Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias

10 Making General Practice Attractive: Encouraging GP attraction and Retention KCE Reports 90
The total licensed GPs increased throughout the years (from 12 292 in 1995 to 14 170
in 2005) (table 2) as well as the proportion of GPs who were inactive in the curative
care. The inactivity percentage was defined as the GPs having 0 INAMI acts during the
year (group nr 19 in appendix 1.8). This percentage increased for all age groups
throughout the period considered (from 4% in 1995 to 12% in 2005 globally). More
precisely, the increase was more noticeable for the age groups above 30 years. Indeed,
between 1995 and 2005, the inactivity percentage for the age group between 30 and 39
years old increased from 4% in 1995 to 11% in 2005, while it only increased from 6% in
1995 to 9% in 2005 for the age group between 25 and 29 years.
The small practices were defined as GPs who provide between 1 and 1249 acts during
the observed year. The small practice percentages increased as well as the inactivity
percentage in the age groups from 25 to 39 years old.
Table 2: Inactivity or small practices in the curative sector for licensed GPs :
numbers and percentages among potentially available GPs, by age group in
1995, 2000 and 2005. (Source: INAMI/RIZIV database, Belgium, 2007)
Age
groups
% inactive
in curative
1995
Small
% inactive in
Year
2000
Small
% inactive
in curative
2005
Small
care under practice Total curative care practice Total care under practice Total
AMI* percentage** GP*** under AMI* percentage** GP AMI* percentage** GP
25 - 29 6.0 41.1 470 7.3 42.3 634 8.9 50.9 440
30 - 39 3.9 15.3 4307 9.5 15.8 2951 11.0 20.8 2696
40 - 49 2.6 11.0 4496 6.9 10.7 5413 11.4 12.9 4413
50 - 59 2.6 10.6 1454 4.4 10.5 2589 7.4 11.7 4359
60 - 69 6.4 19.1 1126 10.3 17.9 1185 10.8 18.1 1265
70+ 25.1 44.6 439 36.2 34.9 702 43.5 30.3 997
total 4.3 15.6 12292 8.8 15.2 13474 12.2 16.9 14170
Source: INAMI/RIZIV (file of profiles), 2007
*The inactivity percentage is computed for MDs who do not provide any INAMI act during the
observed year (group nr 19 in appendix 1.8).
** The small practice percentage concerns MDs who provide between 1 and 1249 acts during the
observed year.
***The total GP concern the licensed GPs who are potentially available (those called “active”, i.e.
not being dead, and not known as being out of practice, retired, living abroad, nor forbidden of
practice) group nr 16 in appendix 1.8
****Difference between the totals of table 5 and the totals of table 3 due to calculation on 2
different INAMI files (max loss/years: 9 persons).
1.4.1.3 Inactivity or small practice in the curative sector for licensed GPs under AMI:
analysis by gender (INAMI/RIZIV database)
Figures 1 and 2 (see appendix 1.9) detail the table 2 (above) for the percentages of GPs
who are inactive in the curative sector, by gender.
Figure 1 clearly shows that the inactivity percentage increased gradually for all age
groups for the female GPs. However, the increase was less pronounced for the younger
age groups (from 5.6% in 1995 to 10% in 2005) compared to the other age groups.
The global inactivity percentage for the men also increased for all age groups (figure 2)
but to a lesser extent, compared to the global inactivity percentage of the women
(respectively 6% in 1995 to 15% in 2005 for the women versus 4% in 1995 to 11% in
2005 for the men).
The inactivity percentage for the youngest age groups remained stable (from 6.5% in
1995 to 6% in 2005) compared to the inactivity percentage of women for the same age
groups (from 5.6% in 1995 to 10% in 2005). The strong variations among this youngest
age group can be explained by the small size of this group (137 men in 2005).