Effective instruments for an equitable regional GP distribution – A qualitative comparative analysis on the accessibility to primary care in Europe
S Ozegowski · DMW - Deutsche Medizinische Wochenschrift · 2012 · Heft 09
Bibliografische Angaben
Zusammenfassung
Objectives: To explore the effectiveness of different policy instruments in achieving a more equal and equitable regional distribution of primary care supply structures, namely of general practitioners (GPs), in Europe. Four instruments were analyzed regarding their impact on regional GP distribution: 1) Interventions during training phase, 2) Financial and non-financial incentives, 3) Regional restrictions of the number of GPs based on a (needs- or per capita-based) quota, 4) Capitation-based remuneration. Methods: The combined gini coefficient and decile ratio were used to assess the equality and equity of reg…