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Ethnic differences in general practitioner consultations.

R Balarajan¹, P Yuen, V Soni Raleigh

¹Epidemiology and Public Health Research Unit, University of Surrey, Guildford.

BMJ (Clinical Research Ed.)

|October 14, 1989

Summary

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General practitioner (GP) consultations are higher among ethnic minority groups in Britain, particularly those of Pakistani, Indian, and West Indian origin. These ethnic differences in GP use are most pronounced in older adults.

Area of Science:

Public Health
General Practice
Health Services Research

Background:

Understanding ethnic variations in healthcare utilization is crucial for equitable health service provision.
General practitioner (GP) services are a cornerstone of primary care in the United Kingdom.

Purpose of the Study:

To investigate differences in the frequency of GP consultations across various ethnic groups residing in Britain.
To identify which ethnic groups exhibit higher or lower rates of primary care engagement.

Main Methods:

Analysis of British General Household Surveys (1983-1985) encompassing 63,966 individuals aged 0-64.
Logistic regression modeling was employed to calculate odds ratios for GP consultation, adjusting for age and socioeconomic status.

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Main Results:

Adults of Pakistani origin showed the highest GP consultation rates (OR 2.82 for men, 1.85 for women) after adjustments.
Men of West Indian and Indian origin also had significantly higher consultation rates (OR 1.65 and 1.53, respectively).
Ethnic disparities in consultation rates were most evident in the 45-64 age group, with Pakistani, Indian, and West Indian individuals consulting more frequently than white individuals.

Conclusions:

The study highlights significant ethnic variations in primary care utilization within Britain.
The ethnic makeup of urban populations, particularly inner cities, likely impacts GP workload and the types of cases encountered.