Cahiers de sociologie et de démographie médicales
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Cah Sociol Demogr Med · Jul 2010
Implementation of the action plan for human resources in the health system of Serbia--facing inherited problems.
It is through an objective insight into the situation of the health system, in the period of a ten-year isolation of the country, that the policy of planning staff has been defined. The Ministry of Health of the Republic of Serbia has produced an Action Plan for Human Resources for 2005-2010, after having performed the analysis of the situation. ⋯ The Action Plan is focused on the efforts to meet international standards with respect to the building of human resources in the health sector. The consistent implementation of defined norms is an important issue for further development of the health system and the maintenance of its sustainability.
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Cah Sociol Demogr Med · Jan 2009
Comparative Study[An opinion survey among French physicians in independent practice (Winter 2007-Spring 2008)].
In the French health care system, most of the ambulatory health services are provided by independent practitioners, GP's and specialists, paid on a fee-for-service basis. Nearly all French residents are enrolled in a public sickness insurance fund. The fund pays directly to the doctor (or reimburse to the patient) on the basis of a honorarium-scale, negotiated by the fund and the medical associations. ⋯ This upward trend was even more noticeable among specialists. As concerns the means they used for continuing education, most independent practitioners mentioned the medical journals (87%), the medical textbooks (73%), the medical congresses (66%), the Internet (58%). The refreshing forums organized by professional associations had also a good ranking (64%).
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Cah Sociol Demogr Med · Jan 2008
Comparative StudyThe modes of physician remuneration and their effect on direct patient contact.
Initiatives such as primary care reform have allocated millions of dollars towards the Canadian health care system. The way physicians are remunerated affects the supply of physician services and as such is essential to these initiatives to facilitate policy goals. However, there exists a gap in understanding how different modes of remuneration affect physician-patient contact. ⋯ The National Physician Survey shows a significant difference between the current modes of remuneration and the preferred modes of remuneration; thus ruling out the possibility of selectivity bias. The results show that compared to the FFS FPs, the salaried FPs and blended FPs produce on average 40.46% and 23.13% less FTE respectively. It also indicates that compared to the FFS FPs, the salaried FPs and blended FPs deliver 53.54% and 31.49% fewer services on average.
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Cah Sociol Demogr Med · Jan 2008
Comparative StudyChange of the guard in obstetrics and gynaecology: projected retirement to 2025.
The purpose of the paper is to forecast retirement of the specialist obstetricians and gynaecologists in Australia to 2025. The gender and hours of work of younger and older cohorts were compared to determine the likely impacts of the transition from older to younger cohorts. The paper used the Australian Institute of Health and Welfare's annual Medical Labour Force Surveys to examine trends in attrition of obstetricians and gynaecologists over the age of 45 years from the workforce and to predict their rate of retirement to 2025. ⋯ The rising proportion of women in obstetrics and gynaecology and shorter working hours of both men and women will have a compounding effect on physician retirement. The paper concludes that the changes in practice, increasing feminisation and retirement from the workforce coupled with higher female population growth in the childbearing years and slightly higher fertility mean that ensuring an adequate obstetricians and gynaecologists in Australia will be a significant challenge over the next 20 years. There is the potential for shortages in obstetric care with particular risks for rural areas.