Da Silva Roxane Borgès, Pineault Raynald
Département d'administration de la santé, Université de Montréal, Montréal, Que., Canada.
Can J Rural Med. 2012 Summer;17(3):92-8.
Accessibility and continuity of primary health care in rural Canada are inadequate, mainly because of a relative shortage of family physicians. To alleviate the uneven distribution of physicians in rural and urban regions, Quebec has implemented measures associated with 3 types of physician practices in rural areas. The objectives of our study were to describe the practices of these types of physicians in a rural area and to analyze the impact of physician distribution policies aimed at offsetting the lack of resources.
Data were drawn from a medical administrative database and included information related to physicians' practices in the rural area of Beauce, Que., in 2007.
The practices of permanently settled physicians in rural areas differ from those of physicians who substitute for short periods. Permanently settled physicians offer mostly primary care services, whereas physicians who temporarily substitute devote much of their time to hospital-based practice.
Physician distribution policies implemented in Quebec to compensate for the lack of medical resources in rural areas have reduced the deficit in hospital care but not in primary care.
加拿大农村地区初级卫生保健的可及性和连续性不足，主要原因是家庭医生相对短缺。为缓解农村和城市地区医生分布不均的状况，魁北克实施了与农村地区3种医生执业类型相关的措施。我们研究的目的是描述这些类型的医生在农村地区的执业情况，并分析旨在弥补资源短缺的医生分布政策的影响。
数据取自一个医疗管理数据库，包括2007年魁北克省博斯农村地区医生执业的相关信息。
农村地区永久定居医生的执业情况与短期替代医生不同。永久定居医生主要提供初级保健服务，而临时替代医生则将大部分时间用于医院执业。
魁北克实施的旨在弥补农村地区医疗资源短缺的医生分布政策减少了医院护理方面的不足，但在初级保健方面并未减少。
