Variations in activity and practice patterns: a French study for GPs

Eur J Health Econ. 2007 Sep;8(3):225-36. doi: 10.1007/s10198-006-0023-4. Epub 2007 Feb 6.

Abstract

Objectives: To identify the different practice profiles of general practitioners (GPs) in order to test the hypothesis of heterogeneity in physician behaviour.

Data: For the year 2000, 4,660 GPs from two regions in France.

Variables: volume and structure of the physicians' medical activity, income level, personal characteristics, socioeconomic and geographical environment, characteristics of their patients.

Methods: A cluster analysis to identify different practice profiles and a regression analysis to display the determinants of the physicians' activity.

Results: Four different homogeneous groups can be identified, each one associating a physician's level of activity to his socioeconomic status. The level and the intensity of medical activity depend on individual factors, patients' characteristics as well as the socioeconomic context.

Conclusions: There is no uniformity in the way GPs practice medicine. An immediate consequence is that any cost-containment measure that is applied uniformly to all GPs inevitably results in different outcomes according to the physicians' category type.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cluster Analysis
  • Drug Prescriptions / economics
  • Drug Prescriptions / statistics & numerical data
  • Drug Utilization / economics
  • Drug Utilization / statistics & numerical data*
  • Empirical Research
  • Family Practice / economics
  • Family Practice / statistics & numerical data*
  • Fee-for-Service Plans
  • France
  • Humans
  • Insurance, Physician Services
  • Models, Econometric*
  • National Health Programs
  • Pilot Projects
  • Practice Patterns, Physicians' / economics
  • Practice Patterns, Physicians' / statistics & numerical data*
  • Private Practice / economics
  • Private Practice / statistics & numerical data
  • Regression Analysis
  • Social Class
  • Socioeconomic Factors