PMID: 8944862Oct 1, 1996Paper

Predicting the workload in urban general practice in The Netherlands from Jarman's indicators of deprivation at patient level

Journal of Epidemiology and Community Health
S A Reijneveld

Abstract

General practitioners (GPs) working in deprived areas supposedly have higher workloads. In the UK, this has led to a higher payment per patient from deprived areas, based on eight indicators of deprivation proposed by Jarman. This paper aimed to examine the applicability of the Jarman index (indicators and attached weights) at patient level in an urban GP setting outside the UK. Data on all GP contacts were collected from 5121 residents aged 16 and over by interview. Amsterdam, The Netherlands, 1992-93. Results showed that six out or eight of the Jarman indicators of deprivation were indeed associated with higher GP contact rates in adults in Amsterdam, though some of them without statistical significance. The relative importance of the indicators, however, differed largely from Jarman's weights. In particular, people in poor housing, unskilled earners, and people born in a foreign country had higher contact rates. Furthermore, some indicators were highly inter-related at patient level. It is concluded that most of the Jarman indicators can be used to predict Amsterdam GP workload at patient level, but that their relative weights should be adapted for this aim. The applicability of the Jarman index (indicators and attached weig...Continue Reading

References

Nov 7, 1992·BMJ : British Medical Journal·B Jarman, N Bosanquet
Nov 7, 1992·BMJ : British Medical Journal·D Metcalfe
Oct 1, 1992·Journal of Epidemiology and Community Health·Y Ben-ShlomoP M McKeigue
May 28, 1983·British Medical Journal·B Jarman
May 1, 1994·American Journal of Public Health·M Susser
Aug 1, 1995·International Journal of Epidemiology·S A Reijneveld
Jul 12, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·John Frey

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Citations

May 29, 2000·Journal of Epidemiology and Community Health·S A ReijneveldD H de Bakker
Jul 20, 2012·The European Journal of General Practice·Øystein Hetlevik, Sturla Gjesdal
Oct 1, 1997·Journal of Clinical Pharmacy and Therapeutics·N Bradshaw, R Walker
Jun 5, 2003·Journal of Cardiovascular Electrophysiology·Phyllis K SteinRobert M Carney
Feb 18, 1999·Women & Health·A Whittaker, L Connor
Aug 26, 1998·The Australian Journal of Rural Health·M MacLeodB Leipert
Sep 23, 1998·Australian and New Zealand Journal of Public Health·F BaumI Steven
Jul 11, 1998·Scandinavian Journal of Social Medicine·M MalmströmS E Johansson

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