Table of Contents
International Journal of Family Medicine
Volume 2011, Article ID 971231, 5 pages
http://dx.doi.org/10.1155/2011/971231
Research Article

Spatial Variation in General Medical Services Income in Dublin General Practitioners

Department of Public Health & Primary Care, Trinity College, Dublin 2, Ireland

Received 14 January 2011; Revised 24 March 2011; Accepted 21 April 2011

Academic Editor: M. F. Harris

Copyright © 2011 Conor Teljeur et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The general medical services (GMS) scheme provides care free at the point of use for the 30% most economically deprived section of the population and the elderly. Almost all people of over-70-year olds are eligible for the GMS scheme potentially directing resources away from those most in need. The aim of this study is to analyse the relationship between practice GMS income and deprivation amongst Dublin-based general practitioners (GPs). The practice GMS income in Dublin was analysed in relation to practice characteristics including the number of GPs, catchment area population, proportion of over-70-year olds in the catchment area, catchment deprivation, number of GMS GPs within 2 km, and average GMS practice income within 2 km. Practice GMS income was highest in deprived areas but is also a valuable source of income in the least deprived areas. The capitation rate for over-70-year olds provides an incentive for GPs to locate in affluent areas and potentially directs resources away from those in greater need.