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Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Strategies to overcome physician shortages in northern Ontario: A study of policy implementation over 35 years Raymond W Pong | Human Resources for Health BioMed Central Research Strategies to overcome physician shortages in northern Ontario A study of policy implementation over 35 years Raymond W Pong Address Centre for Rural and Northern Health Research and Northern Ontario School of Medicine Laurentian University Sudbury Ontario Canada Email Raymond W Pong - rpong@laurentian.ca Open Access Published II November 2008 Received 16 November 2007 Accepted 1 1 November 2008 Human Resources for Health 2008 6 24 doi 10.1186 1478-4491-6-24 This article is available from http www.human-resources-health.com content 6 1 24 2008 Pong licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract_ Background Shortages and maldistibution of physicians in northern Ontario Canada have been a long-standing issue. This study seeks to document in a chronological manner the introduction of programmes intended to help solve the problem by the provincial government over a 35-year period and to examine several aspects of policy implementation using these programmes as a case study. Methods A programme analysis approach was adopted to examine each of a broad range of programmes to determine its year of introduction strategic category complexity time frame and expected outcome. A chronology of programme initiation was constructed on the basis of which an analysis was done to examine changes in strategies used by the provincial government from 1969 to 2004. Results Many programmes were introduced during the study period which could be grouped into nine strategic categories. The range of policy instruments used became broader in later years. But conspicuous by their absence were programmes of a .
