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Choice and the composition of general practice patient registers

Lewis, D.; Mateos, P.; Longley, P.; (2009) Choice and the composition of general practice patient registers. (CASA Working Papers 150). Centre for Advanced Spatial Analysis (UCL): London, UK. Green open access


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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 accessibility-based 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.

Type: Working / discussion paper
Title: Choice and the composition of general practice patient registers
Open access status: An open access version is available from UCL Discovery
Publisher version: http://www.casa.ucl.ac.uk/publications/workingPape...
Language: English
UCL classification: UCL > School of Arts and Social Sciences > Faculty of Social and Historical Sciences > Geography
UCL > School of BEAMS > Faculty of the Built Environment > Centre for Advanced Spatial Analysis
URI: http://discovery.ucl.ac.uk/id/eprint/19244
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