General practitioners in German metropolitan areas – distribution patterns and their relationship with area level measures of the socioeconomic status

Autor: Jan Bauer, Doerthe Brueggmann, Daniela Ohlendorf, David A. Groneberg
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: BMC Health Services Research, Vol 16, Iss 1, Pp 1-9 (2016)
Druh dokumentu: article
ISSN: 1472-6963
DOI: 10.1186/s12913-016-1921-5
Popis: Abstract Background Geographical variation of the general practitioner (GP) workforce is known between rural and urban areas. However, data about the variation between and within urban areas are lacking. Method We analyzed distribution patterns of GP full time equivalents (FTE) in German cities with a population size of more than 500,000. We correlated their distribution with area measures of social deprivation in order to analyze preferences within neighborhood characteristics. For this purpose, we developed two area measures of deprivation: Geodemographic Index (GDI) and Cultureeconomic Index (CEI). Results In total n = 9034.75 FTE were included in n = 14 cities with n = 171 districts. FTE were distributed equally on inter-city level (mean: 6.49; range: 5.12–7.20; SD: 0.51). However, on intra-city level, GP distribution was skewed (mean: 6.54; range: 1.80–43.98; SD: 3.62). Distribution patterns of FTE per 10^4 residents were significantly correlated with GDI (r = −0.49; p
Databáze: Directory of Open Access Journals