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A Typology of Medical Practice Organization in Canada

Data From a National Survey of Physicians

Bibliographic Data

ID9103888
AuthorsA Paul Williams (Toronto Metropolitan University, corresponding author), Eugene Vayda (University of Toronto), H Michael Stevenson (York University), Mike Burke (York University), Karin Domnick Pierre (University of Toronto)
Year1990
Volume28
Issue11
Pages995-1004
Publication date1990-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-199011000-00002
PMID2250495
OpenAlexW1991709303
LanguageEN
References cited4

Different modes of practice organization may result in advantages for physicians and their patients. Compared with solo practice, group practice may produce economies of scale, efficiencies in health care delivery, and improvements in the quality of care. However, in Canada assessment of the implications of differences in practice organization have been impeded by a lack of relevant data and a tendency to treat practice type as a dichotomous variable. Conventional solo/group distinctions fail to address the significance of the growing number of medical practices that are neither solo nor group, but combinations of both, and they obscure the policy implications of the growing number of physicians in institutional as opposed to private practice. This paper develops and applies a theoretically based typology of practice organization to data collected as part of a national survey of 2,398 Canadian physicians conducted in late 1986 and early 1987. The analysis identifies six practice types, describes their distribution and operating characteristics, and identifies the characteristics of physicians working in them

Family medicine · Geography · Medical practice · Private practice · Quality (philosophy) · Scale (ratio) · Sociology · Typology · Healthcare Policy and Management · Healthcare Systems and Technology · Medicine · Nursing · Primary Care and Health Outcomes · Psychology

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Citation velocityhistorical
Highly citedNo

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