IDEAS home Printed from https://ideas.repec.org/a/cpp/issued/v25y1999i4p453-481.html
   My bibliography  Save this article

Access to Physician Services in Quebec: Relative Influence of Household Income and Area of Residence

Author

Listed:
  • François Rivest
  • Pascal Bossé
  • Silviu Nedelca
  • Alain Simard

Abstract

The 1960s were marked by the setting up of Medicare by federal and provincial governments in Canada. The official aim of this undertaking was to eliminate inequality of access to medical care, and in the first instance inequality on the basis of incomes. Governments were also concerned with inequality in the regional distribution of medical services. The objective of this paper is to document these two dimensions of accessibility to medical services as present in Quebec in 1991 in terms of household consumption of such services. Data for this study come from administrative files, principally those of the Quebec ministry of health. The paper reviews measures taken by the Quebec government to attract doctors to locate in outlying regions of the province. In spite of these measures, results obtained indicate that significant differences existed in 1991 between outlying and central regions and that results for intermediate regions occur between these two poles. After controlling for age of head and household composition, differences by income are no longer significant.

Suggested Citation

  • 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.
  • Handle: RePEc:cpp:issued:v:25:y:1999:i:4:p:453-481
    as

    Download full text from publisher

    File URL: http://links.jstor.org/sici?sici=0317-0861%28199912%2925%3A4%3C453%3AATPSIQ%3E2.0.CO%3B2-5
    Download Restriction: only available to JSTOR subscribers
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Rosenberg, Mark W. & Hanlon, Neil T., 1996. "Access and utilization: A continuum of health service environments," Social Science & Medicine, Elsevier, vol. 43(6), pages 975-983, September.
    2. Bolduc, D. & Fortin, B. & Fournier, M.A., 1993. "The Impact of Incentive Policies on the Practice Location of Doctors: A Multinominal Probit Analysis," Papers 9308, Laval - Recherche en Politique Economique.
    3. 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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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.
    2. Fortin, B. & Lanoie, P., 1998. "Effects of Workers' Compensation : A Survey," Papers 9816, Laval - Recherche en Politique Economique.
    3. 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.
    4. Schmidheiny, Kurt, 2006. "Income segregation and local progressive taxation: Empirical evidence from Switzerland," Journal of Public Economics, Elsevier, vol. 90(3), pages 429-458, February.
    5. Huixia Liu & Linxiu Zhang & Gale Summerfield & Yaojiang Shi, 2009. "A gendered view of reforming health care access for farmers in China," China Agricultural Economic Review, Emerald Group Publishing Limited, vol. 1(2), pages 194-211, January.
    6. 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.
    7. Pieter Serneels & Jose G. Montalvo & Gunilla Pettersson & Tomas Lievens & Jean Damascene Butera & Aklilu Kidanu, 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," CSAE Working Paper Series 2010-10, Centre for the Study of African Economies, University of Oxford.
    8. Denis Bolduc & Bernard Fortin & France Labrecque & Paul Lanoie, 1997. "Incentive Effects of Public Insurance Programs on the Occurence and the Composition of Workplace Injuries," CIRANO Working Papers 97s-24, CIRANO.
    9. Danxian Wu & Xiaolu Gao & Zhifei Xie & Zening Xu, 2021. "Understanding the Unmet Needs among Community-Dwelling Disabled Older People from a Linkage Perspective," IJERPH, MDPI, vol. 18(2), pages 1-15, January.
    10. 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.
    11. 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.
    12. 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.
    13. 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.
    14. 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.
    15. Hanlon, Neil & Skedgel, Chris, 2006. "Cross-district utilization of general hospital care in Nova Scotia: Policy and service delivery implications for rural districts," Social Science & Medicine, Elsevier, vol. 62(1), pages 145-156, January.

    More about this item

    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:cpp:issued:v:25:y:1999:i:4:p:453-481. See general information about how to correct material in RePEc.

    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.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with 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.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Iver Chong (email available below). General contact details of provider: https://www.utpjournals.press/loi/cpp .

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

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.