Unequal socioeconomic distribution of the primary care workforce: whole-population small area longitudinal study

BMJ Open
Miqdad AsariaShehzad Ali

Abstract

To measure changes in socioeconomic inequality in the distribution of family physicians (general practitioners (GPs)) relative to need in England from 2004/2005 to 2013/2014. Whole-population small area longitudinal data linkage study. England from 2004/2005 to 2013/2014. 32,482 lower layer super output areas (neighbourhoods of 1500 people on average). Slope index of inequality (SII) between the most and least deprived small areas in annual full-time equivalent GPs (FTE GPs) per 100,000 need adjusted population. In 2004/2005, inequality in primary care supply as measured by the SII in FTE GPs was 4.2 (95% CI 3.1 to 5.3) GPs per 100,000. By 2013/2014, this SII had fallen to -0.7 (95% CI -2.5 to 1.1) GPs per 100,000. The number of FTE GPs per 100,000 serving the most deprived fifth of small areas increased over this period from 54.0 to 60.5, while increasing from 57.2 to 59.9 in the least deprived fifth, so that by the end of the study period there were more GPs per 100,000 need adjusted population in the most deprived areas than in the least deprived. The increase in GP supply in the most deprived fifth of neighbourhoods was larger in areas that received targeted investment for establishing new practices under the 'Equitable Acc...Continue Reading

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Citations

Jan 28, 2017·Health Services Research·Michelle M Washko, Mary L Fennell
Oct 3, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Saul Miller
Apr 9, 2020·British Journal of Community Nursing·Thomas George, Helen Aveyard
Apr 10, 2019·PloS One·Keith B NaylorMatthew A Davis
Dec 7, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Robert FleetcroftRichard Cookson
Nov 23, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Louis S LeveneM John G Bankart
May 10, 2017·Current Allergy and Asthma Reports·Robin Dawson Estrada, Dennis R Ownby

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