Association between the General Practitioner Workforce Crisis and Premature Mortality in Hungary: Cross-Sectional Evaluation of Health Insurance Data from 2006 to 2014

International Journal of Environmental Research and Public Health
János SándorRóza Ádány

Abstract

The workforce crisis of primary care is reflected in the increasing number of general medical practices (GMP) with vacant general practitioner (GP) positions, and the GPs' ageing. Our study aimed to describe the association between this crisis and premature mortality. Age-sex-standardized mortality for 18⁻64 years old adults was calculated for all Hungarian GMPs annually in the period from 2006 to 2014. The relationship of premature mortality with GPs' age and vacant GP positions was evaluated by standardized linear regression controlled for list size, urbanization, geographical location, clients' education, and type of the GMP. The clients' education was the strongest protective factor (beta = -0175; p < 0.001), followed by urban residence (beta = -0.149; p < 0.001), and bigger list size (beta1601⁻2000 = -0.054; p < 0.001; beta2001-X = -0.096; p < 0.001). The geographical localization also significantly influenced the risk. Although GMPs with a GP aged older than 65 years (beta = 0; p = 0.995) did not affect the risk, GP vacancy was associated with higher risk (beta = 0.010; p = 0.033), although the corresponding number of attributable cases was 23.54 over 9 years. The vacant GP position is associated with a significant but ha...Continue Reading

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Citations

Sep 1, 2019·International Journal of Environmental Research and Public Health·Nóra KovácsJános Sándor
Aug 3, 2019·International Journal of Environmental Research and Public Health·Shelley White-MeansAhmad Reshad Osmani
Jul 27, 2021·Work : a Journal of Prevention, Assessment, and Rehabilitation·Jianyu JiaLin Li

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