{"id":5371,"date":"2002-08-01T00:00:00","date_gmt":"2002-08-01T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/parkinsonism-in-ontario-physician-utilization\/"},"modified":"2023-06-14T20:05:47","modified_gmt":"2023-06-15T00:05:47","slug":"parkinsonism-in-ontario-physician-utilization","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/parkinsonism-in-ontario-physician-utilization\/","title":{"rendered":"Parkinsonism in Ontario: physician utilization"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; Patients with Parkinsonism have a progressive disorder requiring substantial expertise to manage effectively.<\/p>\n<p><strong>Methods<\/strong> &#x2014; Over a six-year period we evaluated physician utilization and related costs for a large, unselected cohort of 15,304 Parkinsonian patients from the general population, comparing them to 30,608 age- and sex-matched controls within a universal healthcare system in Ontario, Canada.<\/p>\n<p><strong>Results<\/strong> &#x2014; On average, 45% of Parkinsonian patients saw neurologists annually. The cumulative rate of at least one neurological consultation was only 59.5% over the six years. Patients aged &lt; 65 had a much greater likelihood of consulting a neurologist (73.3%) compared to those &gt; or = 65 (37.2%). Most Parkinsonian patients (97.2%), regardless of age, saw family physicians\/general practitioners each year; 50.4% saw internal medicine consultants.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; Parkinsonian patients had increased likelihood of utilizing neurologists, primary care physicians and internists compared to controls; related costs of physicians&apos; services were higher. Further research is necessary to evaluate differences in outcomes and costs between neurologists and other physician service providers.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Patients with Parkinsonism have a progressive disorder requiring substantial expertise to manage effectively. Methods &#x2014; Over a six-year period we evaluated physician utilization and related costs for a large, unselected cohort of 15,304 Parkinsonian patients from the general population, comparing them to 30,608 age- and sex-matched controls within a universal healthcare system in [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[41,61,62],"migration-helper-qa-sample-set":[],"class_list":["post-5371","journal_article","type-journal_article","status-publish","hentry","topic-brain-diseases","topic-health-economics","topic-health-services-research"],"acf":{"citation":"Guttman M, Slaughter PM, Theriault ME, DeBoer DP, Naylor CD. <em>Can J Neurol Sci<\/em>. 2002; 29(3):221-6.","source_url":"","ices_scientist":[1304],"site":[6733],"research_program":[],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"E937675A-7298-4ABA-AC7C-D80635C2133B","sitecore_item_name":"Parkinsonism-in-Ontario-Physician-utilization","sitecore_field_values":"{\n  \"Title\": \"Parkinsonism in Ontario: physician utilization\",\n  \"Short title\": \"Parkinsonism in Ontario\",\n  \"Citation\": \"<p>Guttman M, Slaughter PM, Theriault ME, DeBoer DP, Naylor CD. <em>Can J Neurol Sci<\/em>. 2002; 29(3):221-6.<\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; Patients with Parkinsonism have a progressive disorder requiring substantial expertise to manage effectively.<\/p>rn<p><strong>Methods<\/strong> &mdash; Over a six-year period we evaluated physician utilization and related costs for a large, unselected cohort of 15,304 Parkinsonian patients from the general population, comparing them to 30,608 age- and sex-matched controls within a universal healthcare system in Ontario, Canada.<\/p>rn<p><strong>Results<\/strong> &mdash; On average, 45% of Parkinsonian patients saw neurologists annually. The cumulative rate of at least one neurological consultation was only 59.5% over the six years. Patients aged &lt; 65 had a much greater likelihood of consulting a neurologist (73.3%) compared to those &gt; or = 65 (37.2%). Most Parkinsonian patients (97.2%), regardless of age, saw family physicians\/general practitioners each year; 50.4% saw internal medicine consultants.<\/p>rn<p><strong>Conclusions<\/strong> &mdash; Parkinsonian patients had increased likelihood of utilizing neurologists, primary care physicians and internists compared to controls; related costs of physicians' services were higher. Further research is necessary to evaluate differences in outcomes and costs between neurologists and other physician service providers.<\/p>\",\n  \"Keywords\": \"{A5F436B7-3935-4915-ABFB-160DCA0AB95E}|{002C9B1A-B097-4316-A26A-BA3C0A3B8FA9}|{5B386094-8417-4B93-9D08-2F46BC0458AB}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{545C70EB-0A3F-4646-A0F5-509EB7E15CF6}\",\n  \"Posted Date\": \"20020801T000000\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2002\/January\/Parkinsonism-in-Ontario-Physician-utilization"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Parkinsonism in Ontario: physician utilization<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Patients with Parkinsonism have a progressive disorder requiring substantial expertise to manage effectively. 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