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Related Experiment Videos

High and low incomes in general practice.

B Leese1, N Bosanquet

  • 1Centre for Health Economics, University of York.

BMJ (Clinical Research Ed.)
|April 8, 1989
PubMed
Summary
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General practices show a growing income divide. High-income practices are larger and in affluent areas, while low-income practices are smaller, urban, and resource-limited.

Area of Science:

  • Health Economics
  • General Practice Management

Background:

  • Limited data exists on local income variability in general practice.
  • The Review Body on Doctors' and Dentists' Remuneration focuses on averages, not distribution.

Purpose of the Study:

  • To assess the distribution of high and low incomes within general practice.
  • To identify characteristics associated with income disparities in general practice.

Main Methods:

  • Defined high-income practices (>$35,000/partner/year) and low-income practices (<$20,000/partner/year).
  • Analyzed practice size, partner demographics, location, costs, and resources.

Main Results:

  • High-income practices were larger, had younger partners, and were in affluent areas.

Related Experiment Videos

  • Low-income practices were smaller, urban, had more Asian partners, and fewer resources.
  • High-income practices incurred higher patient costs and utilized more staff.

    • Conclusions:

    • General practice is bifurcating into high-income/high-cost and low-income/low-resource models.
    • Low-income practices, often in less affluent areas, require improved organization and investment incentives.