IDEAS home Printed from https://ideas.repec.org/p/mcm/sedapp/205.html
   My bibliography  Save this paper

Who Minds the Gate? Comparing the role of non physician providers in the primary care division of labour in Canada & the U.S

Author

Listed:
  • Ivy Lynn Bourgeault

Abstract

The 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.

Suggested Citation

  • Ivy Lynn Bourgeault, 2007. "Who Minds the Gate? Comparing the role of non physician providers in the primary care division of labour in Canada & the U.S," Social and Economic Dimensions of an Aging Population Research Papers 205, McMaster University.
  • Handle: RePEc:mcm:sedapp:205
    as

    Download full text from publisher

    File URL: http://socserv.mcmaster.ca/sedap/p/sedap205.pdf
    Download Restriction: no

    More about this item

    Keywords

    primary care; division of labour; U.S.-Canada comparison;

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:mcm:sedapp:205. See general 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: (). General contact details of provider: http://edirc.repec.org/data/demcmca.html .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.