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Ontario's underserviced area program revisited: An indirect analysis

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Listed:
  • Anderson, Malcolm
  • Rosenberg, Mark W.

Abstract

Financial incentive programs are used in various developed and developing countries to effect change in the geographic distribution of physicians. The Underserviced Area Program of Ontario is the longest running financial incentive program in Canada. It is described in detail and analyzed for its effectiveness in solving the problems of the maldistribution of physicians in northern Ontario. Using location quotients as an indirect measure shows that the maldistribution of physicians continues despite the implementation of the program. It is argued that the unidimensional solution of financial incentives cannot be used to solve the multidimensional issue of accessibility to health care in rural and remote areas.

Suggested Citation

  • Anderson, Malcolm & Rosenberg, Mark W., 1990. "Ontario's underserviced area program revisited: An indirect analysis," Social Science & Medicine, Elsevier, vol. 30(1), pages 35-44, January.
    • Handle: RePEc:eee:socmed:v:30:y:1990:i:1:p:35-44
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    Citations

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    Cited by:

    1. Serneels, Pieter & Montalvo, Jose G. & Pettersson, Gunilla & Lievens, Tomas & Butera, Jean Damascene & Kidanu, Aklilu, 2010. "Who Wants to Work in a Rural Health Post? The Role of Intrinsic Motivation, Rural Background and Faith-Based Institutions in Rwanda and Ethiopia," IZA Discussion Papers 4831, Institute of Labor Economics (IZA).
    2. Serneels, Pieter & Lindelow, Magnus & Garcia-Montalvo, Jose & Barr, Abigail, 2005. "For public service or money : understanding geographical imbalances in the health workforce," Policy Research Working Paper Series 3686, The World Bank.
    3. François Rivest & Pascal Bossé & Silviu Nedelca & Alain Simard, 1999. "Access to Physician Services in Quebec: Relative Influence of Household Income and Area of Residence," Canadian Public Policy, University of Toronto Press, vol. 25(4), pages 453-481, December.
    4. J R Barnett, 1993. "Does the Geographic Distribution of Physicians Reflect Market Failure?: An Examination of the New Zealand Experience, 1981–87," Environment and Planning A, , vol. 25(6), pages 827-846, June.
    5. Pieter Serneels & Abigail Barr & Magnus Lindelow, 2005. "Understanding Geographical Imbalances in the Health Workforce," Economics Series Working Papers GPRG-WPS-018, University of Oxford, Department of Economics.
    6. Matsumoto, Masatoshi & Inoue, Kazuo & Kajii, Eiji, 2010. "Policy implications of a financial incentive programme to retain a physician workforce in underserved Japanese rural areas," Social Science & Medicine, Elsevier, vol. 71(4), pages 667-671, August.
    7. Till Bärnighausen & David E. Bloom, 2008. "Designing financial-incentive programmes for return of medical service in underserved areas of sub-Saharan Africa," PGDA Working Papers 3708, Program on the Global Demography of Aging.
    8. Chomitz, Kenneth M. & Setiadi, Gunawan & Azwar, Azrul & Ismail, Nusye & Widiyarti, 1998. "What do doctors want? developing incentives for doctors to serve in Indonesia's rural and remote areas," Policy Research Working Paper Series 1888, The World Bank.
    9. Pieter Serneels & Magnus Lindelow & José Garcia Montalvo & Abigail Barr, 2006. "For public service or money: Understanding geographical imbalances in the health workforce in Ethiopia," Economics Working Papers 989, Department of Economics and Business, Universitat Pompeu Fabra.
    10. Wang, Lu & Rosenberg, Mark & Lo, Lucia, 2008. "Ethnicity and utilization of family physicians: A case study of Mainland Chinese immigrants in Toronto, Canada," Social Science & Medicine, Elsevier, vol. 67(9), pages 1410-1422, November.

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