Watson Diane E, McGrail Kimberlyn M
Healthc Q. 2009;12(4):101-4. doi: 10.12927/hcq.2013.21134.
The Canadian Medical Association's More Doctors, More Care campaign seeks to align physician supply targets with policy decisions elsewhere in the Organisation for Economic Co-operation and Development (OECD). Using OECD data for 19 countries to assess the relationship between physician supply and healthcare outcomes, we have determined that there is no association between avoidable mortality and overall physician supply. Similarly, there is no relationship between avoidable mortality and general practitioners and family physicians per capita, specialists per capita, nurses per capita, doctors and nurses per capita or health expenditures per capita. These findings should move us to recognize that (a) more doctors will not necessarily translate into better healthcare outcomes for Canadians and (b) it is in Canadians' better interests that we instead focus on realizing opportunities to improve access to high-quality care and to ensure that changes in physician turnover do not threaten the current generalist-to-specialist mix.
加拿大医学协会的“更多医生，更多护理”运动旨在使医生供应目标与经济合作与发展组织（经合组织）其他地方的政策决策保持一致。利用经合组织19个国家的数据来评估医生供应与医疗保健结果之间的关系，我们确定可避免死亡率与总体医生供应之间没有关联。同样，可避免死亡率与人均全科医生和家庭医生、人均专科医生、人均护士、人均医生和护士或人均医疗支出之间也没有关系。这些发现应促使我们认识到：（a）更多的医生不一定能为加拿大人带来更好的医疗保健结果；（b）我们应转而专注于实现改善获得高质量护理的机会，并确保医生更替的变化不会威胁到目前全科医生与专科医生的比例，这才符合加拿大人的更大利益。
