Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Changes in payments for general practice consultations 1989-93

M W Tilyard1, E Gurr, S M Dovey

  • 1Department of Preventive and Social Medicine, Otago Medical School, Dunedin.

The New Zealand Medical Journal
|July 12, 1996
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Trauma-informed Approaches to Substance Use Interventions with Indigenous Peoples: A Scoping Review.

Journal of psychoactive drugs·2021
Same author

Comparison of three targeted approaches to screening for abdominal aortic aneurysm based on cardiovascular risk.

The British journal of surgery·2016
Same author

Care plans for acutely deteriorating COPD: a randomized controlled trial.

Chronic respiratory disease·2005
Same author

What should we report to medical error reporting systems?

Quality & safety in health care·2004
Same author

Learning from malpractice claims about negligent, adverse events in primary care in the United States.

Quality & safety in health care·2004
Same author

The ecology of medical care for children in the United States: a new application of an old model reveals inequities that can be corrected.

American family physician·2004

General practitioners charged regular fees less often in 1993 compared to 1989, with more patients receiving reduced fees. Public funding decreased, increasing the financial burden on patients and doctors for primary care access.

Area of Science:

  • Primary Care Medicine
  • Health Economics
  • General Practice

Background:

  • General practitioner (GP) fee structures and patient charges are crucial for understanding primary care accessibility and financial sustainability.
  • Previous studies have documented GP charging practices, but recent data is needed to assess current trends.
  • Changes in healthcare funding and economic factors may influence how GPs structure their fees and charge patients.

Purpose of the Study:

  • To compare general practitioner fee structures and patient charges in 1993 with those reported in 1989.
  • To identify shifts in the proportion of consultations charged at regular, reduced, or increased fees.
  • To analyze changes in the contribution of different funding sources, such as public agencies and Accident Compensation (ACC), to GP consultations.

Main Methods:

Related Experiment Videos

  • Analysis of computer-generated data from general practitioner systems, including General Medical Services (GMS) claims and patient consultation charges for 1993.
  • Comparison of 1993 charging data with a previous study's findings from 1989, encompassing a large number of consultations (59,215 in 1993 vs. 97,869 in 1989).
  • Statistical analysis to determine the significance of observed differences in fee structures and funding contributions.

Main Results:

  • The proportion of consultations charged at the regular GP fee decreased significantly from 47.0% in 1989 to 34.1% in 1993 (p < 0.001).
  • There was a substantial increase in consultations with reduced fees, rising 7.9-fold from 3.5% in 1989 to 27.5% in 1993 (p < 0.001).
  • The contribution of Accident Compensation (ACC) funding declined from 17.5% of consultations in 1989 to 10.1% in 1993 (p < 0.001), with 19.4% of non-maternity/immunisation consultations in 1993 generating no patient fee.

Conclusions:

  • Significant shifts in the funding landscape for general practice care occurred between 1989 and 1993, marked by a diminished input from public agencies.
  • Both patients and general practitioners are shouldering a greater financial burden for accessing primary care services.
  • These changes highlight evolving economic pressures and policy impacts on the delivery and accessibility of general practice.