Rieder M J, Hanmer S J, Haslam R H
University of Western Ontario, London.
CMAJ. 1989 Jan 15;140(2):145-50.
Health care costs and government cutbacks in Canadian training posts have caused concerns about physician manpower. To determine the present pediatric manpower situation a cross-country survey was undertaken of all pediatricians and their practice patterns. Of the 2060 recipients of a questionnaire 5% were found to not be pediatricians. Of the remaining 1960, 69% returned a completed questionnaire. Overall, 70% of the pediatricians were men, although among those less than 35 years of age 49% were women. Across Canada 37% of the pediatricians practised primary care, 25% secondary care and 38% tertiary care. There were wide regional differences in practice patterns, with large numbers of primary care pediatricians in Winnipeg, Toronto, Ottawa and the province of Quebec; few pediatricians in the Maritimes and the remainder of western Canada practised primary care. Non-Canadian graduates accounted for 33% of the pediatricians and represented a considerable proportion of tertiary care pediatricians. Cutbacks in numbers of pediatric training positions and restrictions on immigration of foreign pediatricians may lead to unexpected deficiencies in the availability of some types of pediatric practitioners, especially those in tertiary care.
医疗保健成本以及加拿大培训岗位的政府削减引发了对医生人力的担忧。为了确定当前儿科人力状况，对所有儿科医生及其执业模式进行了一次全国性调查。在2060名问卷接收者中，发现5%并非儿科医生。在其余1960人中，69%返回了完整的问卷。总体而言，70%的儿科医生为男性，不过在年龄小于35岁的医生中，49%为女性。在加拿大全国，37%的儿科医生从事初级保健，25%从事二级保健，38%从事三级保健。执业模式存在广泛的地区差异，温尼伯、多伦多、渥太华和魁北克省有大量从事初级保健的儿科医生；在大西洋省份，从事初级保健的儿科医生很少，加拿大西部其他地区也是如此。非加拿大毕业生占儿科医生的33%，在从事三级保健的儿科医生中占相当比例。儿科培训岗位数量的削减以及对外国儿科医生移民的限制可能导致某些类型的儿科从业者供应出现意外短缺，尤其是从事三级保健的人员。
