Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias

8 Making General Practice Attractive: Encouraging GP attraction and Retention KCE Reports 90
The first analysis computed the percentage of MDs who were inactive in the curative sector 4 to 6
years after their graduation as MD (see table below).
Denominator Numerator
Year of MD degree: Inactive in the curative sector in:
Between 1988 and 1990 1994
Between 1993 and 1995 1999
Between 1996 and 1998 2002
Between 1999 and 2001 2005
The second percentage was the percentage of MDs (licensed and unlicensed GPs for
INAMI/RIZIV) who are inactive in the curative sector 9 to 11 years after their degree as
MD if they had at least one place of curative care 5 years after obtaining such a degree
(=denominator).
The following table summarizes these analyses:
Denominator Numerator
Year of MD degree Having at least one place of Inactive in the curative sector in:
curative care in:
Between 1988 and 1990 1994 1999
between 1993 and 1995 1999 2005
Those percentages have been computed by linguistic community and gender and have
then been compared to those of specialists. We excluded the MDs who died in the
meantime and those having worked in Belgium with a legal license but who left Belgium
afterwards.
The table below summarizes the analyses conducted in both databases.
Database Type of study Studied Numerator Denominator
INAMI/RIZIV Repeated crosssectional
study
between 1995,
2000 and 2005
CIPMP Cohort studies (4
to 6 years and 9
to 11 years after
their degree as
MD): follow-ups
of those
graduating
between:
1988-1990, 1993-
1995, 1996-1998,
1999-2001
1.4 RESULTS
1.4.1 INAMI/RIZIV DATABASE
questions
Percentage of
MDs inactive in
the curative
sector under the
AMI in 1995,
2000 and 2005
and small practice
percentage
Evolution of the
inactivity of MDs
in the curative
sector among
those who got
their degree as
MD at time t0.
MDs having
0 INAMI acts or
between 1 and 1249
acts a year
First percentage :
MDs who are inactive
in the curative sector
4 to 6 years after
their degree as MD
Second percentage:
MDs who are inactive
in the curative sector
9 to 11 years after
their degree as MD
Licensed or
unlicensed GPs
according to the
Health insurance,
with a situation code
1(active) (+
specialists)
Cohorts of medical
students who got
their degree as MD
at time t0
MDs who had at
least one curative
activity 4 to 6 years
after their degree as
MD
In 1995, 16714 GPs (including GPs in training) were registered in the INAMI/RIZIV (see
table 1 below). A group of 16515 so-called “active” general practitioners remained
when excluding the GPs known as out of practice, retired, living abroad or forbidden of
practice. This number climbed to 18217 in 2005. The proportions of types of general
practitioners (the unlicensed GPs, the licensed GPs and the GPs in training) out of the
total “active” general practitioners increased slightly throughout the years. The rather