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Updated: May 23, 2026

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Published on: August 9, 2024

Does an activity based remuneration system attract young doctors to general practice?

Birgit Abelsen¹, Jan Abel Olsen

¹National Centre of Rural Medicine, University of Tromsø, Tromsø, Norway. birgita@norut.no

BMC Health Services Research

|March 22, 2012

Summary

This summary is machine-generated.

The current Norwegian payment system for general practitioners (GPs) attracts income-motivated men but deters risk-averse individuals and those preferring a lower work pace. A mixed salary and activity-based remuneration is preferred by most potential GPs.

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Last Updated: May 23, 2026

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Published on: August 9, 2024

Area of Science:

Primary Care Medicine
Health Economics
Medical Workforce Studies

Background:

Complex payment schemes in primary care can hinder general practitioner (GP) recruitment.
The current Norwegian GP remuneration system is primarily activity-based (fee-for-service and capitation).
This system, developed with the medical association, may align with existing GPs' preferences, who are predominantly male.

Purpose of the Study:

To investigate the payment system preferences of young doctors, who are potential entrants to general practice and predominantly female.
To compare preferences for activity-based versus salary-based remuneration systems among future GPs.

Main Methods:

An online survey was distributed to final-year medical students and interns in Norway (n=1,562).
Respondents provided opinions on GP remuneration, inclination to practice as a GP, risk attitude, income preferences, and work pace tolerance.
Data analysis employed one-way ANOVA and multinomial logistic regression.

Main Results:

47% of 831 respondents found the remuneration system unimportant for their career choice; 36% found it attractive, 17% unattractive.
Men and those prioritizing high income were attracted to the current system.
Risk-averse individuals and those disliking high work pace were deterred.
Half preferred a 50/50 mix of salary and activity-based pay; only 20% preferred the current fully activity-based system.
Women and those less focused on high income preferred salary-based systems.

Conclusions:

The Norwegian remuneration system appears to have a selection effect on who enters general practice, favoring income-motivated men.
The system deters risk-averse individuals and those seeking a less demanding work pace.
Further research is needed on experienced GPs' preferences and the importance of non-remuneration factors in GP recruitment.