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12 Making General Practice Attractive: Encouraging GP attraction and Retention KCE Reports 90
1.4.1.6 Inactivity in the curative sector for the licensed GPs: annual growth rates by
linguistic community (INAMI/RIZIV database)
The annual growth rate of inactivity was stratified by linguistic community (table 4
below). Overall, the differences between the communities were small. However,
among the youngest age group, the increase of inactivity was much more important in
the French-speaking (annual growth rate of 8.5%) than in the Dutch-speaking part
(1.1%). In the other age groups, the growth rate was slightly more important for the
Dutch-speaking GPs compared to the French-speaking GPs but these differences were
not statistically significant, apart for the age group 40-49 and 60-69 (p-value=0.02).
Yearly
growth
rate FR
Table 4: Licensed GPs: annual growth rate of the inactivity in the curative
sector under AMI by age group and linguistic community, 1995-2005.
Source: INAMI/RIZIV database, Belgium, 2007
Yearly
growth rate
NL
p-value
Difference
north/south
Age group
95% CI
95% CI
25 – 29 0.085 (0.01, 0.16) * 0.011 (-0.03, 0.05) 0.04
30 – 39 0.081 (0.06, 0.10) *** 0.093 (0.08, 0.11) *** 0.17
40 – 49 0.117 (0.10, 0.13) *** 0.141 (0.12, 0.16) *** 0.02
50 – 59 0.085 (0.06, 0.11) *** 0.096 (0.07, 0.12) *** 0.28
60 – 69 0.013 (-0.01, 0.04) 0.051 (0.03, 0.08) *** 0.02
Source: INAMI/RIZIV (file of profiles), 2007 a beta coefficient of the binomial regression:
inactivity rate at time t = a + b year; ***significant at 0.001; ** at 0.01; * at 0.05;
An analysis has been carried out In order to assess if the situation is different between
GPs and the specialists, (see figures 5 and 6 and table 8 in appendix 1.9)
1.4.2 CIPMP DATABASE: Inactivity 4 to 6 years AND 9 to 11 years after the
degree as Medical Doctor
1.4.2.1 Inactivity in the curative sector for the non licensed and the licensed GPs:
analysis per gender (CIPMP database)
The total number of young qualified GPs (unlicensed or licensed) increased from 1988
to 2001 (from 944 between 1998 and 1990 to 1137 between 1999 and 2001). However,
the proportion being inactive in the curative sector 4 to 6 years after their degree as
MD increased too (from 12.7% in 1994 to 19.2% in 2005) (table 5 below). Female GPs
had higher inactivity proportions than male GPs throughout the period but the
proportion of men inactive in the curative sector nearly doubled during the same
period.
1.4.2.2 Inactivity in the curative sector for the specialists: analysis per gender (CIPMP
database)
Compared to the GPs, the inactivity in the curative sector among specialists was less
important 4 to 6 years after their degree as specialists (from 1.36% in 1994 to 2.15% in
2005) and much more stable during the observed years (table 5). The difference
between genders for the specialists is slighter than among GPs (1 or 2% only).