How Well Has Canada Contained the Costs of Doctoring?
- 8 May 1991
- journal article
- research article
- Published by American Medical Association (AMA)
- Vol. 265 (18) , 2347-2351
- https://doi.org/10.1001/jama.1991.03460180053032
Abstract
Canada's provinces have had varying success at containing the costs of physician services through the use of fee schedules and expenditure targets. This article examines the wide variation in the increases in the costs of physician services among Ontario, Quebec, and British Columbia between 1975 and 1987. Cost increases during that time resulted from various combinations of increases in prices (fees) and utilization, stimulated by an increased supply of physicians. Differences among the three provinces resulted from differences in the aggressiveness of fee schedule controls and whether expenditure targets were imposed. Regardless of the degree of expenditure increases, utilization increased steadily in all three provinces and was associated most consistently with growth in the supply of physicians. This was most dramatically illustrated in Quebec, which noted the most rapid rise in physician-to-population ratio. Cost containment may ultimately require constraints on the number of new physicians in addition to controls on fees and utilization. (JAMA. 1991;265:2347-2351)Keywords
This publication has 6 references indexed in Scilit:
- How Does Canada Do It? A Comparison of Expenditures for Physicians’ Services in the United States and CanadaPublished by World Scientific Pub Co Pte Ltd ,2018
- Rationing Health Care: The Choice Before UsScience, 1990
- I. Legislation: Medicare Physician Payment ReformHealth Affairs, 1990
- Results and Policy Implications of the Resource-Based Relative-Value StudyNew England Journal of Medicine, 1988
- The theory of physician-induced demand reflections after a decadeJournal of Health Economics, 1985
- The Impact of Changing Medicare Reimbursement Rates on Physician-Induced DemandMedical Care, 1983