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Health Serv Res. 2007 Aug;42(4):1483-98.

The relationship between work hours and utilization of general practitioners in four Canadian provinces.

Author information

  • 1Department of Community Health & Epidemiology, Dalhousie University, c/o 5980 University Avenue, Room G-7105.1, Halifax, NS, Canada B3H 4N1.

Abstract

OBJECTIVE:

To assess whether long work hours act as a barrier to accessing general practitioner (GP) services.

DATA SOURCES:

Secondary data from the 1996/1997 National Population Health Survey (NPHS) and administrative health services utilization data from four Canadian provinces.

STUDY DESIGN:

This study was cross-sectional, however, employment variables and GP utilization were reflective of the 12-month period preceding the NPHS interview date. Negative binomial regression was used to model the relationship between the number of GP visits in a 1-year period and employment-related variables while adjusting for other determinants of GP utilization including education, income, and health status.

DATA EXTRACTION METHODS:

NPHS and administrative data were linked to create an analysis file.

PRINCIPAL FINDINGS:

Subjects with long, standard work hours (>45 hours/week, with most hours during the day) had significantly lower GP utilization rates compared with full-time workers. White-collar workers with long work hours visited a GP significantly less often than white-collar workers with regular hours.

CONCLUSIONS:

Long work hours may act as a nonfinancial barrier to accessing GP services independent of health status.

PMID:
17610434
[PubMed - indexed for MEDLINE]
PMCID:
PMC1955285
Free PMC Article
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