Who Minds the Gate? Comparing the role of non physician providers in the primary care division of labour in Canada & the U.S
AbstractThe gate-keeping role of primary care has been the most fiercely defended of the health care jurisdictions, but more recently it has become a less attractive form of medical practice. This has created an open market for the expansion of a variety of „substitute providers?. In this paper, I present comparative documentary and interview data from Canada and the U.S. on the changes and composition of the primary health care division of labour. What is revealed from this analysis is that: 1) there is a greater reliance on substitute health labour in the U.S. as evidenced by the greater number of and different kinds of primary care providers; 2) there is also a greater propensity in the U.S. towards specialization even of substitute providers; and 3) in both countries, substitute providers resist that label focusing instead on their own model of practice or niche within the primary care division of labour.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by McMaster University in its series Social and Economic Dimensions of an Aging Population Research Papers with number 205.
Length: 41 pages
Date of creation: Jun 2007
Date of revision:
Contact details of provider:
Postal: 1280 Main Street West, Hamilton, Ontario, L8S 4M4
Phone: (905) 525-9140 ext. 22765
Fax: (905) 521-8232
Web page: http://www.mcmaster.ca/economics/
More information through EDIRC
primary care; division of labour; U.S.-Canada comparison;
Find related papers by JEL classification:
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
This paper has been announced in the following NEP Reports:
You can help add them by filling out this form.
reading list or among the top items on IDEAS.Access and download statisticsgeneral information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ().
If references are entirely missing, you can add them using this form.