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The general practice contract scheme: was it targeted?

D P Matheson1, R S Hoskins

  • 1Department of Community Health, Wellington School of Medicine.

The New Zealand Medical Journal
|February 12, 1992
PubMed
Summary

The general practice contract scheme effectively targeted areas with significant health needs, particularly in urban locations. Rural practices were also situated in high-need census units, indicating a successful allocation strategy.

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Area of Science:

  • Health Services Research
  • Geographic Health Equity
  • Primary Care Access

Background:

  • General practice contract schemes aim to distribute healthcare resources effectively.
  • Understanding the geographic distribution of health needs is crucial for equitable primary care access.
  • Previous assessments of practice locations relative to health needs have yielded varied results.

Purpose of the Study:

  • To evaluate if general practices contracted under a specific scheme are located in areas with the greatest health needs.
  • To assess the geographic targeting of primary care resources through the contract scheme.

Main Methods:

  • Utilized the Health and Equity Index to quantify the level of health need in the geographical locations of contracted general practices.
  • Analyzed urban and rural practices separately, considering both the practice's census area unit and surrounding units for rural analysis.

Main Results:

  • Urban contracted general practices were consistently located in areas demonstrating a high level of health need.
  • Rural practices were situated in census area units identified as having high health needs.
  • However, when considering surrounding census area units, rural practices were found to be in areas of average health need.

Conclusions:

  • The general practice contract scheme was demonstrably well-targeted, effectively directing resources to areas of high health need.
  • The findings support the scheme's success in addressing geographic disparities in primary care access.

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