General practitioner services in primary care groups in England: is there inequity between service availability and population need?

Abstract:

:This study examined the coverage of minor surgery, child health surveillance and chronic disease management for asthma and diabetes in relation to population need and key organisational features of general practice in the 481 primary care groups (PCGs) in England. PCG-level summary scores were developed to estimate the relative availability of all four services and their relative importance in discriminating between high and low levels of service provision. The coverage of services was widespread and, in such circumstances, there was no systematic evidence of poorer service availability for PCGs with higher population need (the 'inverse care' law). Rather this relation was localised, being most predominant for PCGs covering London and its suburbs. In these PCGs, there was no association between indicators of lack of capacity, such as single-handed practice, and levels of service provision.

journal_name

Health Place

journal_title

Health & place

authors

Baker D,Hann M

doi

10.1016/s1353-8292(00)00041-1

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

67-74

issue

2

eissn

1353-8292

issn

1873-2054

pii

S1353-8292(00)00041-1

journal_volume

7

pub_type

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