caa a22 4500 397500084 CHVBK 20180308164530.0 cr unu---uuuuu 161202e199509 xx s 000 0 eng 10.1093/imammb/12.3-4.203 doi (NATIONALLICENCE)oxford-10.1093/imammb/12.3-4.203 The 1990 GP Contract: Modelling variation in minor surgery provision [Elektronische Daten] [Jonathan Silcock, Julie Ratcliffe] Logistic regression was used to determine the extent to which general medical practices undertake the maximum amount of minor surgery activity allowed for in the GP contract. Data on activity for 89 practices in the Grampian region of Scotland was available for two consecutive financial years: 1992-93 and 1993-94. Comparison of the regression models developed in each year showed that rural location and practice size were consistently associated with the maximization of minor surgery activity under the terms of 1990 GP Contract. In 1993-94 practices with a greater proportion of deprived patients were also more likely to be ‘maximizers'. Quantitative modelling allows the performance of GPs to be assessed and also helps to identify factors which are a barrier to service development. It seems likely that, in Grampian, GPs who were able to exploit fully the provisions of their contract were those whose patients had the greatest capacity to benefit from minor surgery. Currently the GP contract is nationally negotiated, but in the future local negotiated remuneration is likely to become widespread. Modelling will have an important role in the design and monitoring of incentive structures, and help to ensure that service provision equates to local needs. © 1995 Oxford University Press Part 1: Purchaser Issues nationallicence primary health care nationallicence general practice nationallicence practice variation nationallicence minor surgery nationallicence logistic regression nationallicence Silcock Jonathan Health Economics Research Unit, Polwarth Building, University of Aberdeen, Aberdeen AB9 2ZD, UK aut Ratcliffe Julie Health Economics Research Unit, Polwarth Building, University of Aberdeen, Aberdeen AB9 2ZD, UK aut Mathematical Medicine and Biology: A Journal of the IMA Oxford University Press 12/3-4(1995-09), 203-210 1477-8599 12:3-4<203 1995 12 imammb https://doi.org/10.1093/imammb/12.3-4.203 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/imammb/12.3-4.203 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Silcock Jonathan Health Economics Research Unit, Polwarth Building, University of Aberdeen, Aberdeen AB9 2ZD, UK aut NATIONALLICENCE 700 1- Ratcliffe Julie Health Economics Research Unit, Polwarth Building, University of Aberdeen, Aberdeen AB9 2ZD, UK aut NATIONALLICENCE 773 0- Mathematical Medicine and Biology: A Journal of the IMA Oxford University Press 12/3-4(1995-09), 203-210 1477-8599 12:3-4<203 1995 12 imammb Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford