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Malpractice litigation, workload, and general practitioner retirement.

Søren Birkeland1, Søren Bie Bogh1

  • 1Centre for Quality and Department of Regional Health Research, University of Southern Denmark, Middelfart, Denmark.

Primary Health Care Research & Development
|August 18, 2020
PubMed
Summary

This study found no significant link between malpractice litigation or high workload and general practitioner (GP) retirement. Factors like age and practice size influenced retirement decisions, highlighting the need to understand GP retention for primary care sustainability.

Keywords:
general practicemalpracticeretirement

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Area of Science:

  • Primary Care Medicine
  • Occupational Health
  • Gerontology

Background:

  • General Practitioner (GP) retention is crucial for sustainable primary care.
  • Understanding factors influencing GP retirement decisions is essential for workforce planning.
  • Previous research has not conclusively linked specific occupational stressors to GP retirement.

Purpose of the Study:

  • To investigate the association between GP stress factors (malpractice litigation, high workload) and retirement.
  • To examine the influence of age and practice characteristics on GP retirement.
  • To inform strategies for ensuring a stable primary care workforce.

Main Methods:

  • Retrospective cohort study of 739 Danish GPs from 2007 to 2016.
  • Analysis of case file and register data to determine retirement status.
  • Estimation of Hazard Ratios (HRs) for retirement based on various factors.

Main Results:

  • 34% of GPs (n=260) retired during the study period.
  • Retirement risk increased with age (HR=1.19 per year).
  • Practicing in larger clinics was associated with lower retirement risk (HR=0.47), but no significant association was found between retirement and litigation or high workload.

Conclusions:

  • GP retirement is primarily influenced by age and practice size, not malpractice litigation or high workload.
  • Further research is needed to identify other factors affecting GP career longevity.
  • Understanding these influences is key to maintaining adequate primary care services.