ArticleBMJ open2019
Workforce crisis in primary healthcare worldwide: Hungarian example in a longitudinal follow-up study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Quiet Quitting and Associated Factors Among Healthcare Professionals: A Systematic Review and Meta-Analysis.Journal of nursing management · 2026Pooled it
- The Role of Physician and Practice Characteristics in the Quality of Diabetes Management in Primary Care: Systematic Review and Meta-analysis.Journal of general internal medicine · 2020Pooled it
- Changes in the Patterns of Emergency Ambulance Care During a Primary Care Model Programme in Hungary.Healthcare (Basel, Switzerland) · 2026Article
- Long-term changes in melanoma epidemiology in Hungary: who are the high-risk groups, and where should we concentrate prevention programs?BMC public health · 2026Article
- Economic burden of stroke attributable to excess body mass in Hungary: a population-attributable fraction analysis.BMC public health · 2026Article
- Adapting to an Ageing Health Workforce: Alternative Versus the Standard Ageing of Physicians and Nurses in Czechia.Health services insights · 2026Article
- Dinutuximab Beta for the Treatment of High-Risk Neuroblastoma: Data from the Hungarian Pediatric Oncology Network.Journal of clinical medicine · 2025Article
- Sustaining the General Practice Nursing Workforce in Australia: Demographics, Job Satisfaction, and Professional Development Challenges.Nursing & health sciences · 2025Article
- Metabolic Health Screening in Physical Therapy Private Practice in Australia: A Feasibility Study.Physical therapy · 2025Article
- Working life expectancy of physicians: the case of primary care physicians in Czechia.Human resources for health · 2025Article
- Profile of Irish female GPs and factors affecting long-term commitment: a descriptive study.BJGP open · 2024Article
- Toward a universal definition of provider-patient attachment in primary care.Canadian family physician Medecin de famille canadien · 2024Review
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- Regional variation in health care substitution for intrauterine device insertion: a retrospective cohort study.BMC primary care · 2024Article
- Insights from end-of-career general practitioners on changing working conditions and generational differences: considerations for future strategies.BMC primary care · 2024Article
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- Associations between COVID-19 Pandemic-Related Overtime, Perceived Chronic Stress and Burnout Symptoms in German General Practitioners and Practice Personnel-A Prospective Study.Healthcare (Basel, Switzerland) · 2024Article
- Understanding International Students' Perspective of Health Service Quality: A Cross-Sectional Study in a Hungarian University.Risk management and healthcare policy · 2024Article
- Rural family medicine as a career option among Hungarian medical students.The European journal of general practice · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe study was designed to explore the development of the general practitioner (GP) shortage in primary care and its characteristics in Hungary.
designLongitudinal follow-up study over the decade 2007-2016.
methodsAnalyses were performed on changes in number, age and sex of GPs by practice type (adult, paediatric and mixed), as well as on their geographical distribution and migration between areas characterised by deprivation index (DI) at municipality level. The association between deprivation and vacancy for GPs was studied by risk analysis. The number of population underserved was defined by DI quintile. SETTING AND SUBJECTS: The study involved all general practices and GPs in the period examined.
main outcome measureIt is showed that the number of general practices with unfilled GP posts was increasing exponentially, mainly in the most deprived areas of the country.
resultsA decrease in the number of GPs in all types of practices, especially in mixed (by 7.7%; p<0.001) and paediatric (by 6.5%; p<0.001) ones, was shown; the number of adult practices with unfilled GP posts doubled, while the number of paediatric practices with a vacancy for a paediatrician more than tripled. The average age of GPs was increased by 3.7 years (p<0.001) in adult, by 5.4 years (p<0.001) in paediatric and by 4.2 years (p<0.001) in mixed practices. In 2007, 52.27% (95% CI 51.03 to 53.5) of the GPs were women, and this rate increased to 56.19% (95% CI 54.93 to 57.44) by the end of the decade. An exponential association between relative vacancy rate and deprivation was confirmed. As a result of the migration of GPs, in the most deprived areas, the number of GPs decreased by 8.43% (95% CI 5.86 to 10.99).
conclusionsThe workforce crisis in Hungarian primary care is progressively deepening and resulting in more severe inequity in access to healthcare.
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Registered trials
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