General practitioners' preferences for the organisation of primary care: A discrete choice experiment

Pedersen, Line Bjørnskov, Kjaer, Trine, Kragstrup, Jakob and Gyrd-Hansen, Dorte (2012) General practitioners' preferences for the organisation of primary care: A discrete choice experiment. Health Policy, 106 3: 246-256.


Author Pedersen, Line Bjørnskov
Kjaer, Trine
Kragstrup, Jakob
Gyrd-Hansen, Dorte
Title General practitioners' preferences for the organisation of primary care: A discrete choice experiment
Journal name Health Policy  (ERA 2012 Listed)    (ERA 2010 Rank B)   Check publisher's open access policy
Publication date 2012-03-09
Sub-type Article
DOI 10.1016/j.healthpol.2012.03.006
Volume number 106
Issue number 3
ISSN 1168-8510; 1872-6054
Start page 246
End page 256
Total pages 11
Place of publication Shannon, Co. Clare, Ireland
Publisher Elsevier
Collection year 2013
Language eng
Formatted abstract Objectives: To examine GPs’ preferences for organisational characteristics in general practice with focus on aspects that can potentially mitigate problems with GP shortages.
Methods: A simple random sample of 1823 GPs (corresponding to half of all GPs in Denmark) was drawn at the beginning of 2010, and a response rate of 68% was obtained. A discrete choice experiment (DCE) is applied, and attributes included are: practice type (solo/shared), number of GPs in general practice, collaboration with other practices (yes/no), change in weekly working hours (administrative versus patient related) and change in yearly surplus. Multinomial logit analyses (with and without interaction variables) are used, and marginal rates of substitution are calculated.
Results: GPs working in solo practices have different preferences for the organisational attributes compared to GPs in shared practices. The compensation needed for GPs to re-organise from solo to shared practice is associated with the size of the practice. GP characteristics such as age, working hours and surplus affect their willingness to undergo organisational changes.
Conclusions: Our results are of relevance to decision makers in designing policies aimed at influencing GPs’ organisation in order to overcome problems related to shortages.
Keyword Organisation
General practice
Discrete choice experiment
Denmark
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article
Collections: Official 2013 Collection
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Created: Fri, 10 Aug 2012, 10:40:38 EST by Chesne McGrath on behalf of Medicine - Royal Brisbane and Women's Hospital