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Research ArticleOriginal Article

Effects of Physician Supply on Early Detection of Breast Cancer

Jeanne M. Ferrante, Eduardo C. Gonzalez, Naazneen Pal and Richard G. Roetzheim
The Journal of the American Board of Family Practice November 2000, 13 (6) 408-414; DOI: https://doi.org/10.3122/15572625-13-6-408
Jeanne M. Ferrante
From the Department of Family Medicine (JMF, ECG, NP, RGR), University of South Florida, and the H. Lee Moffitt Cancer Center & Research Institute (JMF, RGR), Tampa. Address reprint requests to Richard G. Roetzheim, MD, MSPH, Department of Family Medicine, University of South Florida, 12901 Bruce B. Downs Blvd, MDC 13, Tampa, FL 33612.
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Eduardo C. Gonzalez
From the Department of Family Medicine (JMF, ECG, NP, RGR), University of South Florida, and the H. Lee Moffitt Cancer Center & Research Institute (JMF, RGR), Tampa. Address reprint requests to Richard G. Roetzheim, MD, MSPH, Department of Family Medicine, University of South Florida, 12901 Bruce B. Downs Blvd, MDC 13, Tampa, FL 33612.
MD
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Naazneen Pal
From the Department of Family Medicine (JMF, ECG, NP, RGR), University of South Florida, and the H. Lee Moffitt Cancer Center & Research Institute (JMF, RGR), Tampa. Address reprint requests to Richard G. Roetzheim, MD, MSPH, Department of Family Medicine, University of South Florida, 12901 Bruce B. Downs Blvd, MDC 13, Tampa, FL 33612.
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Richard G. Roetzheim
From the Department of Family Medicine (JMF, ECG, NP, RGR), University of South Florida, and the H. Lee Moffitt Cancer Center & Research Institute (JMF, RGR), Tampa. Address reprint requests to Richard G. Roetzheim, MD, MSPH, Department of Family Medicine, University of South Florida, 12901 Bruce B. Downs Blvd, MDC 13, Tampa, FL 33612.
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Abstract

Background: There are few studies examining the effects of physician supply on health-related outcomes. We hypothesized that increasing physician supply and, in particular, increasing primary care supply would be related to earlier detection of breast cancer.

Methods: Information on incident cases of breast cancer occurring in Florida in 1994 (n = 11,740) was collected from the state cancer registry. Measures of physician supply were obtained from the 1994 AMA Physician Masterfile. The effects of physician supply on the odds of late-stage diagnosis were examined using multiple logistic regression.

Results: There was no relation between overall physician supply and stage of breast cancer of diagnosis. Each 10th percentile increase in primary care physician supply, however, resulted in a 4% increase in the odds of early-stage diagnosis (adjusted odds ratio = 1.04, 95% confidence interval = 1.01-1.06).

Conclusions: The supply of primary care physicians was significantly associated with earlier stage of breast cancer at diagnosis. This study suggests that an appropriate balance of primary care and specialty physician supply might be an important predictor of health outcomes.

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The Journal of the American Board of Family     Practice: 13 (6)
The Journal of the American Board of Family Practice
Vol. 13, Issue 6
1 Nov 2000
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Effects of Physician Supply on Early Detection of Breast Cancer
Jeanne M. Ferrante, Eduardo C. Gonzalez, Naazneen Pal, Richard G. Roetzheim
The Journal of the American Board of Family Practice Nov 2000, 13 (6) 408-414; DOI: 10.3122/15572625-13-6-408

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Effects of Physician Supply on Early Detection of Breast Cancer
Jeanne M. Ferrante, Eduardo C. Gonzalez, Naazneen Pal, Richard G. Roetzheim
The Journal of the American Board of Family Practice Nov 2000, 13 (6) 408-414; DOI: 10.3122/15572625-13-6-408
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