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Duration of general practitioner contracts.

Birgit Abelsen1, Margrete Gaski1, Helen Brandstorp1

  • 1Nasjonalt senter for distriktsmedisin Institutt for samfunnsmedisin Universitetet i Tromsø - Norges arktiske universitet.

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Summary
This summary is machine-generated.

General practitioner (GP) contract duration in Norway varies significantly by municipality size, with longer contracts in larger areas. This impacts the continuity of care, potentially offering lower quality service in smaller municipalities.

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Area of Science:

  • Health Services Research
  • General Practice
  • Public Health Policy

Background:

  • The General Practitioner (GP) scheme aims to foster doctor-patient relationship continuity.
  • GP contract duration is crucial for the scheme's success.
  • Factors influencing GP contract length require investigation.

Purpose of the Study:

  • To analyze the duration of GP contracts in Norway.
  • To determine if contract duration varies by doctor's gender, age, municipality size, and patient list size.

Main Methods:

  • Analysis of 7,359 GP contracts in Norway (2001-2014).
  • Measurement of contract duration from signing to expiry or study end.
  • Statistical analysis including survival curves and Cox regression.

Main Results:

  • Median GP contract duration was 5.91 years.
  • Contract duration was significantly longer in larger municipalities (8.37 years) compared to smaller ones (2.75 years).
  • Factors increasing contract duration included female doctors, older doctors, larger municipalities, and larger patient lists.

Conclusions:

  • Patients in small municipalities may receive a lower quality of GP service due to shorter contract durations.
  • Policy interventions may be needed to improve GP contract stability in smaller municipalities.