
Barer,Morris
Institution: 
University of British Columbia (UBC)
Funding Agency: 
Canadian Institutes of Health Research(CIHR)
Datasets requested: 
ACG Case Mix Group (Johns Hopkins University)
Medical Services Plan (BC Ministry of Health)
Hospital Separations (BC Ministry of Health)
College of Physicians and Surgeons of BC
Consolidation registry (Ministry of Health)
Research objective: 

Our objectives are to:
-examine, in considerable detail and from a variety of perspectives, changes in the supply, availability and use of physician services. By examining changes in service provision disaggregated by age and sex, region and specialty of physician, and changes in the mix of physicians seen and services received, by age and sex of patients, we propose to illuminate the correlates of the shift from surplus to shortage.
-estimate the effects of the most significant policy shifts over the period on physician supply and geographic and specialty mix.
-draw inferences from these analyses about the medium term future, and thus about the likely impact of alternative policy responses.
-inform the decisions made by physician resource planners regarding policy levers most likely to improve the current situation and assure adequate future access.

Publications: 

Journal Publication

  • McGrail, K.; Evans, R.; Barer, M.; Kerluke, K.; McKendry, R."Diagnosing senescence: Contributions to physician expenditure increases in British Columbia, 1996/97 to 2005/06."  Healthcare Policy / Politiques de Santé, 7(1) 2011: 41-54
  • Evans, R.; McGrail, K.  "Richard III, Barer-Stoddart and the Daughter of Time." Healthcare Policy / Politiques de Santé, 3(3) 2008: 18-28

Presentation of research material (poster/seminar/lecture etc.)

  • Barer, M.; Evans, R.; McKendry, R.; McGrail, K.; Watson, D.; Kerluke, K. "Where have all the doctors gone?" Centre for Health Services and Policy Research (CHSPR) lunch seminar May 13, 2009
  • Evans, R.; McKendry, R.; McGrail, K.; Barer, M. "Where have all the doctors gone?" Centre for Health Services and Policy Research (CHSPR) lunch seminar December 11, 2008
  • Barer, M.; Evans, R.; McGrail, K.; McKendry, R. "Where has all the money gone?" National Meeting on Physician Compensation, Victoria, BC. 16 October 2008
  • McGrail, K.; Barer, M.; Evans, R.; Morgan, S.; Stoddart, G.; Watson, D.; Kerluke, K.; McKendry, R.; Black, C. "Changing patterns of physician practice in British Columbia, Canada." Academy Health June 2008
  • Barer, M.; McGrail, K.; McKendry, R.; Evans, R.; Kerluke, K.; Black, C.; Stoddart, G.; Morgan, S.; Watson, D.; Yip, H. "Anatomy of a Doctor “Shortage”: The Media and Physician Supply." CHSPR Lunch Seminar Vancouver BC May 14, 2008
  • Barer, M.; McGrail, K.; McKendry, R.; Evans, R.; Kerluke, K.; Black, C.; Stoddart, G.; Morgan, S.; Watson, D.; Yip, H. "Anatomy of a Doctor Shortage." Health Care and Epidemiology Rounds, UBC March 14, 2008
  • Evans, R.; Barer, M.; McGrail, K.; Black, C.; Stoddart, G.; Watson, D. "Physician reimbursement policies and implications for research." Canadian Association of Health Services and Policy Research Annual conference, Toronto ON June 14, 2007

Conference abstract/presentation

  • McGrail, K.; Evans, R.; Barer, M.; Kerluke, K.; McKendry, R. "Diagnosing Senescence: Contributions to physician expenditures increases in British Columbia, 1996/97 to 2005/06." Canadian Association of Health Services and Policy Research Annual conference, Toronto ON May 12, 2010
  • Barer, M.; Kerluke, K.; Mooney, D.; Peterson, S.; McGrail, K.; McKendry, R.; Evans, R. "Can a Glacier Contain Embedded Avalanches?  Population Aging and  Physician Services Use in BC." Canadian Association of Health Services and Policy Research Annual conference, Toronto ON May 12, 2010
  • McGrail, K.; Lewis, S.; Kerluke, K. "Health care footprints: Provider level variations in practice." Canadian Association of Health Services and Policy Research Annual conference, Calgary AB May 12, 2009
  • Barer, M.; Evans, R.; McKendry, R.; McGrail, K.; Watson, D.; Kerluke, K. "Where have all the doctors gone?" Canadian Association of Health Services and Policy Research Annual conference, Calgary AB May 13, 2009
  • Barer, M.; Kerluke, K.; Mooney, M.; McGrail, K; McKendry, R; Evans, R.; Stoddart, G.; Black, C.; Watson, D. "Why can't women practice more like men? The impact of physician workforce feminization on medical service provision in BC, 1991/92 to 2005/06." Canadian Association of Health Services and Policy Research Annual conference, Calgary AB May 12, 2009
  • Evans, R. G. "Where Have All the Doctors Gone? And What Are They Doing There?" University of Calgary May 7, 2009
  • Barer, M.; Evans, R.; McKendry, R.; McGrail, K. "Where have all the doctors gone?" WRTC Seminars in Health Services Research Nov 21, 2008
  • Evans, R.G.; McKendry, R.; McGrail, K.; Barer, M.L. "Where have all the doctors gone?" National Conference on Physician Compensation, Victoria BC, October 17, 2008
  • McGrail, K. "Floating for fixed? Results From Different Methods of Calculating Full-Time Equivalent Physician Numbers." Statistics Canada, Data Users' Annual Conference, Sept 22, 2008
  • Barer, M.; McGrail, K.; McKendry, R. "The Changing Face of Physician Services in BC - Perception and Reality." Canadian Association of Health Services and Policy Research Annual conference, Gatineau Quebec May 27, 2008
  • Barer, M.; Evans, R.; McGrail, K.; McKendry, R.; Kerluke, K.; Stoddart, G.; Morgan, S.; Black, C. "Inside the Ring – Winners and Losers in BC Fee Wars."  IHR, Connecting Issues and People, Ottawa Dec 5, 2007
  • Evans, R.; Barer, M.; McGrail, K.; Black, C; Stoddart, G.; Watson, D.  "Physician reimbursement policies and implications for research." CIHR Connecting Issues and People, Ottawa Dec 5, 2007
  • Barer, M.; McGrail, K.; McKendry, R.; Evans, R.; Black, C.; Stoddart, G.; Morgan, S.; Watson, D. "Anatomy of a “Doctor Shortage.” CIHR, Connecting Issues and People - Ottawa Dec 5, 2007
  • Barer, M.; McGrail, K.; McKendry, R.; Evans, R.; Black, C.; Stoddart, G.; Morgan, S.; Watson, D. "Anatomy of a Doctor Shortage." HEA 2007 6th World Congress: Explorations in Health Economics Paper - Working Paper Series Denmark July 8-11, 2007
  • Barer, M.; McGrail, K.; McKendry, R.; Evans, R.; Black, C.; Stoddart, C.; Morgan, S.; Watson, D. "Anatomy of a “Doctor Shortage." Canadian Association of Health Services and Policy Research Annual conference, Toronto ON June 13, 2007

Page last revised: December 5, 2017