Download the report (150 p.) - KCE

More documents

Recommendations

Info

18 Making General Practice Attractive: Encouraging GP attraction and Retention KCE Reports 90 recent study (Meeus, 2007 14 ) showed that this group is rather limited (see appendix 1.7). The second risk of misclassification comes from the definition of “inactive in the curative sector”: those having “zero curative acts” during the year. This criterion falls short to be a fully active MD in the curative sector (the official minimum to be certified is about 1250 contacts a year). This is why we paid attention to small practices that decrease over time, at least for the licensed GPs older than 30 years old. Pooling together the “inactivity” with the small practice groups would have thus increased the overall inactivity rate and slightly smoothed the trend in the inactivity rate. Thirdly, the situation codes n of the activity of the MDs registered in the INAMI/RIZIV database are based on spontaneous and their personal and non-compulsory declaration. This information may thus not always be updated or accurate, influencing the total number of MDs who are really “active” (or inactive). Recent data from the INAMI/RIZIV show that the situation codes are 98% correct when the GP is inactive; but for those called “active”, only 71% do really practice care 15 . Fourth, we excluded from the denominator the situation codes corresponding to inactivity. Consequently, our inactivity percentages are restricted to those who are still potentially available. We could have included the GPs being abroad or temporarily inactive in our denominator, but if we had chosen to include those extra losses; the percentages of inactivity would have been higher. However this group has a rather small size and our percentages would have not been too much affected. Furthermore, we did not take into account those who never registered at the INAMI/RIZIV whereas such a decision also contributes to poor recruitment for the curative practice. Fifth, the CIPMP database registers curative activities by comparing various files and information. Some information may be missing: it is possible that some GPs are active in the curative sector but are not being registered as such. However, comparisons with sickness funds and RIZIV/INAMI databases have shown a good concordance between the information of the CIPMP and these databases (see details in appendix 1.6). Sixth, the year of MD degree used in the inactivity analyses is approximate, since it is based on the theoretical year of MD degree (which is reliable) and not on the exact (observed) time of MD degree. For those who were still allowed to follow a part-time training, the estimated date of the degree is thus too early in the life cycle, and the inactivity rate might thus be overestimated. Finally, the scope of this study was limited to the factors and policies that influence the attraction, recruitment and retention in the profession. This study did not consider other topics that should have been also interesting for analyzing in detail the demography of the GP population. As stated in introduction, the background of this study was the analysis of the medical supply in Belgium 7 and this topic was not anymore considered in this report. There is also a lack of information on the GP population who is inactive and is not anymore available: only the potential workforce has been the target population of the analyses. One also has to take into account the increase of foreigners in medical specialization and practice, a consequence of the recent openness of the EU internal market. This situation generates questions concerning medical workforce supply planning. Indeed, in 2006, 106 foreign MDs began a practice, contributing for 12.1% of the medical workforce inflow, compensating to some extent the observed losses of Belgian GPs working in the curative sector 7 . n See appendix 1.4
KCE Reports 90 Making General Practice Attractive: Encouraging GP attraction and Retention 19 1.6 STATE OF THE ART OF THE GENERAL PRACTICE IN BELGIUM: SUMMARY The absolute number of licensed GPs increased during this last decade because of the law obliging them to specialize in order to be licensed. However, the percentage of inactivity in the curative sector among those licensed GPs increased for all age groups, both genders and both linguistic communities. This increase of inactivity in the curative sector was more important among GPs aged between 30 and 49 years old compared to the other age groups. The inactivity in the curative sector as well as the growth rate of such inactivity was very similar in both linguistic communities. The percentage of inactivity in the curative sector of GPs 9 to 11 years after their degree as MD among the GPs who were active in curative care 4 to 6 years after their degree as MD increased too. This analysis supports the idea that the recruitment is a major challenge for the general practitioners’ activity in the curative sector.
Page 1 and 2: Making general practice attractive:
Page 3 and 4: Making general practice attractive:
Page 5: Layout : Wim Van Moer Brussels, 27t
Page 8 and 9: ii Making General Practice Attracti
Page 10 and 11: iv Making General Practice Attracti
Page 12 and 13: vi Making General Practice Attracti
Page 14 and 15: 2 Making General Practice Attractiv
Page 22 and 23: 10 Making General Practice Attracti
Page 80 and 81:
68 Making General Practice Attracti
Page 82 and 83:
Page 84 and 85:
Page 86 and 87:
Page 88 and 89:
Page 90 and 91:
Page 92 and 93:
Page 94 and 95:
Page 96 and 97:
Page 98 and 99:
Page 100 and 101:
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
100 Making General Practice Attract
Page 114 and 115:
Page 116 and 117:
Page 118 and 119:
Page 120 and 121:
Page 122 and 123:
Page 124 and 125:
Page 126 and 127:
Page 128 and 129:
Page 130 and 131:
Page 132 and 133:
Page 134 and 135:
Page 136 and 137:
Page 138 and 139:
Page 140 and 141:
Page 142 and 143:
Page 144 and 145:
Page 146 and 147:
Page 148 and 149:
Registration of copyright : D/2008/
show all

Download the report (150 p.) - KCE

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?