Literature DB >> 15257645

The evolution of the general practice workforce in Australia, 1991-2003.

Janice Charles1, Helena Britt, Lisa Valenti.   

Abstract

OBJECTIVE: To examine changes between 1991 and 2003 in the characteristics of active recognised general practitioners in Australia.
DESIGN: We compared self-reported GP characteristics from the 1990-91 Australian Morbidity and Treatment Survey (AMTS) with those from the 1999 and 2003 Bettering the Evaluation and Care of Health (BEACH) surveys, after standardisation for age and sex to the respective sample frames. AMTS and BEACH are cross-sectional, paper-based, national surveys. PARTICIPANTS: Three random samples of 473 (1990-91), 980 (1998-99) and 1008 (2002-03) GPs who had claimed at least 1500 A1 (ie, general practice) Medicare items in the preceding year (in the AMTS) or 375 general practice Medicare items in the preceding 3 months (in the BEACH surveys). MAIN OUTCOME MEASURES: Changes in distribution of GP sex, GP age, number of sessions per week, practice size and location, country of graduation, and postgraduate training.
RESULTS: Between 1991 and 2003, the proportion of female GPs rose from 19.3% to 35.2%; GPs aged < 35 years dropped from 22.3% to 10.0%, and those aged >or= 55 years increased from 21.4% to 31.6%. Between 1999 and 2003, the proportion of male GPs working < 6 sessions/week increased from 6.1% to 11.4%, while the proportion working >or= 11 sessions/week fell from 23.8% to 17.1%. Between 1991 and 2003, the proportion of solo practitioners nearly halved (25.5% v 13.7%); the proportion of GPs in practices of >or= 4 partners increased from 34.3% to 59.8%; the proportion of Australian graduates fell from 81.4% to 72.2%; and the proportion of graduates from Asia and Africa increased. Over the same period, the proportion of GPs with Fellowship of the Royal Australian College of General Practitioners more than doubled (17.8% v 36.4%). All of these differences were statistically significant (P < 0.001).
CONCLUSION: Changes in characteristics of the practising GP population will affect consultative services and the balance between supply and demand for these services. These changes should be considered in future workforce planning.

Entities:  

Mesh:

Year:  2004        PMID: 15257645

Source DB:  PubMed          Journal:  Med J Aust        ISSN: 0025-729X            Impact factor:   7.738


  5 in total

1.  General practitioner workforce planning: assessment of four policy directions.

Authors:  Conor Teljeur; Stephen Thomas; Fergus D O'Kelly; Tom O'Dowd
Journal:  BMC Health Serv Res       Date:  2010-06-02       Impact factor: 2.655

2.  Sexual health problems managed in Australian general practice: a national, cross sectional survey.

Authors:  E Freedman; H Britt; C M Harrison; A Mindel
Journal:  Sex Transm Infect       Date:  2006-02       Impact factor: 3.519

3.  Tracking family medicine graduates. Where do they go, what services do they provide and whom do they see?

Authors:  R Liisa Jaakkimainen; Susan E Schultz; Richard H Glazier; Caroline Abrahams; Sarita Verma
Journal:  BMC Fam Pract       Date:  2012-03-28       Impact factor: 2.497

4.  Study protocol: the Registrar Clinical Encounters in Training (ReCEnT) study.

Authors:  Simon Morgan; Parker J Magin; Kim M Henderson; Susan M Goode; John Scott; Steven J Bowe; Catherine M Regan; Kevin P Sweeney; Julian Jackel; Mieke L van Driel
Journal:  BMC Fam Pract       Date:  2012-06-06       Impact factor: 2.497

5.  Forecasting Japan's physician shortage in 2035 as the first full-fledged aged society.

Authors:  Koichiro Yuji; Seiya Imoto; Rui Yamaguchi; Tomoko Matsumura; Naoko Murashige; Yuko Kodama; Satoru Minayo; Kohzoh Imai; Masahiro Kami
Journal:  PLoS One       Date:  2012-11-30       Impact factor: 3.240

  5 in total

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