Evidence map›Paper›PMID 22851985›Full record

ArticleHealthcare policy = Politiques de sante2011

Diagnosing senescence: contributions to physician expenditure increases in british columbia, 1996/97 to 2005/06.

Kimberlyn M McGrail, Robert G Evans, Morris L Barer, Kerry J Kerluke, Rachael McKendry

Abstract read
In one paragraph

Article in Healthcare policy = Politiques de sante, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  5. Physician workforce planning in Canada: the importance of accounting for population aging and changing physician hours of work.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  6. Article
  7. Article
  8. Testing 1, 2, 3: is overtesting undermining patient and system health?Canadian family physician Medecin de famille canadien · 2012
    Article
  9. The Sorcerer's Apprentices.Healthcare policy = Politiques de sante · 2011
    Article
  10. Article
  11. Article
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

5 authors.

Kimberlyn M McGrailAssistant Professor and Associate Director, School of Population and Public Health, Centre for Health Services and Policy Research, Vancouver, BC.
Robert G Evans
Morris L Barer
Kerry J Kerluke
Rachael McKendry

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conventional wisdom holds that Canada suffers from a physician shortage, yet expenditures for physicians' services continue to increase rapidly. We address this apparent paradox, analyzing fee-for-service payments to physicians in British Columbia in 1996/97 and 2005/06. Age-specific per capita expenditures (adjusted for fee changes) rose 1% per year over this period, adding $174 million to 2005/06 expenditures. We partition these increases into changes in the proportion of the population seeing a physician; the number of unique physicians seen; the number of visits per physician; and the average expenditure per visit. Expenditures on laboratory and imaging services, particularly for the elderly and very elderly, have increased dramatically. By contrast, primary care services for the non-elderly appear to have declined. The causes and health consequences of these large changes deserve serious attention.

Identifiers

PMID22851985
PMCPMC3167567

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.