[The decentralized training program and the retention of general practitioners in Quebec's Lower St. Lawrence Region]

OBJECTIVE: To assess the effect of decentralized training programs, financial incentives, and physicians' origins on whether general practitioners continue to practise in an area. DESIGN: Our data were obtained from the physician database maintained by the Bas-Saint-Laurent Regional Department of Health and Social Services and from responses to a mailed questionnaire completed by physicians in the study. SETTING: The Lower St. Lawrence Region of Quebec. PARTICIPANTS: General practitioners who practised in the area between 1985 and 2003. METHOD: We used the Cox proportional hazards model of survival analysis to ascertain which variables were related to retaining physicians in the area. RESULTS: The adjusted probability of physicians remaining in Bas-Saint-Laurent after being exposed to the area through rural rotations had an odds ratio of 2.12 (P = .15). The probability of remaining in the area climbed to an odds ratio of 4.5 (P
Auteurs (Zotero)
Bustinza, Ray; Gagnon, Suzanne; Burigusa, Guillaume
Date de publication (Zotero)
septembre, 2009