To describe the practice characteristics and whereabouts of rheumatologists in Ontario, Canada in order to make inferences regarding the current status of clinical rheumatology services.
All 136 identified Ontario rheumatologists received a self-administered, mailed questionnaire.
The adjusted response rate was 74.2%. For respondents, there was a mean of 14.4 years in practice (1-42 years), 74.7% were male, and 91.3% were practising in urban and/or suburban locations.
Only 6 were practising principally in remote northern locations.
Sixty-three percent of respondents had a university faculty appointment ; 40.4% geographic full time (GFT) and 22.3% clinical only.
University appointed rheumatologists, and in particular those with GFT status, were more likely to have a particular clinical focus (p<0.0001), saw fewer patients on fewer half days/week (p<0.0001 and p=0.0001, respectively), had longer waiting times to see a new patient (9.8 weeks for GFT versus 5.9 weeks and 7.0 weeks for clinical only and nonappointed, respectively ; p=0.009), and had greater research, teaching and administrative duties (p¾0.0001 for each).
University appointment was not associated with the likelihood of having additional nonrheumatology clinical responsibilities.
A major proportion of rheumatologists in Ontario are university based with significant research, teaching, and administrative responsibilities, which limits their availability as consultants.
Mots-clés Pascal : Médecin, Rhumatologie, Pratique professionnelle, Responsabilité professionnelle, Autoévaluation, Ontario, Canada, Amérique du Nord, Amérique, Personnel sanitaire, Spécialité médicale
Mots-clés Pascal anglais : Physician, Rheumatology, Professional practice, Occupational responsibility, Self evaluation, Ontario, Canada, North America, America, Health staff, Medical specialty
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0363401
Code Inist : 002B30A05. Création : 01/03/1996.