Evidence map›Paper›PMID 17610434›Full record

ArticleHealth services research2007

The relationship between work hours and utilization of general practitioners in four Canadian provinces.

Deshayne B Fell, George Kephart, Lori J Curtis, Kelly Bower, Nazeem Muhajarine, Robert Reid, Leslie Roos

Abstract read
In one paragraph

Article in Health services research, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Deshayne B FellDepartment of Community Health & Epidemiology, Dalhousie University, c/o 5980 University Avenue, Room G-7105.1, Halifax, NS, Canada B3H 4N1.
George Kephart
Lori J Curtis
Kelly Bower
Nazeem Muhajarine
Robert Reid
Leslie Roos

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess whether long work hours act as a barrier to accessing general practitioner (GP) services. DATA SOURCES: Secondary data from the 1996/1997 National Population Health Survey (NPHS) and administrative health services utilization data from four Canadian provinces. STUDY

designThis study was cross-sectional, however, employment variables and GP utilization were reflective of the 12-month period preceding the NPHS interview date. Negative binomial regression was used to model the relationship between the number of GP visits in a 1-year period and employment-related variables while adjusting for other determinants of GP utilization including education, income, and health status. DATA EXTRACTION

methodsNPHS and administrative data were linked to create an analysis file. PRINCIPAL

findingsSubjects with long, standard work hours (>45 hours/week, with most hours during the day) had significantly lower GP utilization rates compared with full-time workers. White-collar workers with long work hours visited a GP significantly less often than white-collar workers with regular hours.

conclusionsLong work hours may act as a nonfinancial barrier to accessing GP services independent of health status.

Indexed as

Physicians, FamilyWorkloadAdultCanadaCross-Sectional StudiesFamily PracticeFemaleHealth BehaviorHealth Services AccessibilityHumansMaleMiddle AgedOccupationsOffice VisitsTime Factors

Identifiers

PMID17610434
PMCPMC1955285

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.