8 research outputs found

    Family physician views about primary care reform in Ontario: a postal questionnaire

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    BACKGROUND: Primary care reform initiatives in Ontario are proceeding with little information about the views of practicing family physicians. METHODS: A postal questionnaire was sent to 1200 randomly selected family physicians in Ontario five months after the initial invitation to join the Ontario Family Health Network. It sought information about their practice characteristics, their intention to participate in the Network and their views about the organization and financing of primary care. RESULTS: The response rate was 50.3%. While many family physicians recognize the need for change in the delivery of primary care, the majority (72%) did not expect to join the Ontario Family Health Network by 2004, or by some later date (60%). Nor did they favour capitation or rostering, 2 key elements of the proposed reforms. Physicians who favour capitation were 5.5 times more likely to report that they expected to join the Network by 2004, although these practices comprise 5% of the sample. CONCLUSIONS: The results of this survey, conducted five months after the initial offering of primary care reform agreements to all Ontario physicians, suggest that an 80% enrollment target is unrealistic

    Trade unions, politics and parties: is a new configuration possible?

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    Trade unions are not merely economic (or ‘industrial relations’) actors: they are necessarily protagonists in the political arena. Regulating the labour market is a question of power resources. Yet if unions are inescapably both economic and political actors, the relationship between the two roles is complex and contradictory, and the priority assigned to each varies across countries and over time. Four factors seem of particular importance in explaining these distinctive patterns: ideology, opportunity structures, organizational capacity and contextual challenges. We explore these issues with reference to ten west European countries, and end by pointing to some of the ideational and practical reasons why unions must explicitly redefine their political identities
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