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Related Experiment Videos

General practitioner distribution and population dynamics: Munich, 1950-1990

G W Shannon1, M P Cutchin

  • 1Department of Geography, University of Kentucky, Lexington 40506.

Social Science & Medicine (1982)
|July 1, 1994
PubMed
Summary

Physician distribution in Munich shows overall population alignment but district-level variations. Some evidence suggests general practitioners may avoid areas with high foreign-born populations.

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Area of Science:

  • Public Health
  • Medical Geography
  • Sociology of Health

Background:

  • Variable geographic distribution of physicians is a global challenge.
  • Primary care physicians increasingly avoid urban areas with high concentrations of low-income and minority populations.
  • This study examines physician distribution in Germany, focusing on Munich's changing demographics.

Purpose of the Study:

  • To investigate the geographic distribution of general practitioners' offices in Munich.
  • To assess whether general practitioners avoid areas with a high density of foreign-born populations.
  • To understand the relationship between population trends and physician supply.

Main Methods:

  • Analysis of Munich's population structure changes from 1950-1990, including foreign guestworker influx.

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  • Examination of changes in the German medical care system and the role of general practitioners.
  • Geographic mapping and analysis of general practitioners' office locations in relation to population density and foreign-born concentration by district.

    • Main Results:

    • Aggregate distribution of general practitioners generally mirrored overall population geographic trends in Munich during the study period.
    • District-level analysis revealed significant variations in general practitioner distribution.
    • Some districts with high concentrations of foreign-born residents showed indications of general practitioners avoiding them.

    Conclusions:

    • While overall physician distribution aligns with population shifts, district-level analysis is crucial.
    • Evidence suggests potential avoidance of areas with high foreign-born populations by some general practitioners in Munich.
    • The scale of investigation significantly impacts conclusions regarding physician distribution and population trends.