Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias

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Age group 12 Making General Practice Attractive: Encouraging GP attraction and Retention KCE Reports 90 1.4.1.6 Inactivity in the curative sector for the licensed GPs: annual growth rates by linguistic community (INAMI/RIZIV database) Yearly growth The annual growth rate of inactivity was stratified by linguistic community (table 4 below). Overall, the differences between the communities were small. However, among the youngest age group, the increase of inactivity was much more important in the French-speaking (annual growth rate of 8.5%) than in the Dutch-speaking part (1.1%). In the other age groups, the growth rate was slightly more important for the Dutch-speaking GPs compared to the French-speaking GPs but these differences were not statistically significant, apart for the age group 40-49 and 60-69 (p-value=0.02). Table 4: Licensed GPs: annual growth rate of the inactivity in the curative sector under AMI by age group and linguistic community, 1995-2005. Source: INAMI/RIZIV database, Belgium, 2007 rate FR 95% CI Yearly growth rate NL 95% CI p-value Difference north/south 25 – 29 0.085 (0.01, 0.16) * 0.011 (-0.03, 0.05) 0.04 30 – 39 0.081 (0.06, 0.10) *** 0.093 (0.08, 0.11) *** 0.17 40 – 49 0.117 (0.10, 0.13) *** 0.141 (0.12, 0.16) *** 0.02 50 – 59 0.085 (0.06, 0.11) *** 0.096 (0.07, 0.12) *** 0.28 60 – 69 0.013 (-0.01, 0.04) 0.051 (0.03, 0.08) *** 0.02 Source: INAMI/RIZIV (file of profiles), 2007 a beta coefficient of the binomial regression: inactivity rate at time t = a + b year; ***significant at 0.001; ** at 0.01; * at 0.05; An analysis has been carried out In order to assess if the situation is different between GPs and the specialists, (see figures 5 and 6 and table 8 in appendix 1.9) 1.4.2 CIPMP DATABASE: Inactivity 4 to 6 years AND 9 to 11 years after the degree as Medical Doctor 1.4.2.1 Inactivity in the curative sector for the non licensed and the licensed GPs: analysis per gender (CIPMP database) The total number of young qualified GPs (unlicensed or licensed) increased from 1988 to 2001 (from 944 between 1998 and 1990 to 1137 between 1999 and 2001). However, the proportion being inactive in the curative sector 4 to 6 years after their degree as MD increased too (from 12.7% in 1994 to 19.2% in 2005) (table 5 below). Female GPs had higher inactivity proportions than male GPs throughout the period but the proportion of men inactive in the curative sector nearly doubled during the same period. 1.4.2.2 Inactivity in the curative sector for the specialists: analysis per gender (CIPMP database) Compared to the GPs, the inactivity in the curative sector among specialists was less important 4 to 6 years after their degree as specialists (from 1.36% in 1994 to 2.15% in 2005) and much more stable during the observed years (table 5). The difference between genders for the specialists is slighter than among GPs (1 or 2% only).
General practitioners * Specialists KCE Reports 90 Making General Practice Attractive: Encouraging GP attraction and Retention 13 Table 5: Inactivity among unlicensed and licensed GPs and specialists four to six years after their degree as MD: percentages and numbers by gender. A study of four groups qualified as MD between 1988 and 2001, in Belgium (CIPMP database, 2007) Cohorts Qualified as MD in Qualified as MD Qualified as MD in Qualified as MD in 88, 89, 90 % inactive in in 93, 94, 95 96, 97, 98 99, 2000, 01 the curative % inactive in % Inactive in % inactive in sector** in total the curative total the curative total the curative total 1994 number sector in 1999 nber sector in 2002 nber sector in 2005 nber Wome n 17.57 444 14.79 311 25.15 489 21.44 709 Men 8.40 500 11.97 259 15.41 318 15.42 428 Total Wome 12.7 944 13.51 570 21.31 807 19.2 1137 n 1.89 476 2.26 619 1.84 761 2.45 856 Men 1.11 995 0.96 936 1.49 803 1.82 822 Total 1.36 1471 1.48 1555 1.66 1564 2.15 1678 *”General practitioners” include the licensed and the unlicensed general practitioners **for whom no place of curative care has been registered 1.4.2.3 Inactivity in the curative sector for the unlicensed and the licensed GPs: analysis per linguistic community (CIPMP database) Eight percent (8%) of the GPs who qualified between 1988 and 1990 in the Frenchspeaking Community were inactive in the curative sector in 1994 (i.e. four to six years later) (table 6). This inactivity rate increased with 12% in 2005 for the GPs qualified between 1999 and 2001 in the French-speaking Community. This increase was even more noticeable in the Dutch-speaking community: 16% in 1994, climbing to 25% in 2005. 1.4.2.4 Inactivity in the curative sector for the specialists: analysis per linguistic community (CIPMP database) The inactivity percentages of the specialists were always much lower than those of the general practitioners, throughout the various cohorts (table 6). In 2005, 2.2% of the specialists were inactive in the curative sector against 19.2% of the GPs. We also notice that the number of GPs increased compared to the specialists, which might partly explain the noticeable increase of inactivity in the curative sector among GPs from different the cohorts.
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Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias

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