CASA Working Paper 150

Choice and the composition of general practice patient registers

Choice of general practice (GP) in the National Health Service (NHS), the UKs universal healthcare service, is a core element in the current trajectory of NHS policy. This paper uses an accessibilitybased approach to investigate the pattern of patient choice that exists for GPs in the London Borough of Southwark. Using a spatial model of GP accessibility it is shown that particular population groups make non-accessibility based decisions when choosing a GP.

These patterns are assessed by considering differences in the composition of GP patient registers between the current patient register, and a modelled patient register configured for optimal access to GPs. The patient population is classified in two ways for the purpose of this analysis: by geodemographic group, and by ethnicity. The paper considers choice in healthcare for intra-urban areas, focusing on the role of accessibility and equity.

This working paper is available as a PDF. The file size is 3.42MB.

Authors: Pablo Mateos, Paul Longley, Dan Lewis

Publication Date: 1/10/2009

Download working paper No. 150.