title: Trends in small hospital medical services in Ontario.
abstract: OBJECTIVE
  To compare the medical services provided in small hospitals in Ontario in 1995 with those provided in 1988.
  
  
  METHODS
  Mailed survey questionnaire.
  
  
  METHODS
  Small hospitals in Ontario.
  
  
  METHODS
  Chiefs of Staff of the hospitals.
  
  
  METHODS
  Hospital size and location; numbers of physicians; availability of obstetric, anesthesia, and general surgery services; and other medical services available. The 1995 questionnaire was identical to the 1988 one, except for addition of questions on midwives and deletion of the detailed emergency medicine section.
  
  
  RESULTS
  Sixty hospitals responded in both years. In these hospitals, there were significantly fewer acute care beds and births in 1995 than in 1988. Availability of general anesthesia and general surgery was significantly reduced, although general anesthesia was administered and general surgeries were performed more often. There were significantly fewer GP anesthetists and significantly fewer family physicians who attended births, although there were slightly more family physicians overall. There were fewer specialists.
  
  
  CONCLUSIONS
  These are negative trends, particularly for women giving birth and patients needing emergency surgery in rural Ontario.
authors.affiliation: Department of Family Medicine, University of Western Ontario, London. jrourke@julian.uwo.ca
authors.forename: J T
authors.initials: JT
authors.lastname: Rourke
mesh_terms: D000776:Anesthesiology / Q000458:organization & administration; D005194:Family Practice / Q000458:organization & administration; D005260:Female; D013502:General Surgery / Q000458:organization & administration; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000639:trends*; D006743:Hospital Bed Capacity, under 100; D006748:Hospital Departments / Q000639:trends*; D006764:Hospitals, Community / Q000639:trends*; D006780:Hospitals, Rural / Q000639:trends*; D006801:Humans; D008297:Male; D008511:Medicine / Q000458:organization & administration; D009864:Ontario; D013038:Specialization; D013043:Specialties, Surgical / Q000458:organization & administration; D011795:Surveys and Questionnaires; D000078329:Workforce