caa a22 4500 397577028 CHVBK 20180308164858.0 cr unu---uuuuu 161202e199603 xx s 000 0 eng 10.1093/oxfordjournals.pubmed.a024459 doi (NATIONALLICENCE)oxford-10.1093/oxfordjournals.pubmed.a024459 Access to health care in England: continuing inequalities in the distribution of GPs [Elektronische Daten] [Michaela Benzeval, Ken Judge] Background One of the successes of the National Health Service is that the distribution of general practitioners(GPs) corresponds much more closely to the size of the local communities than it did before 1948. However, more should be done to reflect the fact that different populations have variable needs for GPs. The aim of this paper is to estimate the relative need for GPs by linking evidence from individual utilization data to the characteristics of small areas. Methods Statistical models of GP utilization were developed from household survey data on 12 729 adults representative of the English population. The odds ratios derived from the models were combined with Census information for Family Health Services Authorities (FHSAs) to calculate a need indicator, which was used to estimate the number of GPs ‘needed' in an area for comparison with the actual distribution. Results The utilization of GPs is associated with morbidity, demographic and socioeconomic variables. The needs indicator derived from the model of GP utilization varies from 1⋅66 to 2⋅40 with a mean of 2. Substantial changes in the distribution of GPs are required to reflect the relative need for them. For example, in relative terms, Cornwall and the Isles of Scilly has an excess of GPs of almost one-fifth whereas Rotherham has a shortfall of more than one-third. Conclusions The findings in this paper suggest that there are still considerable inequalities in access to GP services in England in relation to need. © Oxford University Press Articles nationallicence general practitioners nationallicence equity nationallicence access nationallicence utilization nationallicence need nationallicence weighted population nationallicence synthetic estimation nationallicence Benzeval Michaela King's Fund Policy Institute, 11-13 Cavendish Square, London WIM 0AN aut Judge Ken King's Fund Policy Institute, 11-13 Cavendish Square, London WIM 0AN aut Journal of Public Health Oxford University Press 18/1(1996-03), 33-40 1741-3842 18:1<33 1996 18 pubmed https://doi.org/10.1093/oxfordjournals.pubmed.a024459 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/oxfordjournals.pubmed.a024459 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Benzeval Michaela King's Fund Policy Institute, 11-13 Cavendish Square, London WIM 0AN aut NATIONALLICENCE 700 1- Judge Ken King's Fund Policy Institute, 11-13 Cavendish Square, London WIM 0AN aut NATIONALLICENCE 773 0- Journal of Public Health Oxford University Press 18/1(1996-03), 33-40 1741-3842 18:1<33 1996 18 pubmed Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford