ArticleFuture healthcare journal2023
Is Scotland's new GP contract addressing the inverse care law?
Article in Future healthcare journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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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.
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Who cites it
6 citing papers in PubMed.
- Feasibility study of the Care-at-Home Pharmacotherapy Service (CAHPS): pharmacy technician-led home visits for people receiving polypharmacy who are housebound living in socioeconomically deprived areas.International journal of clinical pharmacy · 2026Article
- Article
- Has the new GP contract in Scotland reduced health inequalities? Qualitative evaluation of the views of general practitioners working in deprived areas.International journal for equity in health · 2025Article
- The Integration of Social and Health Sectors in Scotland: An Analysis from the Prism of Different Public Policy Models.Journal of market access & health policy · 2025Article
- GP working time and supply, and patient demand in England in 2015-2022: a retrospective study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Observational
- Health inequalities, multimorbidity and primary care in Scotland.Future healthcare journal · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
Scotland, like many countries around the world, has wide health inequalities resulting, in part, from the longstanding 'inverse care law', in which a mismatch between patient needs and provision of care in general practice in deprived areas results in poorer care and worse patient outcomes compared with affluent areas. In early 2018, Scotland embarked on a new GP contract, a stated aim of which was to reduce healthcare inequalities. National data on avoidable mortality showed a 4.8 (2019) and 4.9 (2021)-fold higher rate in the most deprived compared with the most affluent decile of the population. However, the distribution of whole-time equivalent (WTE) general practice clinicians per 10,000 patients, including GPs, and practice-employed practice nurses and other allied healthcare professionals, showed the opposite trend in both 2019 and 2022, with fewer WTE clinicians of all types in GP practices in deprived areas compared with affluent areas. These findings suggest that radical change is needed to reverse the inverse care law in Scotland.
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Registered trials
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