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Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias

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14 Making G<strong>en</strong>eral Practice Attractive: Encouraging GP attraction and Ret<strong>en</strong>tion KCE Reports 90<br />

Table 6: Inactivity among unlic<strong>en</strong>sed and lic<strong>en</strong>sed GPs and specialists four to<br />

six years after their degree: perc<strong>en</strong>tages and numbers, by linguistic<br />

community. A study of four groups qualified as MD betwe<strong>en</strong> 1988 and 2001,<br />

in Belgium (CIPMP database, 2007)<br />

Cohorts<br />

Qualified as MD in Qualified as MD in Qualified as MD in Qualified as MD in<br />

88- 90<br />

93- 95<br />

96- 98<br />

99-01<br />

% inactive in<br />

% inactive in<br />

% inactive in<br />

% inactive in<br />

the curative total the curative total the curative total the curative Total<br />

sector** in ‘94 nber sector in ‘99 nber sector 5 in ‘02 nber sector in ‘05 nber<br />

G<strong>en</strong>eral Fr<strong>en</strong>ch 7.71 350 12.66 237 11.38 325 11.84 515<br />

practitioners Flemish 15.66 594 14.07 334 28.01 482 25.24 622<br />

* total 12.71 944 13.49 571 21.31 807 19.17 1137<br />

Specialists Fr<strong>en</strong>ch 0.68 736 1.72 697 0.95 740 1.91 786<br />

Flemish 2.04 735 1.28 858 2.31 824 2.35 892<br />

total 1.36 1471 1.48 1555 1.66 1564 2.15 1678<br />

* these include the lic<strong>en</strong>sed and the unlic<strong>en</strong>sed g<strong>en</strong>eral practitioners<br />

**for whom no place of curative care has be<strong>en</strong> registered<br />

1.4.2.5 Inactivity in the curative sector 9 to 11 years after degree as MD: analysis by<br />

g<strong>en</strong>der (CIPMP database)<br />

The following section focuses on the inactivity in the curative sector for the unlic<strong>en</strong>sed<br />

and lic<strong>en</strong>sed GPs who were inactive in the curative sector 9 to 11 years after their<br />

degree as MD if they had at least one place of curative care 4 to 6 years after their<br />

degree as MD.<br />

Among the GPs who qualified betwe<strong>en</strong> 1988 and 1990 and who had at least one place<br />

of curative care in 1994, 7.5% had left the curative sector in 1999 (i.e. no place of<br />

curative practice registered, see table 7).<br />

A differ<strong>en</strong>ce in g<strong>en</strong>der can be noticed: more female GPs than male GPs were inactive in<br />

1999 if they had at least one place of curative care in 1994 (respectively 10.60% for the<br />

wom<strong>en</strong> and 5% for the m<strong>en</strong>).<br />

Regarding the specialists who were active in the curative sector in 1994, 1% of them<br />

had left the curative sector in 1999 compared to 7.5% for the GPs (table 7 below and<br />

table 13 in app<strong>en</strong>dix 1.9).<br />

It is important to notice that few GPs and few specialists came back in the curative<br />

sector in 1999 if they were inactive in 1994 (8 GPs and 10 specialists) (table 7 below<br />

and table 13 in app<strong>en</strong>dix 1.9). These numbers are small, compared to those physicians<br />

who left the curative sector in 1999 if they were active in the curative sector in 1994<br />

(60 GPs and 12 specialists). This observation confirms that the losses in the curative<br />

sector are not comp<strong>en</strong>sated by those who come back.<br />

Table 7: Inactivity among unlic<strong>en</strong>sed and lic<strong>en</strong>sed GPs, qualified betwe<strong>en</strong><br />

1988 and 1990 as GP, active or not in the curative sector in 1994: numbers<br />

and perc<strong>en</strong>tages by g<strong>en</strong>der (Source: CIPMP database)<br />

Qualified as GP in ‘88- ‘90 Situation in 1999<br />

Situation in 1994<br />

Active Inactive<br />

% N % N<br />

Wom<strong>en</strong><br />

Active 88.24 315 10.64 38<br />

Inactive 9.09 7 90.91 70<br />

M<strong>en</strong><br />

Active 93.71 417 4.94 22<br />

Inactive 2.44 1 97.56 40<br />

Total<br />

Active 91.27 732 7.48 60<br />

Inactive 6.78 8 93.22 110

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