Robert Evans

University of British Columbia - Vancouver, Vancouver, British Columbia, Canada

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Publications (3)3.96 Total impact

  • Morris Barer · Steven Morgan · Robert Evans

    No preview · Article · Nov 2003
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    ABSTRACT: To examine medical care use and costs, patterns of morbidity and co-morbidity, and other patient characteristics of high users of physician services in British Columbia. This population-based study uses physician claims, hospital discharge summaries and vital statistics data linked at the level of the individual to compare characteristics of high users, other users and non-users of physician services in the Province of British Columbia, Canada. The study included all enrolled adults in the universal health care plan during fiscal year 1996/97. High users were defined as the most costly 5% of users of fee-reimbursed services. Key variables included age, sex, an ecological socio-economic status indicator and a comprehensive set of morbidity indicators, derived from the diagnoses recorded on the utilization records. The top 5% of users consumed a disproportionate 30% of spending on physician services. High users were overwhelmingly characterized by a significant burden of morbidity. Over 80% had at least six different types of morbidity during the study year compared with fewer than 20% of other users. High users were also much more likely to have major diagnoses that were both acute and chronic in nature. Co-morbidity involving psychosocial and chronic medical conditions was also very common. High users of physician services are overwhelmingly characterized by multiple and complex health problems. Policy tools based on a philosophy of deterrence such as cost-sharing are unlikely to have much impact on their costs and will likely do considerable harm.
    No preview · Article · Nov 2003 · Journal of Health Services Research & Policy
  • Steve Morgan · Morris Barer · Robert Evans
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    ABSTRACT: Over the past decade, the 'pharmacoeconomics' phenomenon has incited a stream of commentaries about the economic evaluation of drugs, conflicts of interest and ways of retaining respectability for this component of health economics profession. Private coporations now finance so many aspects of health economics, however, that the profession as a whole runs the risk of being co-opted.
    No preview · Article · Jan 2001 · Health Economics

Publication Stats

90 Citations
3.96 Total Impact Points


  • 2003
    • University of British Columbia - Vancouver
      • Department of Oral Health Sciences
      Vancouver, British Columbia, Canada
  • 2001
    • Provincial Health Services Authority, British Columbia , Canada
      Vancouver, British Columbia, Canada