Hayes G J, Hayes S C, Dykstra T
Department of Health Sciences, University of Nevada, Reno 89557.
Am J Public Health. 1993 Nov;83(11):1544-8. doi: 10.2105/ajph.83.11.1544.
The aim of this study was to examine the US and Canadian systems from the unique perspective of physicians who have practiced in both Canada and the United States.
Questionnaires were sent to 355 Canadian physicians who graduated from US medical schools and 347 US physicians who graduated from Canadian medical schools.
The overall response rate was 59% (65% of US-graduated Canadian physicians and 54% of Canadian-graduated US physicians). Thirty-six percent of the respondents were "dual experience" physicians; that is, they had practiced medicine in both countries after completing their medical training. Physicians who left Canada were more likely than those who left the United States to indicate dissatisfaction with the health care system as a reason for leaving. Respondents expressed greater professional satisfaction with their current country of practice, but overall, dual-experience physicians in the United States favored that system only slightly more than the Canadian system, whereas those in Canada rated the Canadian system significantly better than the US system.
The comparatively weak rating of the US system by dual-experience physicians underlines the need for health care reform.
本研究旨在从曾在美国和加拿大两国行医的医生这一独特视角审视美国和加拿大的医疗体系。
向355名毕业于美国医学院的加拿大医生以及347名毕业于加拿大医学院的美国医生发放了调查问卷。
总体回复率为59%（毕业于美国医学院的加拿大医生回复率为65%，毕业于加拿大医学院的美国医生回复率为54%）。36%的受访者为“有双重经历”的医生，即他们在完成医学培训后在两国都行过医。离开加拿大的医生比离开美国的医生更有可能表示对医疗体系不满意是其离开的原因。受访者对其当前行医所在国家表现出更高的职业满意度，但总体而言，在美国的有双重经历的医生对美国医疗体系的青睐仅略高于加拿大医疗体系，而在加拿大的有双重经历的医生认为加拿大医疗体系明显优于美国医疗体系。
有双重经历的医生对美国医疗体系的评价相对较低，这凸显了医疗改革的必要性。
