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

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
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).
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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