Table 3.
Practice characteristics for full-time psychiatrists, by Ontario Local Health Integration Network (LHIN)
| Characteristic | LHIN; no. (%) of psychiatrists or mean value ± SD | p value for test for trend | |||||
|---|---|---|---|---|---|---|---|
| Toronto Central | Champlain | South West | South East | Hamilton | Low-supply LHINs | ||
| Total no. of psychiatrists, full-time + part-time | 717 | 291 | 135 | 71 | 162 | 568 | |
| No. (%) of full-time psychiatrists* | 523 (73) | 218 (75) | 83 (61) | 34 (48) | 102 (63) | 419 (74) | |
| No. (%) of full-time psychiatrists with inpatient billings† | 251 (48) | 112 (51) | 37 (45) | 19 (56) | 69 (68) | 274 (65) | 0.009 |
| No. of inpatients seen, mean ± SD | 49 ± 98 | 46 ± 83 | 75 ± 127 | 76 ± 142 | 92 ± 134 | 111 ± 133 | 0.08 |
| Annual no. of inpatient visits,‡ mean ± SD | 240 ± 517 | 351 ± 647 | 366 ± 643 | 493 ± 1040 | 501 ± 845 | 573 ± 772 | 0.006 |
| Outpatient panel, mean ± SD | |||||||
| Size of outpatient panel‡ | 181 ± 177 | 211 ± 188 | 311 ± 340 | 300 ± 335 | 360 ±286 | 431 ± 346 | 0.009 |
| New outpatients enrolled‡ | 105 ± 134 | 110 ± 125 | 174 ± 261 | 186 ± 256 | 206 ±158 | 244 ± 261 | 0.036 |
| Annual no. of outpatient visits‡ | 1275 ± 735 | 1245 ± 732 | 1618 ± 1588 | 1148 ± 679 | 1432 ±1263 | 1696 ± 1104 | 0.17 |
| No. of visits/outpatient per psychiatrist§ | 7.0 ± 92 | 5.9 ± 81 | 5.2 ± 111 | 3.8 ± 66 | 4.0 ± 45 | 3.9 ± 52 | 0.039 |
| Outpatient visit frequency, no. (%) of psychiatrists | |||||||
| < 4 visits/yr | 112 (21) | 62 (28) | 33 (40) | 18 (53) | 62 (61) | 210 (50) | 0.009 |
| 4–16 visits/yr | 283 (54) | 127 (58) | 35 (42) | 14 (41) | 37 (36) | 199 (47) | 0.16 |
| > 16 visits/yr | 128 (24) | 29 (13) | 15 (18) | ≤ 5|| | ≤ 5|| | 10 (2) | 0.005 |
| Mean outpatient visit duration, % of psychiatrists ¶ | |||||||
| 20–45 min | 15 | 24 | 35 | 30 | 58 | 47 | 0.004 |
| 46–79 min | 73 | 64 | 53 | 61 | 35 | 45 | 0.005 |
| >79 min | 12 | 12 | 12 | 9 | 7 | 7 | 0.002 |
| Outpatient panel size, no. (%) of psychiatrists** | |||||||
| < 40 | 50 (10) | 16 (7) | 7 (8) | ≤ 5|| | ≤ 5|| | 15 (4) | 0.010 |
| < 100 | 208 (40) | 60 (28) | 20 (24) | ≤ 5|| | 15 (15) | 42 (10) | 0.002 |
SD = standard deviation.
In this row, the proportion of full-time psychiatrists in each LHIN was calculated as the percentage of all psychiatrists in the LHIN.
In this row, the proportion of full-time psychiatrists with inpatient billings in each LHIN was calculated as the percentage of all full-time psychiatrists in the LHIN.
All rates are per psychiatrist, except time per visit, which is calculated per time-based outpatient visit.
The number of visits per patient per psychiatrist was calculated as a weighted mean.
To protect privacy, exact values are not given if value was 5 or below.
The visit duration was calculated as a weighted mean among all psychiatrists.
Psychiatrists with inpatient visits accounting for 50% or more of total annual visits were excluded from this calculation.