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  1. Medicine and the Canadian State : from the politics of conflict to the politics of accomodation ?

    Article - En anglais

    This paper analyzes data from three large-scale surveys of Canadian physicians conducted over the past decade to examine the politics of a cohort of recently established family physicians in Ontario, and to assess the extent to which these politics represent a « softening » of professional resistance to government health insurance.

    Politically, this is an important cohort because the physicians in it have grown up without any firsthand knowledge of the pre-Medicare period, and because they are among the first to establish practices in the wake of the month-long 1986 Ontario physicians'strike, a high point of profession-government conflict.

    Factors which may have contributed to a moderation of medical politics include the progressive entry of women into medicine.

    Out data suggest that professional opposition to Medicare is declining and that fewer physicians support a return to voluntary and commercial control of the health system, a shift which could assist in breaking the historical cycle of profession-government conflict and moving to the politics of accommodation.

    In the conclusions we discuss implications for medical politics in Canada and other countries such as the United States.

    Mots-clés Pascal : Politique sanitaire, Système santé, Assurance maladie, Association professionnelle, Médecin généraliste, Conflit politique, Soin santé primaire, Canada, Homme, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Health policy, Health system, Health insurance, Professional association, General practitioner, Political conflict, Primary health care, Canada, Human, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0078681

    Code Inist : 002B30A01B. Création : 199608.