A closer look at ontario s northern and southern rural physicians
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A Closer look at Ontario’s Northern and Southern Rural Physicians. Northern Health Research Conference June 4 & 5, 2010 Elizabeth Wenghofer, PhD Raymond W. Pong, PhD Patrick Timony , MA. Research Objective.

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A Closer look at Ontario’s Northern and Southern Rural Physicians

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A closer look at ontario s northern and southern rural physicians

A Closer look at Ontario’s Northern and Southern Rural Physicians

Northern Health Research Conference

June 4 & 5, 2010

Elizabeth Wenghofer, PhD

Raymond W. Pong, PhD

Patrick Timony, MA


Research objective

Research Objective

  • Examine differences in physician populations between rural and urban regions of the northern and southern areas of the province


Study design

Study Design

  • Descriptive secondary data analysis

  • Data from the College of Physicians and Surgeons of Ontario (CPSO) 2007Annual Membership Renewal (98% response rate)

  • Ethical approval was granted by the Laurentian University Research Ethics Board.


Study population

Study Population

  • 22,688 Physicians

    • General practitioners

    • College of Family Physicians of Canada (CFPC)

    • Royal College of Physicians and Surgeons of Canada (RCPSC)

    • Primary practice address in Ontario

    • Active, independent practice


Cpso annual survey

CPSO Annual Survey

  • Active practice

  • Practice Address(es)

  • Hospital appointments

  • Language of practice

  • Accepting new patients

  • Clinical activities (% of time)

  • Practice description (hours worked, number of patient visits)

  • Continuing medical education


Northern southern definitions

Northern-Southern Definitions


Urban rural definitions

Urban-Rural Definitions

  • Urban:

    • Located within a Statistics Canada defined CMA or CA.

  • Rural:

    • Strong MIZ: ≥30% of the employed labour force living in the CSD works in any CMA/CA urban core.

    • Moderate MIZ: ≥5%, but ≤30%, of the employed labour force living in the CSD works in any CMA/CA urban core.

    • Weak MIZ: > 0%, but < 5%, of the employed labour force living in the CSD works in any CMA/CA urban core.

    • No MIZ: includes all the CSDs that have a small employed labour force (< 40 people), as well as any CSD that has no commuters to a CMA/CA urban core (that is, none of the employed labour force living in the municipality works in any CMA/CA urban core).


Regions

Regions


Summary

Summary

  • Differences between NORTH & SOUTH

  • Differences also with increasing rurality

  • RURAL ≠ NORTHERN

  • South RURAL ≠ North RURAL


  • Next steps

    Next Steps

    • Accepting new patients into primary care practices  Masters project to be completed in 2010

    • Clinical practice activities by specialty  scope of practice differences

    • Continuing education/professional development activities


    Acknowledgements

    Acknowledgements

    • Many thanks to the CPSO for providing access to their Annual Survey Data

    • Funding for this study was provided by the Laurentian University Research Fund


    A closer look at ontario s northern and southern rural physicians1

    A Closer look at Ontario’s Northern and Southern Rural Physicians

    Northern Health Research Conference

    June 4 & 5, 2010

    Elizabeth Wenghofer, PhD

    Raymond W. Pong, PhD

    Patrick Timony, MA


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