However, the treatment quality of physicians with high annual numbers of patients and high consultation volumes must remain under scrutiny as the new national 'Tarmed' billing system is still based on a fee-for-service system[ 29].
However, variance component analysis at the practice level indicated that high consultation volumes are mostly driven by high numbers of patients whereas factors related to demographics of patients and physicians accounted for only small fractions of the explainable variance.
A radiologist and two oncologists (one consultant, one senior registrar) outlined separately and without initial consultation the gross tumour volume (GTV).
One note from the office, on the consultation documents, reads: "speaks volumes who is not here—already shows a lack of trust??" In four years, the office received just five complaints.
Nowadays reimbursement is partly based on the volume of consultations and procedures.
The second model was based on the assumption that the relationship between patient number and volume of consultations may not be linear.
Systematic random sampling was used to select up to five consultations depending upon the volume of patient flow at the health unit.
A large number of independent assessors, from 3 different countries, were required to assess the volume of consultations which introduced significant complexity to the analysis of the study.
Despite the high volume of consultations, wait times in Québec rural EDs are within or approximate national guidelines that were recently published by CAEP [ 24].
Franchise members also provide monthly reports on the volume of consultations and commodities sold for the franchise supported services and also agree to adhere to service quality standards including periodic quality control visits.
