In 1986, the population-to-physician ratio in Canada
was close to 550:1 (actually 555:1). This figure was used to assist
in building the classes for this map. Two of the mapping classes
(244:1 to 274:1 and 275:1 to 549:1) show regions of Canada that
in 1996 have ratios that are much lower or slightly lower than the
overall ratio in Canada in the mid-1980s while the remaining two
classes (550:1 to 824:1 and 825:1 to 8901:1) indicate areas that
have ratios slightly above or significantly above the national ratio
of that era.
Immediately, one sees that the majority of low ratio areas (that
is, areas with comparatively few people per physician) are associated
with the major urban centres of Canada. Every province has one or
more census division in which the ratio is less than or equal to
550:1. None of the territories has a ratio this low. At the same
time, each province has a significant number of census divisions
with ratios higher than 550:1 and these tend to be located in more
rural and/or northern areas. The overall range of this ratio is
from 244:1 to 8901:1. Interestingly, the census division with the
highest ratio is located immediately to the southwest of (and abutting)
Winnipeg. It contains no specialist physicians and very few family
physicians.
Regional Variations in Population-to-physician Ratios
Numerical ranges of population-to-physician ratios can differ substantially
when smaller geographical units are examined compared to the ratios
outlined above for Canada as a whole. Provincial and territorial
ratios for 1997 are shown in figure 1.
[D] Click for larger version, 10 KB Figure 1. Provincial and Territorial Population-to-Physician Ratios, 1997
Differences are even more dramatic when the ratios are computed
and mapped by census division. In general, these figures and maps
highlight the fact that physician locations are particularly urban-oriented
-- more so than the general population as a whole. They also highlight
the difficulties of applying population-to-physician ratios to relatively
arbitrary administrative geographical units. These maps should be
examined carefully in the context of the physician and population
distribution charts provided earlier.
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