Evidence map›Paper›PMID 23050804›Full record

ArticleScandinavian journal of primary health care2012

Remuneration and organization in general practice: do GPs prefer private practice or salaried positions?

Peder A Halvorsen, Svein Steinert, Ivar J Aaraas

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Peder A HalvorsenNational Centre of Rural Medicine, Department of Community Medicine, University of Tromsø, Norway. peder.halvorsen@kraftlaget.no
Svein Steinert
Ivar J Aaraas

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn Norway the default payment option for general practice is a patient list system based on private practice, but other options exist. This study aimed to explore whether general practitioners (GPs) prefer private practice or salaried positions.

designCross-sectional online survey (QuestBack).

settingGeneral practice in Norway.

interventionParticipants were asked whether their current practice was based on (1) private practice in which the GP holds office space, equipment, and employs the staff, (2) private practice in which the GPs hire office space, equipment, or staff from the municipality, (3) salary with bonus arrangements, or (4) salary without bonus arrangement. Furthermore, they were asked which of these options they would prefer if they could choose. SUBJECTS: GPs in Norway (n = 3270).

main outcome measuresProportion of GPs who preferred private practice.

resultsResponses were obtained from 1304 GPs (40%). Among these, 75% were currently in private practice, 18% in private practice with some services provided by the municipality, 4% had a fixed salary plus a proportion of service fees, whereas 3% had salary only. Corresponding figures for the preferred option were 52%, 26%, 16%, and 6%, respectively. In multivariate logistic regression analysis, size of municipality, specialty attainment, and number of patients listed were associated with preference for private practice.

conclusionThe majority of Norwegian GPs had and preferred private practice, but a significant minority would prefer a salaried position. The current private practice based system in Norway seems best suited to the preferences of experienced GPs in urban communities.

Indexed as

RemunerationCapitation FeeCross-Sectional StudiesFee-for-Service PlansFemaleGeneral PracticeGeneral PractitionersHumansMaleMiddle AgedNorwayOnline SystemsPrivate PracticeSalaries and Fringe BenefitsUrban Population

Identifiers

PMID23050804
PMCPMC3520417

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.