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Geographic Imbalances in Doctor Supply and Policy Responses

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  • Tomoko Ono
  • Michael Schoenstein
  • James Buchan
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    Abstract

    Doctors are distributed unequally across different regions in virtually all OECD countries, and this causes concern about how to continue to ensure access to health services everywhere. In particular access to services in rural regions is the focus of attention of policymakers, although in some countries, poor urban and sub-urban regions pose a challenge as well. Despite numerous efforts this mal-distribution of physician supply persists. This working paper first examines the drivers of the location choice of physicians, and second, it examines policy responses in a number of OECD countries... La répartition des médecins entre les régions est inégale dans pratiquement tous les pays de l’OCDE, et cela pose la question de savoir comment continuer de garantir l’accès aux services de santé partout. L’accès aux services dans les régions rurales préoccupe tout particulièrement les responsables publics, même si, dans certains pays, les régions urbaines et suburbaines pauvres posent aussi un problème. En dépit d’importants efforts, les inégalités dans la répartition des effectifs médicaux persistent. Le présent document de travail examine, dans un premier temps, les critères déterminants, pour les médecins, dans le choix de leur lieu d’exercice et, dans un second temps, les réponses apportées par les pouvoirs publics dans un certain nombre de pays de l’OCDE...

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    File URL: http://dx.doi.org/10.1787/5jz5sq5ls1wl-en
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    Bibliographic Info

    Paper provided by OECD Publishing in its series OECD Health Working Papers with number 69.

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    Date of creation: 03 Apr 2014
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    Handle: RePEc:oec:elsaad:69-en

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