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Related Experiment Videos

Deprivation and general practitioner workload.

R Balarajan1, P Yuen, D Machin

  • 1Institute of Public Health, University of Surrey, Guildford.

BMJ (Clinical Research Ed.)
|February 29, 1992
PubMed
Summary
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A new deprivation index for general practice was developed using demographic and socioeconomic factors to measure relative deprivation. This index, based on odds ratios from household surveys, can be applied nationwide to better allocate resources for general practitioner workload.

Area of Science:

  • Public Health
  • Health Services Research
  • Socioeconomic Determinants of Health

Background:

  • General practitioner (GP) workload is influenced by patient demographics and socioeconomic status.
  • Existing methods for allocating resources based on deprivation have limitations.
  • Understanding the impact of relative deprivation on GP consultations is crucial for equitable healthcare distribution.

Purpose of the Study:

  • To analyze general practitioner consultations in relation to demographic and socioeconomic variables.
  • To develop a novel method for quantifying the impact of relative deprivation on GP workload.
  • To create a deprivation index applicable to general practice nationwide.

Main Methods:

  • Utilized data from the 1983-1987 British General Household Surveys, encompassing 129,987 individuals.

Related Experiment Videos

  • Calculated odds ratios for GP consultations across different age groups (children, men, women, elderly) based on variables like council tenure, car access, and country of birth.
  • Derived electoral ward-specific deprivation indices for general practice using these odds ratios.

    • Main Results:

    • Factors such as council tenure, lack of car access, and birth in the New Commonwealth or Pakistan were associated with increased GP consultation likelihood.
    • Manual socioeconomic groups and single-parent households showed marginally increased consultation rates in specific demographics.
    • The derived deprivation indices showed significant variation across English electoral wards, with some areas anticipating substantially higher or lower GP consultations than the national average.

    Conclusions:

    • The proposed deprivation index for general practice offers an improvement over existing measures like the underprivileged area score.
    • This index can be implemented nationwide, providing a standardized approach to resource allocation for GPs.
    • It offers a more refined method for accounting for the impact of relative deprivation on GP workload.