Pan-Canadian study of psychiatric care (PCPC): protocol for a mixed-methods study
Introduction The Canadian population has poor and inequitable access to psychiatric care despite a steady per-capita supply of psychiatrists in most provinces. There is some quantitative evidence that practice style and characteristics vary substantially among psychiatrists. However, how this compar...
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-07-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/7/e073183.full |
| _version_ | 1827173182317002752 |
|---|---|
| author | Paul Kurdyak Agnes Grudniewicz Alan Katz M Ruth Lavergne David Rudoler Emily Gard Marshall Juveria Zaheer James Bolton Ridhwana Kaoser Sandra Peterson Selene Etches Kimberley P Good Catherine Moravac Jason Morrison Benoit Mulsant Phil G Tibbo |
| author_facet | Paul Kurdyak Agnes Grudniewicz Alan Katz M Ruth Lavergne David Rudoler Emily Gard Marshall Juveria Zaheer James Bolton Ridhwana Kaoser Sandra Peterson Selene Etches Kimberley P Good Catherine Moravac Jason Morrison Benoit Mulsant Phil G Tibbo |
| author_sort | Paul Kurdyak |
| collection | DOAJ |
| description | Introduction The Canadian population has poor and inequitable access to psychiatric care despite a steady per-capita supply of psychiatrists in most provinces. There is some quantitative evidence that practice style and characteristics vary substantially among psychiatrists. However, how this compares across jurisdictions and implications for workforce planning require further study. A qualitative exploration of psychiatrists’ preferences for practice style and the practice choices that result is also lacking. The goal of this study is to inform psychiatrist workforce planning to improve access to psychiatric care by: (1) developing and evaluating comparable indicators of supply of psychiatric care across provinces, (2) analysing variations and changes in the characteristics of the psychiatrist workforce, including demographics and practice style and (3) studying psychiatrist practice choices and intentions, and the factors that lead to these choices.Methods and analysis A cross-provincial mixed-methods study will be conducted in the Canadian provinces of British Columbia, Manitoba, Ontario and Nova Scotia. We will analyse linked-health administrative data within three of the four provinces to develop comparable indicators of supply and characterise psychiatric services at the regional level within provinces. We will use latent profile analysis to estimate the probability that a psychiatrist is in a particular practice style and map the geographical distribution of psychiatrist practices overlayed with measures of need for psychiatric care. We will also conduct in-depth, semistructured qualitative interviews with psychiatrists in each province to explore their preferences and practice choices and to inform workforce planning.Ethics and dissemination This study was approved by Ontario Tech University Research Ethics Board (16637 and 16795) and institutions affiliated with the study team. We built a team comprising experienced researchers, psychiatrists, medical educators and policymakers in mental health services and workforce planning to disseminate knowledge that will support effective human resource policies to improve access to psychiatric care in Canada. |
| first_indexed | 2024-03-12T15:27:14Z |
| format | Article |
| id | doaj.art-0960ac7ebaf247e7983c3920fb8029b8 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2025-03-21T03:35:35Z |
| publishDate | 2023-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-0960ac7ebaf247e7983c3920fb8029b82024-07-31T07:45:09ZengBMJ Publishing GroupBMJ Open2044-60552023-07-0113710.1136/bmjopen-2023-073183Pan-Canadian study of psychiatric care (PCPC): protocol for a mixed-methods studyPaul Kurdyak0Agnes Grudniewicz1Alan Katz2M Ruth Lavergne3David Rudoler4Emily Gard Marshall5Juveria Zaheer6James Bolton7Ridhwana Kaoser8Sandra Peterson9Selene Etches10Kimberley P Good11Catherine Moravac12Jason Morrison13Benoit Mulsant14Phil G Tibbo15Department of Psychiatry, University of Toronto, Toronto, Ontario, CanadaTelfer School of Management, University of Ottawa, Ottawa, Ontario, CanadaDepartment of Family Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Family Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaFaculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, CanadaDepartment of Family Medicine, Dalhousie University Faculty of Medicine, Halifax, Nova Scotia, CanadaCentre for Addiction and Mental Health, Toronto, Ontario, CanadaDepartment of Histopathology, Manchester University NHS Foundation Trust, Manchester, UKFaculty of Health Sciences, Simon Fraser University at Harbour Centre, Vancouver, British Columbia, CanadaCentre for Health Services and Policy Research, School of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Psychiatry, Dalhousie University, Halifax, Nova Scotia, CanadaDepartment of Psychiatry, Dalhousie University, Halifax, Nova Scotia, CanadaDepartment of Family Medicine, Dalhousie University Faculty of Medicine, Halifax, Nova Scotia, CanadaDepartment of Psychiatry, Dalhousie University, Halifax, Nova Scotia, CanadaDepartment of Psychiatry, University of Toronto, Toronto, Ontario, CanadaDepartment of Psychiatry, Dalhousie University, Halifax, Nova Scotia, CanadaIntroduction The Canadian population has poor and inequitable access to psychiatric care despite a steady per-capita supply of psychiatrists in most provinces. There is some quantitative evidence that practice style and characteristics vary substantially among psychiatrists. However, how this compares across jurisdictions and implications for workforce planning require further study. A qualitative exploration of psychiatrists’ preferences for practice style and the practice choices that result is also lacking. The goal of this study is to inform psychiatrist workforce planning to improve access to psychiatric care by: (1) developing and evaluating comparable indicators of supply of psychiatric care across provinces, (2) analysing variations and changes in the characteristics of the psychiatrist workforce, including demographics and practice style and (3) studying psychiatrist practice choices and intentions, and the factors that lead to these choices.Methods and analysis A cross-provincial mixed-methods study will be conducted in the Canadian provinces of British Columbia, Manitoba, Ontario and Nova Scotia. We will analyse linked-health administrative data within three of the four provinces to develop comparable indicators of supply and characterise psychiatric services at the regional level within provinces. We will use latent profile analysis to estimate the probability that a psychiatrist is in a particular practice style and map the geographical distribution of psychiatrist practices overlayed with measures of need for psychiatric care. We will also conduct in-depth, semistructured qualitative interviews with psychiatrists in each province to explore their preferences and practice choices and to inform workforce planning.Ethics and dissemination This study was approved by Ontario Tech University Research Ethics Board (16637 and 16795) and institutions affiliated with the study team. We built a team comprising experienced researchers, psychiatrists, medical educators and policymakers in mental health services and workforce planning to disseminate knowledge that will support effective human resource policies to improve access to psychiatric care in Canada.https://bmjopen.bmj.com/content/13/7/e073183.full |
| spellingShingle | Paul Kurdyak Agnes Grudniewicz Alan Katz M Ruth Lavergne David Rudoler Emily Gard Marshall Juveria Zaheer James Bolton Ridhwana Kaoser Sandra Peterson Selene Etches Kimberley P Good Catherine Moravac Jason Morrison Benoit Mulsant Phil G Tibbo Pan-Canadian study of psychiatric care (PCPC): protocol for a mixed-methods study BMJ Open |
| title | Pan-Canadian study of psychiatric care (PCPC): protocol for a mixed-methods study |
| title_full | Pan-Canadian study of psychiatric care (PCPC): protocol for a mixed-methods study |
| title_fullStr | Pan-Canadian study of psychiatric care (PCPC): protocol for a mixed-methods study |
| title_full_unstemmed | Pan-Canadian study of psychiatric care (PCPC): protocol for a mixed-methods study |
| title_short | Pan-Canadian study of psychiatric care (PCPC): protocol for a mixed-methods study |
| title_sort | pan canadian study of psychiatric care pcpc protocol for a mixed methods study |
| url | https://bmjopen.bmj.com/content/13/7/e073183.full |
| work_keys_str_mv | AT paulkurdyak pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT agnesgrudniewicz pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT alankatz pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT mruthlavergne pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT davidrudoler pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT emilygardmarshall pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT juveriazaheer pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT jamesbolton pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT ridhwanakaoser pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT sandrapeterson pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT seleneetches pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT kimberleypgood pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT catherinemoravac pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT jasonmorrison pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT benoitmulsant pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy AT philgtibbo pancanadianstudyofpsychiatriccarepcpcprotocolforamixedmethodsstudy |