TY - JOUR

T1 - General practitioners' preferences for the organisation of primary care

T2 - A discrete choice experiment

AU - Pedersen, Line Bjørnskov

AU - Kjær, Trine

AU - Kragstrup, Jakob

AU - Gyrd-Hansen, Dorte

PY - 2012/8

Y1 - 2012/8

N2 - 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.

AB - 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.

KW - Denmark

KW - Discrete choice experiment

KW - General practice

KW - Organisation

UR - http://www.scopus.com/inward/record.url?scp=84863784547&partnerID=8YFLogxK

U2 - 10.1016/j.healthpol.2012.03.006

DO - 10.1016/j.healthpol.2012.03.006

M3 - Journal article

C2 - 22487317

AN - SCOPUS:84863784547

VL - 106

SP - 246

EP - 256

JO - Health Policy

JF - Health Policy

SN - 0168-8510

IS - 3

ER -