General practice funding underpins the persistence of the inverse care law

Gary McLean; Bruce Guthrie; Stewart W. Mercer; Graham C. M. Watt

doi:10.3399/bjgp15X687829

General practice funding underpins the persistence of the inverse care law

Gary McLean, Bruce Guthrie, Stewart W. Mercer, Graham C. M. Watt

Research output: Contribution to journal › Article › peer-review

Abstract / Description of output

BACKGROUND: Universal access to health care, as provided in the NHS, does not ensure that patients' needs are met.AIM: To explore the relationships between multimorbidity, general practice funding, and workload by deprivation in a national healthcare system.DESIGN AND SETTING: Cross-sectional study using routine data from 956 general practices in Scotland.METHOD: Estimated numbers of patients with multimorbidity, estimated numbers of consultations per 1000 patients, and payments to practices per patient are presented and analysed by deprivation decile at practice level.RESULTS: Levels of multimorbidity rose with practice deprivation. Practices in the most deprived decile had 38% more patients with multimorbidity compared with the least deprived (222.8 per 1000 patients versus 161.1; P

Original language	English
Pages (from-to)	e799-e805
Journal	British Journal of General Practice
Volume	65
Issue number	641
DOIs	https://doi.org/10.3399/bjgp15X687829
Publication status	Published - 29 Nov 2015

Keywords / Materials (for Non-textual outputs)

consultation rates
funding
general practice
inverse care law
multimorbidity

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10.3399/bjgp15X687829

Cite this

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title = "General practice funding underpins the persistence of the inverse care law",

abstract = "BACKGROUND: Universal access to health care, as provided in the NHS, does not ensure that patients' needs are met.AIM: To explore the relationships between multimorbidity, general practice funding, and workload by deprivation in a national healthcare system.DESIGN AND SETTING: Cross-sectional study using routine data from 956 general practices in Scotland.METHOD: Estimated numbers of patients with multimorbidity, estimated numbers of consultations per 1000 patients, and payments to practices per patient are presented and analysed by deprivation decile at practice level.RESULTS: Levels of multimorbidity rose with practice deprivation. Practices in the most deprived decile had 38% more patients with multimorbidity compared with the least deprived (222.8 per 1000 patients versus 161.1; P",

keywords = "consultation rates, funding, general practice, inverse care law, multimorbidity",

author = "Gary McLean and Bruce Guthrie and Mercer, {Stewart W.} and Watt, {Graham C. M.}",

note = "Chief Scientist Office of the Scottish Government Health Directorates (Applied Research Programme Grant ARPG/07/1).",

year = "2015",

month = nov,

day = "29",

doi = "10.3399/bjgp15X687829",

language = "English",

volume = "65",

pages = "e799--e805",

journal = "British Journal of General Practice",

issn = "0960-1643",

publisher = "Royal College of General Practitioners",

number = "641",

}

TY - JOUR

T1 - General practice funding underpins the persistence of the inverse care law

AU - McLean, Gary

AU - Guthrie, Bruce

AU - Mercer, Stewart W.

AU - Watt, Graham C. M.

N1 - Chief Scientist Office of the Scottish Government Health Directorates (Applied Research Programme Grant ARPG/07/1).

PY - 2015/11/29

Y1 - 2015/11/29

N2 - BACKGROUND: Universal access to health care, as provided in the NHS, does not ensure that patients' needs are met.AIM: To explore the relationships between multimorbidity, general practice funding, and workload by deprivation in a national healthcare system.DESIGN AND SETTING: Cross-sectional study using routine data from 956 general practices in Scotland.METHOD: Estimated numbers of patients with multimorbidity, estimated numbers of consultations per 1000 patients, and payments to practices per patient are presented and analysed by deprivation decile at practice level.RESULTS: Levels of multimorbidity rose with practice deprivation. Practices in the most deprived decile had 38% more patients with multimorbidity compared with the least deprived (222.8 per 1000 patients versus 161.1; P

AB - BACKGROUND: Universal access to health care, as provided in the NHS, does not ensure that patients' needs are met.AIM: To explore the relationships between multimorbidity, general practice funding, and workload by deprivation in a national healthcare system.DESIGN AND SETTING: Cross-sectional study using routine data from 956 general practices in Scotland.METHOD: Estimated numbers of patients with multimorbidity, estimated numbers of consultations per 1000 patients, and payments to practices per patient are presented and analysed by deprivation decile at practice level.RESULTS: Levels of multimorbidity rose with practice deprivation. Practices in the most deprived decile had 38% more patients with multimorbidity compared with the least deprived (222.8 per 1000 patients versus 161.1; P

KW - consultation rates

KW - funding

KW - general practice

KW - inverse care law

KW - multimorbidity

U2 - 10.3399/bjgp15X687829

DO - 10.3399/bjgp15X687829

M3 - Article

SN - 0960-1643

VL - 65

SP - e799-e805

JO - British Journal of General Practice

JF - British Journal of General Practice

IS - 641

ER -

General practice funding underpins the persistence of the inverse care law

Abstract / Description of output

Keywords / Materials (for Non-textual outputs)

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