Gastroenterology Numbers in Canada: A Comparison of Human Resource Databases

Leddin, Desmond; Cehovin, A; Gillis, Charlotte E.

doi:10.1093/jcag/gwx005

Cited by 4 publications

(2 citation statements)

References 1 publication

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“…Descriptions of the main human resource databases that generate gastroenterology numbers have previously been given ( 4 ). The two main databases that provide estimates of gastroenterology practitioner numbers are now almost identical in their estimates.…”

Section: Discussionmentioning

confidence: 99%

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Gastroenterology Practitioner and Trainee Numbers in Canada 2018: Annual Report From the Canadian Association of Gastroenterology

Leddin

Carroll

Gillis

et al. 2020

Journal of the Canadian Association of Gastroenterology

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Background It is necessary for health planners, educators and physician and patient organizations to be aware of trends in gastroenterologist (GI) numbers in order to ensure that patients have timely access to care. Methods The number of GIs in practice and the number of trainees in the specialty was determined for 2018 using three national databases compared with previous years. Results In 2018, there were 787 GIs in Canada, which equated to 2.1 GIs per 100,000 population. There are marked differences between provinces with numbers ranging from 1.1 to 2.9 per 100,000. There are 53 GIs specializing in pediatric GI care. Forty-six per cent of practitioners under the age of 35 years are female. Seventy-two residents are training in adult GI and six in pediatrics. Approximately 75% of fellows in adult and pediatric GI are training on temporary visas. The number of adult GIs is decreasing despite increasing national population growth and service demand. The numbers of trainees in both adult and pediatric GI are lower than in 2010. If these trends continue, wait times for GI care, which are already poor, will likely increase further. Conclusions Continued monitoring of human resource numbers, patient access to care and validation of current data is required. The purpose of this report is to present the number of gastroenterologists (GIs), both in practice and in training, in Canada for 2018. We also wished to examine the 2018 numbers by province and gender, compare the 2018 numbers with those of previous years and describe the practice settings and organization.

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Section: Discussionmentioning

confidence: 99%

“…The Canadian Post-MD Education Registry (CAPER) ( 3 ) was used to generate trainee and fellow counts. The methods that these databases use to record physician numbers have previously been reported ( 4 )…”

Section: Methodsmentioning

confidence: 99%

Gastroenterology Practitioner and Trainee Numbers in Canada 2018: Annual Report From the Canadian Association of Gastroenterology

Leddin

Carroll

Gillis

et al. 2020

Journal of the Canadian Association of Gastroenterology

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Models of Care for Inflammatory Bowel Disease: A National Cross-sectional Survey to Characterize the Landscape of Inflammatory Bowel Disease Care in Canada

Miles

Peña-Sánchez

Heisler

et al. 2022

Crohn's &Amp; Colitis 360

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Background Collaborative care models improve inflammatory bowel disease (IBD) patient outcomes, yet little is known about the capacity or available resources to deliver such model of care in Canada. We aimed to describe the structure and process characteristics of clinical care delivery models for IBD across Canada, including the number of collaborative care centres. Methods A cross-sectional study was conducted between November 2017 and October 2018 through an online survey. This survey was distributed to gastroenterologists at community and academic centres across Canada who provide care for IBD patients. Comparisons between collaborative and non-collaborative centres were analysed using chi-squares or t-tests. Descriptive statistics of respondent demographics were also generated. Results 72 gastroenterologists from 62 unique IBD centres completed the survey. A total of 7 unique collaborative centres and 55 unique non-collaborative centres were identified. There were significant differences between collaborative and non-collaborative centres in some aspects of access to IBD care, patient assessment and referral process, and patent education and empowerment. Notably, very few centres had processes for implementing and evaluating evidence-based clinical pathways, and auditing quality indicators. Conclusions Our findings identify areas for improving the quality of IBD care in Canada. Expanding the number of and access to collaborative care centres in Canada is needed, in addition to increased focus on patient education, communication, and implementation of evidence-based care pathways.

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Access to inflammatory bowel disease speciality care: the primary healthcare physician perspective

Burns

Mathias

Heisler³

et al. 2021

Family Practice

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Background There is little literature related to access to inflammatory bowel disease (IBD) care that incorporates the perspective of key system stakeholders, such as primary healthcare providers (PHCP), despite their clear and integral role in facilitating access. Objective This study aimed to identify barriers to referring patients to speciality IBD care as perceived by referring PHCP. In particular, we sought to understand PHCP satisfaction with the current IBD specialist referral system, as well as indicators of geographic variance to access. Methods A population-based survey was mailed out to currently practising PHCPs who have referred or who are currently referring patients to IBD speciality care in Nova Scotia (Canada). Descriptive statistics and multivariate analyses were performed. Qualitative comments were themed using framework analysis to identify key barriers. Results The majority of PHCP (57%) were dissatisfied with the current referral process due to long patient wait times and perceived system inefficiency. Key areas of geographic variance in access included access to speciality care in the community and patient wait times. PHCPs suggested ideas to improve access including increased gastroenterologist supply, particularly in rural areas, and the creation of a provincial centralized referral and triage process. Conclusions PHCPs play an important role in identifying and managing patients with IBD in partnership with gastroenterologists. This study identifies key PHCP perceived barriers that may prevent patients from accessing speciality IBD care. Understanding and addressing barriers to access from multiple stakeholder perspectives, including PHCPs, has the potential to support informed system redesign and overcome access inequities.

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Gastroenterology Numbers in Canada: A Comparison of Human Resource Databases

Cited by 4 publications

References 1 publication

Gastroenterology Practitioner and Trainee Numbers in Canada 2018: Annual Report From the Canadian Association of Gastroenterology

Gastroenterology Practitioner and Trainee Numbers in Canada 2018: Annual Report From the Canadian Association of Gastroenterology

Models of Care for Inflammatory Bowel Disease: A National Cross-sectional Survey to Characterize the Landscape of Inflammatory Bowel Disease Care in Canada

Access to inflammatory bowel disease speciality care: the primary healthcare physician perspective

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