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The Relationship Between Physician Hours of Work, Service Volume and Service Intensity

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  • Sung-Hee Jeon
  • Jeremiah Hurley

Abstract

Problems of access to physician services have arisen in Canada at a time when physician hours of work have been undergoing important changes. This study investigates the relationship between physicians' hours of dir ect patient care and physicians' service supply using individual-level data from a random sample of Ontario general/family physicians. The empirical findings reveal that the variation across physicians in total billing is dominated by the variation in physicians' billings per hour rather than by the variation in physicians' working hours. There is also negative correlation between average billing per hour and average number of hours of patient care. This pattern is shown in analyses of subgroups defined by the gender of the physician, by practice location, by practice type, and by years since graduation.

Suggested Citation

  • Sung-Hee Jeon & Jeremiah Hurley, 2007. "The Relationship Between Physician Hours of Work, Service Volume and Service Intensity," Canadian Public Policy, University of Toronto Press, vol. 33(s1), pages 17-30, January.
    • Handle: RePEc:cpp:issued:v:33:y:2007:i:s1:p:17-30
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    References listed on IDEAS

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    1. Thomas F. Crossley & Jeremiah Hurley & Sung‐Hee Jeon, 2009. "Physician labour supply in Canada: a cohort analysis," Health Economics, John Wiley & Sons, Ltd., vol. 18(4), pages 437-456, April.
    2. James Thornton & B. Kelly Eakin, 1997. "The Utility-Maximizing Self-Employed Physician," Journal of Human Resources, University of Wisconsin Press, vol. 32(1), pages 98-128.
    3. Brown, Douglas M & Lapan, Harvey E, 1979. "The Supply of Physicians' Services," Economic Inquiry, Western Economic Association International, vol. 17(2), pages 269-279, April.
    4. J Hurley & C Woodward & J Brown, 1994. "Changing Patterns of Physician Services Utilization and Their Relation to Physician, Practice and Market-area Characteristics," Centre for Health Economics and Policy Analysis Working Paper Series 1994-17, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
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    1. Thomas F. Crossley & Jeremiah Hurley & Sung‐Hee Jeon, 2009. "Physician labour supply in Canada: a cohort analysis," Health Economics, John Wiley & Sons, Ltd., vol. 18(4), pages 437-456, April.
    2. Sarma, Sisira & Thind, Amardeep & Chu, Man-Kee, 2011. "Do new cohorts of family physicians work less compared to their older predecessors? The evidence from Canada," Social Science & Medicine, Elsevier, vol. 72(12), pages 2049-2058, June.
    3. Sung-Hee Jeon & Jeremiah Hurley, 2010. "Physician Resource Planning in Canada: The Need for a Stronger Behavioural Foundation," Canadian Public Policy, University of Toronto Press, vol. 36(3), pages 359-375, September.

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