The Standard (St. Catharines)

Cost of doctor’s services rose almost to $25B: Report

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TORONTO — A new report shows the number of physicians in Canada grew last year as did the overall cost of their services, which rose almost four per cent to $25 billion.

The report by the Canadian Institute for Health Informatio­n (CIHI) tallied the number of doctors across the country in 2015 at more than 82,000.

For the ninth year running, the number of physicians increased at a faster rate than the population. There are now more doctors per person than ever before — 228 for every 100,000 Canadians.

The average gross clinical payment for a physician remained virtually unchanged at $339,000. But this amount varied by type of specialty: on average, family doctors were paid $271,000; medical specialist­s received $338,000; and surgical specialist­s took in $446,000.

CIHI says the average gross clinical payment per physician varied across the county — from $258,000 in Nova Scotia to $366,000 in Alberta.

Geoff Ballinger, CIHI manager of physician informatio­n, said it’s important to realize that in most cases the average payment estimates don’t include practice overhead costs such as staff salaries, office rent, and medical equipment and supplies.

Based on the number of MD degrees awarded by Canadian universiti­es, the number of physicians is likely to continue expanding. In 2015, Canadian universiti­es awarded 2,817 MD degrees, a slight increase from the previous year. Between 2011 and 2015, the number of MD degrees awarded in Canada increased by approximat­ely 12 per cent.

“Understand­ing the supply, payments and activities of physicians across the country helps us to understand not only how many physicians there are and how much we pay for their services, but also how healthcare resources are allocated,” Ballinger said in a release.

Also from the report:

in the changes to the number of doctors. Saskatchew­an and Alberta each saw increases of approximat­ely five per cent over the previous year, while there was a two per cent decrease in Newfoundla­nd and Labrador, and a three per cent decline in New Brunswick.

capita has gone up in all provinces since 2011. In 2015, Nova Scotia had the most physicians per 100,000 population (261), followed by Newfoundla­nd and Labrador (243) and Quebec (242). The provinces with the fewest physicians per 100,000 were P.E.I. (181), Saskatchew­an (196) and Manitoba (204).

in Canada continued to rise. In 2015, almost 40 per cent of all physicians in Canada were female, up from 36.5 per cent in 2011. By comparison, the number of male practition­ers grew by 7.3 per cent.

proportion of family medicine physicians (45 per cent ) than specialist­s (35 per cent).

per-service payment to physicians was $62.23. Family doctors’ average billing was $45.61 per service, while the average for medical and surgical specialist­s was $79.81 and $87.26 per service, respective­ly. Canadian Press

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