Use of micro-data to determine effective indicators of fee-for-service general practitioner utlization [sic] in Newfoundland
Thesis (M.Sc.)--Memorial University of Newfoundland, 2009. Medicine Includes bibliographical references (leaves 106-111); In Newfoundland and Labrador health care resources are currently distributed to Regional Health Authorities (RHAs) largely according to their previous expenditure levels. It is s...
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ftmemorialunivdc:oai:collections.mun.ca:theses4/96328 2023-05-15T17:23:33+02:00 Use of micro-data to determine effective indicators of fee-for-service general practitioner utlization [sic] in Newfoundland Dunne, Tobias M. (Tobias Matthew), 1981- Memorial University of Newfoundland. Faculty of Medicine Canada--Newfoundland and Labrador; 2009 v, 117 leaves : col. ill. Image/jpeg; Application/pdf http://collections.mun.ca/cdm/ref/collection/theses4/id/96328 Eng eng Electronic Theses and Dissertations (14.70 MB) -- http://collections.mun.ca/PDFs/theses/Dunne_TobiasM.pdf a2981148 http://collections.mun.ca/cdm/ref/collection/theses4/id/96328 The author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author's permission. Paper copy kept in the Centre for Newfoundland Studies, Memorial University Libraries Health care rationing--Newfoundland and Labrador Health facilities--Newfoundland and Labrador Medical care--Utilization--Newfoundland and Labrador Physicians (General practice)--Fees--Newfoundland Labrador Health Policy--Newfoundland and Labrador Health Resources--economics--Newfoundland and Labrador Text Electronic thesis or dissertation 2009 ftmemorialunivdc 2015-08-06T19:22:11Z Thesis (M.Sc.)--Memorial University of Newfoundland, 2009. Medicine Includes bibliographical references (leaves 106-111); In Newfoundland and Labrador health care resources are currently distributed to Regional Health Authorities (RHAs) largely according to their previous expenditure levels. It is suggested that this historical distribution may not be the most equitable way to distribute resources because these allocation levels may not be indicative of needs of the population living in the area. As such, some communities do not receive an adequate share of resources, resulting in a violation of the concept of vertical equity. -- The primary objective of this research is to determine which population characteristics (demographic and health) are the best indicators of FFS GP utilization. To do this, multiple linear regression was used to estimate the dollar value of GP resources consumed based on the demographic and health characteristic information of the population. Data were collected from: the Medical Care Plan (MCP) administration data for the years 1996-2004, the 1995 Newfoundland Panel on Health and Medical Care - Adult Health Survey (AHS), and the 2001 Canadian Community Health Survey (CCHS). -- It is recommended that, as a minimum, age and gender variables be used as the main predictors for GP resource utilization. However, it is also recommended that the number of chronic conditions and self assessed health status be used to compensate for all other variables outside of age and gender demographics. The health practices and socioeconomic indicators as measured in this study did not hold strong statistical significance and showed unexpected and inconsistent resource allocation values. -- These results could be used as part of a capitation formula which would assign funding to communities based on expected future need and thus result in a fairer allocation of scarce resources. Thesis Newfoundland studies University of Newfoundland Memorial University of Newfoundland: Digital Archives Initiative (DAI) Newfoundland Canada |
institution |
Open Polar |
collection |
Memorial University of Newfoundland: Digital Archives Initiative (DAI) |
op_collection_id |
ftmemorialunivdc |
language |
English |
topic |
Health care rationing--Newfoundland and Labrador Health facilities--Newfoundland and Labrador Medical care--Utilization--Newfoundland and Labrador Physicians (General practice)--Fees--Newfoundland Labrador Health Policy--Newfoundland and Labrador Health Resources--economics--Newfoundland and Labrador |
spellingShingle |
Health care rationing--Newfoundland and Labrador Health facilities--Newfoundland and Labrador Medical care--Utilization--Newfoundland and Labrador Physicians (General practice)--Fees--Newfoundland Labrador Health Policy--Newfoundland and Labrador Health Resources--economics--Newfoundland and Labrador Dunne, Tobias M. (Tobias Matthew), 1981- Use of micro-data to determine effective indicators of fee-for-service general practitioner utlization [sic] in Newfoundland |
topic_facet |
Health care rationing--Newfoundland and Labrador Health facilities--Newfoundland and Labrador Medical care--Utilization--Newfoundland and Labrador Physicians (General practice)--Fees--Newfoundland Labrador Health Policy--Newfoundland and Labrador Health Resources--economics--Newfoundland and Labrador |
description |
Thesis (M.Sc.)--Memorial University of Newfoundland, 2009. Medicine Includes bibliographical references (leaves 106-111); In Newfoundland and Labrador health care resources are currently distributed to Regional Health Authorities (RHAs) largely according to their previous expenditure levels. It is suggested that this historical distribution may not be the most equitable way to distribute resources because these allocation levels may not be indicative of needs of the population living in the area. As such, some communities do not receive an adequate share of resources, resulting in a violation of the concept of vertical equity. -- The primary objective of this research is to determine which population characteristics (demographic and health) are the best indicators of FFS GP utilization. To do this, multiple linear regression was used to estimate the dollar value of GP resources consumed based on the demographic and health characteristic information of the population. Data were collected from: the Medical Care Plan (MCP) administration data for the years 1996-2004, the 1995 Newfoundland Panel on Health and Medical Care - Adult Health Survey (AHS), and the 2001 Canadian Community Health Survey (CCHS). -- It is recommended that, as a minimum, age and gender variables be used as the main predictors for GP resource utilization. However, it is also recommended that the number of chronic conditions and self assessed health status be used to compensate for all other variables outside of age and gender demographics. The health practices and socioeconomic indicators as measured in this study did not hold strong statistical significance and showed unexpected and inconsistent resource allocation values. -- These results could be used as part of a capitation formula which would assign funding to communities based on expected future need and thus result in a fairer allocation of scarce resources. |
author2 |
Memorial University of Newfoundland. Faculty of Medicine |
format |
Thesis |
author |
Dunne, Tobias M. (Tobias Matthew), 1981- |
author_facet |
Dunne, Tobias M. (Tobias Matthew), 1981- |
author_sort |
Dunne, Tobias M. (Tobias Matthew), 1981- |
title |
Use of micro-data to determine effective indicators of fee-for-service general practitioner utlization [sic] in Newfoundland |
title_short |
Use of micro-data to determine effective indicators of fee-for-service general practitioner utlization [sic] in Newfoundland |
title_full |
Use of micro-data to determine effective indicators of fee-for-service general practitioner utlization [sic] in Newfoundland |
title_fullStr |
Use of micro-data to determine effective indicators of fee-for-service general practitioner utlization [sic] in Newfoundland |
title_full_unstemmed |
Use of micro-data to determine effective indicators of fee-for-service general practitioner utlization [sic] in Newfoundland |
title_sort |
use of micro-data to determine effective indicators of fee-for-service general practitioner utlization [sic] in newfoundland |
publishDate |
2009 |
url |
http://collections.mun.ca/cdm/ref/collection/theses4/id/96328 |
op_coverage |
Canada--Newfoundland and Labrador; |
geographic |
Newfoundland Canada |
geographic_facet |
Newfoundland Canada |
genre |
Newfoundland studies University of Newfoundland |
genre_facet |
Newfoundland studies University of Newfoundland |
op_source |
Paper copy kept in the Centre for Newfoundland Studies, Memorial University Libraries |
op_relation |
Electronic Theses and Dissertations (14.70 MB) -- http://collections.mun.ca/PDFs/theses/Dunne_TobiasM.pdf a2981148 http://collections.mun.ca/cdm/ref/collection/theses4/id/96328 |
op_rights |
The author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author's permission. |
_version_ |
1766113287071596544 |