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Differences in work activities between private and community health centre general practitioners

M Montalto1, G Adams, D R Dunt

  • 1Department of Public Health and Community Medicine, University of Melbourne, Fairfield Hospital, Victoria.

The Medical Journal of Australia
|August 21, 1995
PubMed
Summary

Community health centre (CHC) general practitioners (GPs) offer more counselling and refer more to allied health professionals than private GPs. However, prescribing and specialist referral rates are similar between the two practice types.

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Area of Science:

  • General Practice and Primary Care
  • Health Services Research

Background:

  • General Practitioners (GPs) in Victoria, Australia, operate within distinct private and community health centre (CHC) models.
  • Understanding practice variations is crucial for optimizing primary healthcare delivery and resource allocation.

Purpose of the Study:

  • To compare characteristics of general practitioners (GPs) and patients between private and community health centre (CHC) settings in Victoria.
  • To investigate differences in referral rates, prescribing patterns, diagnostic test ordering, and consultation styles.

Main Methods:

  • Utilized data from the Australian Morbidity and Treatment Survey (AMTS) conducted in 1991-1992.
  • Included 51 full-time Victorian CHC GPs and a control group of 114 Victorian private GPs.
  • Employed multivariate analysis to compare practice characteristics and outcomes.

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Main Results:

  • Community health centre (CHC) GPs were younger, more likely to be female, and had less experience compared to private GPs.
  • CHC GPs demonstrated higher rates of offering counselling and advice, and referral to allied health professionals.
  • No significant differences were observed in prescribing rates or referrals to medical specialists between CHC and private GPs after multivariate analysis.

Conclusions:

  • Counselling and allied health referrals represent key practice differences between CHC and private GPs.
  • Remuneration models focused away from patient throughput may have a limited impact on GP work patterns in isolation.
  • Future assessments should consider patient throughput to evaluate the cost-effectiveness of different general practice models.