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Physician???s Working Hours and Patients Seen Before and After National Health Insurance

Free??? Medical Care and Medical Practice

Bibliographic Data

ID9103017
AuthorsPhilip E Enterline (University of Pittsburgh), J Corbett McDonald, Janet McDonald (0000-0003-4761-5371, University of Pittsburgh), Alison D McDonald (University of Pittsburgh), Vivian Henderson (University of Pittsburgh)
Year1975
Volume13
Issue2
Pages95-103
Publication date1975-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197502000-00001
PMID1113556
OpenAlexW1999635778
LanguageEN
Citations received3
References cited1

Surveys were made of a sample of physicians before and after the introduction of a national health insurance plan in Montreal, Canada. Although the number of physicians in active practice seemed unaffected by the plan, their average working day was reduced 1.5 hours. Declines ranged from 0.3 hours for general internists to 2.7 hours for general surgeons. The average daily volume of services by physicians in the area also declined because of a decline in telephone consultations, and home and hospital visits. Office visits increased sharply. Changes in the type of services were clearly related to the fee schedule adopted by the government, with large declines in services for which payment was probably inadequate in relation to physician's time required. If the fee schedule reflected actual collections prior to the health insurance plan, then gross physician income increased as the result of redirecting services to better paying activities

Environmental health · Family medicine · Health care · Health insurance · Medical care · Medical emergency · Medical practice · MEDLINE · National health insurance · Political science · Healthcare Policy and Management · Medicine

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    Karen R Grant•Sociological Focus•1984

  • Variations in appointment delays for physicians' services

    Open Access•Frank A Sloan, Bruce Steinwald•Policy Sciences•1978

  • Physician Service in Montreal before Universal Health Insurance

    Alison D McDonald, J Corbett McDonald et al.•Medical Care•1973

Unique citing works3
Citations per year0,06
Citation span1978 - 1989 (12)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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