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. 2011:2011:971231.
doi: 10.1155/2011/971231. Epub 2011 Jun 15.

Spatial variation in general medical services income in dublin general practitioners

Conor Teljeur  1 , Alan Kelly, Tom O'Dowd
Affiliations

Spatial variation in general medical services income in dublin general practitioners

Conor Teljeur et al. Int J Family Med. 2011.

Abstract

The general medical services (GMS) scheme provides care free at the point of use for the 30% most economically deprived section of the population and the elderly. Almost all people of over-70-year olds are eligible for the GMS scheme potentially directing resources away from those most in need. The aim of this study is to analyse the relationship between practice GMS income and deprivation amongst Dublin-based general practitioners (GPs). The practice GMS income in Dublin was analysed in relation to practice characteristics including the number of GPs, catchment area population, proportion of over-70-year olds in the catchment area, catchment deprivation, number of GMS GPs within 2 km, and average GMS practice income within 2 km. Practice GMS income was highest in deprived areas but is also a valuable source of income in the least deprived areas. The capitation rate for over-70-year olds provides an incentive for GPs to locate in affluent areas and potentially directs resources away from those in greater need.

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Figures

Figure 1
Figure 1
Proportion catchment population over 70 by deprivation score (circle size proportional to total practice GMS income) in county Dublin.
Figure 2
Figure 2
Predicted total practice GMS income by deprivation score in county Dublin.
See this image and copyright information in PMC

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References

    1. Gosden T, Forland F, Kristiansen IS, et al. Capitation, salary, fee-for-service and mixed systems of payment: effects on the behaviour of primary care physicians. Cochrane Database of Systematic Reviews. 2000;(3) Article ID CD002215. - PMC - PubMed
    1. Gosden T, Pedersen L, Torgerson D. How should we pay doctors? A systematic review of salary payments and their effect on doctor behaviour. Monthly Journal of the Association of Physicians. 1999;92(1):47–55. - PubMed
    1. Jarman B. Identification of underprivileged areas. British Medical Journal. 1983;286(6379):1705–1709. - PMC - PubMed
    1. Salmond C, Crampton P. Heterogeneity of deprivation within very small areas. Journal of Epidemiology and Community Health. 2002;56(9):669–670. - PMC - PubMed
    1. Primary Care Reimbursement Service. Statistical Analysis of Claims and Payments 2008. Dublin, Ireland: Health Service Executive; 2009.

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