a closer look at ontario’s northern and southern rural physicians
DESCRIPTION
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. - PowerPoint PPT PresentationTRANSCRIPT
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A Closer look at Ontario’s Northern and Southern Rural
Physicians
Northern Health Research ConferenceJune 4 & 5, 2010
Elizabeth Wenghofer, PhDRaymond W. Pong, PhD
Patrick Timony, MA
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Research Objective
• Examine differences in physician populations between rural and urban regions of the northern and southern areas of the province
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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.
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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
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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
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Northern-Southern Definitions
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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).
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Regions
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Summary
• Differences between NORTH & SOUTH
• Differences also with increasing rurality
• RURAL ≠ NORTHERN
• South RURAL ≠ North RURAL
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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
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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
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A Closer look at Ontario’s Northern and Southern Rural
Physicians
Northern Health Research ConferenceJune 4 & 5, 2010
Elizabeth Wenghofer, PhDRaymond W. Pong, PhD
Patrick Timony, MA