Where did all the GPs go? Increasing supply and geographical equity in England and Scotland Export

@article{citeulike:5983568, abstract = {ObjectivesTo examine the effect on geographical equity of increases in the total supply of general practitioners (GPs) and the ending of entry restrictions in 2002 and to explore the factors associated with the distribution of GPs across England. MethodsCalculation of Gini coefficients to measure geographical equity in GPs per 100,000 population in England and Scotland. Multiple regression of GPs per capita and change in GPs per capita on demographics, morbidity, deprivation and measures of amenity in English Primary Care Trusts (PCTs). ResultsEquity in England rose between 1974 and 1994 but then decreased, and in 2006 it was below the 1974 level. After 2002, England had a greater percentage increase in GP supply than Scotland and a smaller increase in inequity. The level of GP per capita supply in 2006 was positively correlated with morbidity and PCT amenity, and negatively correlated with unemployment and poor air quality. The increase in per capita supply between 2002 and 2006 was not significantly associated with morbidity, deprivation or amenities. ConclusionsReducing geographical inequity in the provision of GPs requires targeted area level policies. 10.1258/jhsrp.2009.009003}, author = {Goddard, Maria and Gravelle, Hugh and Hole, Arne and Marini, Giorgia}, citeulike-article-id = {5983568}, citeulike-linkout-0 = {http://dx.doi.org/10.1258/jhsrp.2009.009003}, citeulike-linkout-1 = {http://jhsrp.rsmjournals.com/content/jhsrp.2009.009003v1/.abstract}, citeulike-linkout-2 = {http://jhsrp.rsmjournals.com/content/jhsrp.2009.009003v1/.full.pdf}, citeulike-linkout-3 = {http://view.ncbi.nlm.nih.gov/pubmed/19843638}, citeulike-linkout-4 = {http://www.hubmed.org/display.cgi?uids=19843638}, day = {20}, doi = {10.1258/jhsrp.2009.009003}, journal = {J Health Serv Res Policy}, keywords = {community\_medicine, gp}, month = {October}, pages = {jhsrp.2009.009003+}, posted-at = {2009-10-22 05:23:09}, priority = {3}, title = {Where did all the GPs go? Increasing supply and geographical equity in England and Scotland}, url = {http://dx.doi.org/10.1258/jhsrp.2009.009003}, year = {2009} }

TY - JOUR ID - citeulike:5983568 L3 - citeulike-article-id:5983568 N2 - ObjectivesTo examine the effect on geographical equity of increases in the total supply of general practitioners (GPs) and the ending of entry restrictions in 2002 and to explore the factors associated with the distribution of GPs across England. MethodsCalculation of Gini coefficients to measure geographical equity in GPs per 100,000 population in England and Scotland. Multiple regression of GPs per capita and change in GPs per capita on demographics, morbidity, deprivation and measures of amenity in English Primary Care Trusts (PCTs). ResultsEquity in England rose between 1974 and 1994 but then decreased, and in 2006 it was below the 1974 level. After 2002, England had a greater percentage increase in GP supply than Scotland and a smaller increase in inequity. The level of GP per capita supply in 2006 was positively correlated with morbidity and PCT amenity, and negatively correlated with unemployment and poor air quality. The increase in per capita supply between 2002 and 2006 was not significantly associated with morbidity, deprivation or amenities. ConclusionsReducing geographical inequity in the provision of GPs requires targeted area level policies. 10.1258/jhsrp.2009.009003 JF - J Health Serv Res Policy TI - Where did all the GPs go? Increasing supply and geographical equity in England and Scotland SP - jhsrp.2009.009003 KW - community_medicine KW - gp AU - Goddard, Maria AU - Gravelle, Hugh AU - Hole, Arne AU - Marini, Giorgia PY - 2009/10/20/ UR - http://dx.doi.org/10.1258/jhsrp.2009.009003 ER -