Socio-spatial inequalities in presence of primary care physicians and patients' ability to register: A simulated-patient survey in the Paris Region
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View abstract on PubMed
Summary
This summary is machine-generated.Socio-spatial inequalities in Paris reveal that while many general practitioners (GPs) practice in an area, fewer accept new patients, especially for home care. This disparity widens with increasing neighborhood deprivation.
Area Of Science
- Health Services Research
- Medical Geography
- Socioeconomic Determinants of Health
Background
- General practitioner (GP) density is a key indicator of healthcare access.
- Understanding socio-spatial inequalities in GP distribution is crucial for equitable healthcare planning.
- Previous studies often focus on GP presence, potentially overlooking access barriers for new patients.
Purpose Of The Study
- To investigate socio-spatial inequalities in three distinct measures of general practitioner (GP) density within the Paris metropolitan area.
- To differentiate between the density of GPs present, GPs accepting new patients for office visits, and GPs accepting new patients for house calls.
- To analyze the association between social deprivation and these GP density measures, considering population density.
Main Methods
- A simulated patient survey was conducted to identify GPs accepting new patients for ongoing care (office and/or house calls).
- Three GP density metrics were calculated at the census block level: GPs present, GPs registering new office patients, and GPs registering new house call patients.
- The relationship between the census block deprivation index and each GP density measure was assessed, with stratification by population density.
Main Results
- In 2017-2018, 87.6% of Paris region GPs were contacted. Over 55% of census blocks had a practicing GP, but only 40% had GPs accepting new office patients, and less than 20% had GPs accepting new patients for home care.
- A negative association was observed between GP density (all types) and the census block deprivation index, indicating fewer GPs in more deprived areas.
- Socio-spatial inequalities were more pronounced for GP registration (office and house calls) compared to GP presence, particularly in densely populated areas.
Conclusions
- Measures of general practitioner (GP) presence alone can underestimate socio-spatial disparities in healthcare access.
- Access to GP registration, especially for home care, is significantly more unequal across socio-spatial gradients than mere presence.
- Targeted interventions are needed to address disparities in GP registration, particularly in deprived and densely populated urban areas.
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