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The effect of physician supply on health status: Canadian evidence

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  • Piérard, Emmanuelle

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.

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  • Piérard, Emmanuelle, 2014. "The effect of physician supply on health status: Canadian evidence," Health Policy, Elsevier, vol. 118(1), pages 56-65.
    • Handle: RePEc:eee:hepoli:v:118:y:2014:i:1:p:56-65
    DOI: 10.1016/j.healthpol.2014.07.003
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    Cited by:

    1. Kıbrıs, Arzu & Metternich, Nils, 2016. "The flight of white-collars: Civil conflict, availability of medical service providers and public health," Social Science & Medicine, Elsevier, vol. 149(C), pages 93-103.
    2. Emmanuelle Piérard, 2016. "The effect of health care expenditures on self-rated health status and the Health Utility Index: Evidence from Canada," International Journal of Health Economics and Management, Springer, vol. 16(1), pages 1-21, March.
    3. Laura Vallejo-Torres & Stephen Morris, 2018. "Primary care supply and quality of care in England," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(4), pages 499-519, May.

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