Niel X
Cah Sociol Demogr Med. 2001 Apr-Jun;41(2):141-72.
Regional maldistribution of French physicians--as measured by the physicians/population ratio--has been reduced during the period 1985-2000. The numerus clausus policy (the medical student intake is determined every year by the government) which favors to some extent the underserved regions has contributed to the process of equalization. However this is applicable only to GPs whose the training at post graduate level is carried out in their own region. The students who are admitted to specialty training have a greater regional mobility and have not strongly contributed to the regional equalization process. After their training, medical doctors may migrate from a region to another. The migratory flows have increased the regional maldistribution. On the other side, the retirement flows, which have not had the same importance in all regions, have strengthened the equalization process.
法国医生的地区分布不均——以医生与人口的比例来衡量——在1985年至2000年期间有所减少。定额招生政策(每年由政府确定医学生录取人数)在一定程度上有利于服务不足的地区,这对均衡化进程起到了推动作用。然而,这仅适用于在本地区接受研究生培训的全科医生。进入专科培训的学生具有更大的地区流动性,对地区均衡化进程的贡献不大。培训结束后,医生可能会从一个地区迁移到另一个地区。人员流动加剧了地区分布不均。另一方面,退休人员流动在各地区的影响程度不同,这加强了均衡化进程。