ArticleJournal of the American Board of Family Medicine : JABFM
Physician supply and breast cancer survival.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Beyond the physician shortage: infrastructure as a rate-limiting step in breast cancer care.Frontiers in oncology · 2026Article
- Regional differences in recommended cancer treatment for the elderly.BMC health services research · 2016Article
- The association between county-level surgeon density and esophageal and gastric cancer mortality.Journal of gastrointestinal cancer · 2014Article
- The effects of primary care on breast cancer mortality and incidence among Medicare beneficiaries.Cancer · 2013Article
- Socioeconomic and physician supply determinants of racial disparities in colorectal cancer screening.Journal of oncology practice · 2012Article
- Colonoscopist and primary care physician supply and disparities in colorectal cancer screening.Health services research · 2012Article
- Are the serious problems in cancer survival partly rooted in gatekeeper principles? An ecologic study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- Associations of physician supplies with colon cancer care in Ontario and California, 1996 to 2006.Digestive diseases and sciences · 2011Article
- The supply of physicians and care for breast cancer in Ontario and California, 1998 to 2006.Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada · 2011Article
- Influence of primary care on breast cancer outcomes among Medicare beneficiaries.Annals of family medicineArticle
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8 authors.
Funding
Abstract
backgroundThis study tested the hypothesis that physician supply thresholds are associated with breast cancer survival in Ontario.
methodsThe 5-year survival of 17,820 female breast cancer patients diagnosed between 1995 and 1997 was surveilled until 2003 for all-cause mortality. Physician supply densities in 1991 and 2001 were computed for 49 Ontario regions.
resultsThere were independent threshold effects for general practitioners (GP; 7.25 per 10,000) and obstetrician/gynecologists (OB/GYN; 6 per 100,000) at or above which women with breast cancer were more likely to survive for 5 years. The respective risk of living in areas undersupplied with OB/GYN and GP increased 30% to nearly 5-fold during the 1990s. Five-year survival tended to be lower in provincial areas outside of Toronto, which experienced GP (odds ratio, 0.83; 90% CI, 0.70-0.99) and OB/GYN (odds ratio, 0.76; 95% CI, 0.61-0.96) supply decreases.
conclusionAs they do in America, primary care physician supplies in Canada seem to matter in the effective provision of cancer care. Community resources such as health care service endowments, including physician supplies, may be particularly critical to the performance of health care systems such as Canada's, which aim to provide medically necessary care for all.
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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.