Manitobans not only rank "dead last" in access to doctors after hours, but the impact on the province's emergency rooms is compromising a system where traditional, lengthy doctor-patient relationships are badly in need of a checkup, according to a high-ranking medical spokesman.

Findings from the 2012 Commonwealth Fund international health-policy survey show not only does Canada lag behind other countries in rapid access to doctors outside working hours, but Manitoba ranks at the bottom compared to other provinces.

"That isn't satisfactory," said Dr. Michael Moffatt, a Winnipeg pediatrician and member of the Health Canada Council, which released the report. "The public actually owns the system, and they should be getting better service."