Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Fam Pract. 2001 Dec;50(12):1027-31.

Primary care physician supply and colorectal cancer.

Author information

  • 1Department of Family Medicine, University of Florida, 12901 Bruce B. Downs Blvd, MDC 13, Tampa, FL 33612, USA. rroetzhe@hsc.usf.edu

Abstract

OBJECTIVES:

Our goal was to determine if increasing primary care physician supply was associated with lower incidence and mortality rates for colorectal cancer.

STUDY DESIGN:

We performed an ecologic study of Florida's 67 counties, using data from the state tumor registry and the American Medical Association physician masterfile.

POPULATION:

Florida residents were included.

OUTCOMES MEASURED:

We measured age-adjusted colorectal cancer incidence and mortality rates for Florida's 67 counties during the period 1993 to 1995.

RESULTS:

Increasing primary care physician supply was negatively correlated with both colorectal cancer (CC) incidence (CC = -0.46; P < .0001) and mortality rates (CC = -0.29; P =.02). In linear regression that controlled for other county characteristics, each 1% increase in the proportion of county physicians who were in primary care specialties was associated with a corresponding reduction in colorectal cancer incidence of 0.25 cases per 100,000 (P < .0001) and a reduction in colorectal cancer mortality of 0.08 cases per 100,000 (P =.0008).

CONCLUSIONS:

Incidence and mortality of colorectal cancer decreased in Florida counties that had an increased supply of primary care physicians. This suggests that a balanced work force may achieve better health outcomes.

Comment in

PMID:
11742602
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Write to the Help Desk