Ma P C, Chan L K, Huynh X
Department of Family and Community Medicine, University of Toronto.
Can Fam Physician. 1997 Sep;43:1533-9.
To gain insight into family medicine residents' attitudes toward relocating to the United States and to examine factors influencing their decisions.
Cross-sectional mailed survey.
University of Toronto family medicine program.
First- and second-year residents in the academic year 1995 to 1996. A 74.6% response rate (144 of 193 residents) was achieved.
Intention to relocate to the United States. Degree of importance of 11 motivational factors in residents' decisions to relocate.
In this survey, 48% of residents reported they intended to relocate to the United States, but only 17% recalled expecting to relocate before Ontario's introduction of geographic billing restriction legislation. Geographic billing restriction was the motivational factor most residents (86.8%) considered very important in their decision-making process. The two factors potentially predicting US relocation were finance and climate.
Many factors influence family medicine residents' intention to relocate to the United States. Geographic billing restriction was the most significant motivational factor, and its introduction has likely precipitated a marked shift in residents' attitudes favouring US relocation.
深入了解家庭医学住院医师对于移居美国的态度，并探究影响其决策的因素。
横断面邮寄调查。
多伦多大学家庭医学项目。
1995至1996学年的一年级和二年级住院医师。回复率为74.6%（193名住院医师中的144名）。
移居美国的意向。11个激励因素在住院医师移居决策中的重要程度。
在本次调查中，48%的住院医师表示他们打算移居美国，但只有17%的人回忆起在安大略省实施地理计费限制立法之前就预期会移居。地理计费限制是大多数住院医师（86.8%）在决策过程中认为非常重要的激励因素。可能预测移居美国的两个因素是经济和气候。
许多因素影响家庭医学住院医师移居美国的意向。地理计费限制是最重要的激励因素，其实施可能促使住院医师对移居美国的态度发生了明显转变。
