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Ontario's underserviced area program revisited: an indirect analysis.

M Anderson1, M W Rosenberg

  • 1Department of Geography, Queen's University, Kingston, Ontario, Canada.

Social Science & Medicine (1982)
|January 1, 1990
PubMed
Summary
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Financial incentives alone do not fix physician shortages in underserved areas. The Underserviced Area Program in Ontario shows that geographic maldistribution persists, indicating a need for broader solutions.

Area of Science:

  • Health Services Research
  • Medical Geography
  • Public Health Policy

Background:

  • Geographic maldistribution of physicians is a persistent challenge in many countries.
  • Financial incentive programs are a common strategy to address physician shortages in underserved regions.
  • The Underserviced Area Program (UAP) in Ontario, Canada, is one of the longest-standing initiatives of this nature.

Purpose of the Study:

  • To analyze the effectiveness of the UAP in resolving physician maldistribution in Northern Ontario.
  • To evaluate the impact of financial incentives on physician distribution in a specific Canadian context.

Main Methods:

  • Descriptive analysis of the UAP's implementation and history.
  • Indirect measurement of physician distribution using location quotients.

Related Experiment Videos

  • Assessment of changes in physician density over time in Northern Ontario.

    • Main Results:

    • Physician maldistribution in Northern Ontario has continued despite the UAP's implementation.
    • Location quotients indicate that the program has not significantly altered the geographic distribution of physicians.
    • The analysis suggests that financial incentives alone have had a limited impact.

    Conclusions:

    • A unidimensional approach, such as financial incentives, is insufficient to address the complex issue of healthcare accessibility in rural and remote areas.
    • Multifaceted strategies are required to effectively solve the multidimensional problem of healthcare access and physician distribution.
    • The UAP's limited success highlights the need for integrated policy interventions beyond financial measures.