title: The effect of physician supply on health status: Canadian evidence.
abstract: We estimate the relationship between per capita supply of physicians, both general practitioners and specialists, and health status of Canadians. We use data from the Canadian National Population Health Survey and the Canadian Institute for Health Information. Two measures of quality of life, self-assessed health status and the Health Utility Index, are explored. Random effects ordered probits are used to model self-assessed health status, and quantile regressions are used for the Health Utility Index. A higher supply of general practitioners is correlated with better health outcomes as measured by both measures of health status, albeit for different age groups, and it is correlated with a higher HUI for some individuals who report having a chronic condition. A higher supply of specialists is correlated with worse health outcomes for the HUI for some individuals. It is possible that a higher supply of general practitioners increases the likelihood of diagnosing and treating health conditions in a timely manner and that this in turn affects health status. Specialists, due to the nature of their expertise could affect negatively health, both through the use of riskier procedures and due to their clientele being in relatively worse health. Based on our findings, we therefore would recommend maintaining a robust supply and distribution of GPs across Canada.
authors.affiliation: Department of Economics, University of Waterloo, 200 University Avenue West, Waterloo, ON, Canada N2L 3G1; Canadian Centre for Health Economics, Canada; Rimini Centre for Economic Analysis, Italy. Electronic address: epierard@uwaterloo.ca.
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Piérard
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002170:Canada; D005260:Female; D058005:General Practitioners / Q000600:supply & distribution*; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010820:Physicians / Q000600:supply & distribution*; D013038:Specialization / Q000706:statistics & numerical data*
keywords: Canada; Health status; Physician supply