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General practitioner relocation in an urban area.

A G Smith, R Barr

    The Journal of the Royal College of General Practitioners
    |March 1, 1988
    PubMed
    Summary
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    General practitioner (GP) relocation in urban areas is more dynamic than assumed. Understanding GP movements is key for optimizing primary health care access and distribution.

    Area of Science:

    • Primary Health Care
    • Health Services Research
    • Medical Geography

    Background:

    • Access to primary health care is significantly influenced by general practitioner (GP) location.
    • It is commonly believed that GP distribution is difficult to influence due to their low propensity to relocate.

    Purpose of the Study:

    • To investigate the level and patterns of general practitioner turnover in an urban area.
    • To examine the characteristics of relocating general practitioners.
    • To assess the potential for influencing GP distribution.

    Main Methods:

    • Analysis of general practitioner movements over nearly five years in an urban Manchester setting.
    • Categorization of movements including practice changes, relocation to new premises, moves into/out of the study area, and retirements.

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  • Comparison of characteristics between relocating and non-relocating GPs.

    • Main Results:

    • A relatively high turnover rate was observed among 488 general practitioners.
    • Specific movement factors included: 6% changed practice, 7% moved premises, 23% moved into the area, 20% moved out, and 13% retired.
    • Characteristics of movers were analyzed and compared to non-movers.

    Conclusions:

    • General practitioner turnover in urban areas may be more predictable than previously thought.
    • Family Practitioner Committees require enhanced data on GP movements to effectively influence service distribution.
    • Strategic interventions can potentially improve the equitable distribution of primary health care services.