General practitioner distribution and population dynamics: Munich, 1950–1990
The problem of variable geographic distribution of physicians appears to be universal and intransigent. There is growing evidence from several developed countries of primary physicians avoiding areas in large cities increasingly populated by poor and ethnic minorities. This paper extends the researc...
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| Veröffentlicht in: | Social science & medicine (1982) 1994-07, Vol.39 (1), p.23-38 |
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| container_title | Social science & medicine (1982) |
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| creator | Shannon, Gary W. Cutchin, Malcolm P. |
| description | The problem of variable geographic distribution of physicians appears to be universal and intransigent. There is growing evidence from several developed countries of primary physicians avoiding areas in large cities increasingly populated by poor and ethnic minorities. This paper extends the research to Germany. Here, the changing population structure of Munich from 1950 through 1990, characterized by a large influx of foreign guestworkers, is illustrated. Selected changes in the medical care system and the role of the general practitioner pertinent to the question of supply and distribution are also discussed. Within this context, the geographic distribution of general practitioners' offices is examined for possible response to the concentration of foreigners in Districts within the City. In the aggregate, the distribution of general practitioners follows the geographic trends of the general population during the study period. However, geographic distribution of general practitioners varies widely on a District by District assessment. Though the exception, in several Districts there are indications that general practitioners may be avoiding locating offices in areas characterized by high density of foreign populations. This paper also draws attention to the importance of investigative scale to conclusions relating general practitioner distribution to spatial-temporal population trends. |
| doi_str_mv | 10.1016/0277-9536(94)90163-5 |
| format | Article |
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There is growing evidence from several developed countries of primary physicians avoiding areas in large cities increasingly populated by poor and ethnic minorities. This paper extends the research to Germany. Here, the changing population structure of Munich from 1950 through 1990, characterized by a large influx of foreign guestworkers, is illustrated. Selected changes in the medical care system and the role of the general practitioner pertinent to the question of supply and distribution are also discussed. Within this context, the geographic distribution of general practitioners' offices is examined for possible response to the concentration of foreigners in Districts within the City. In the aggregate, the distribution of general practitioners follows the geographic trends of the general population during the study period. However, geographic distribution of general practitioners varies widely on a District by District assessment. Though the exception, in several Districts there are indications that general practitioners may be avoiding locating offices in areas characterized by high density of foreign populations. This paper also draws attention to the importance of investigative scale to conclusions relating general practitioner distribution to spatial-temporal population trends.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/0277-9536(94)90163-5</identifier><identifier>PMID: 8066485</identifier><identifier>CODEN: SSMDEP</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Avoidance Learning ; Biological and medical sciences ; Delivery of Health Care - organization & administration ; distribution ; Emigration and Immigration - trends ; general practitioners ; Germany ; Germany general practitioners distribution urban ; Health and social institutions ; Health participants ; Humans ; Medical sciences ; Organizational Innovation ; Physician's Role ; Physicians ; Physicians, Family - psychology ; Physicians, Family - supply & distribution ; Physicians, Family - trends ; Population ; Population Dynamics ; Poverty ; Professional Practice Location - trends ; Public health. 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There is growing evidence from several developed countries of primary physicians avoiding areas in large cities increasingly populated by poor and ethnic minorities. This paper extends the research to Germany. Here, the changing population structure of Munich from 1950 through 1990, characterized by a large influx of foreign guestworkers, is illustrated. Selected changes in the medical care system and the role of the general practitioner pertinent to the question of supply and distribution are also discussed. Within this context, the geographic distribution of general practitioners' offices is examined for possible response to the concentration of foreigners in Districts within the City. In the aggregate, the distribution of general practitioners follows the geographic trends of the general population during the study period. However, geographic distribution of general practitioners varies widely on a District by District assessment. Though the exception, in several Districts there are indications that general practitioners may be avoiding locating offices in areas characterized by high density of foreign populations. This paper also draws attention to the importance of investigative scale to conclusions relating general practitioner distribution to spatial-temporal population trends.</description><subject>Avoidance Learning</subject><subject>Biological and medical sciences</subject><subject>Delivery of Health Care - organization & administration</subject><subject>distribution</subject><subject>Emigration and Immigration - trends</subject><subject>general practitioners</subject><subject>Germany</subject><subject>Germany general practitioners distribution urban</subject><subject>Health and social institutions</subject><subject>Health participants</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Organizational Innovation</subject><subject>Physician's Role</subject><subject>Physicians</subject><subject>Physicians, Family - psychology</subject><subject>Physicians, Family - supply & distribution</subject><subject>Physicians, Family - trends</subject><subject>Population</subject><subject>Population Dynamics</subject><subject>Poverty</subject><subject>Professional Practice Location - trends</subject><subject>Public health. 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Hygiene-occupational medicine</topic><topic>Social research</topic><topic>urban</topic><topic>Urban areas</topic><topic>Urban Population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shannon, Gary W.</creatorcontrib><creatorcontrib>Cutchin, Malcolm P.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Social science & medicine (1982)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shannon, Gary W.</au><au>Cutchin, Malcolm P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>General practitioner distribution and population dynamics: Munich, 1950–1990</atitle><jtitle>Social science & medicine (1982)</jtitle><addtitle>Soc Sci Med</addtitle><date>1994-07-01</date><risdate>1994</risdate><volume>39</volume><issue>1</issue><spage>23</spage><epage>38</epage><pages>23-38</pages><issn>0277-9536</issn><eissn>1873-5347</eissn><coden>SSMDEP</coden><abstract>The problem of variable geographic distribution of physicians appears to be universal and intransigent. There is growing evidence from several developed countries of primary physicians avoiding areas in large cities increasingly populated by poor and ethnic minorities. This paper extends the research to Germany. Here, the changing population structure of Munich from 1950 through 1990, characterized by a large influx of foreign guestworkers, is illustrated. Selected changes in the medical care system and the role of the general practitioner pertinent to the question of supply and distribution are also discussed. Within this context, the geographic distribution of general practitioners' offices is examined for possible response to the concentration of foreigners in Districts within the City. In the aggregate, the distribution of general practitioners follows the geographic trends of the general population during the study period. However, geographic distribution of general practitioners varies widely on a District by District assessment. 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| ispartof | Social science & medicine (1982), 1994-07, Vol.39 (1), p.23-38 |
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| source | MEDLINE; RePEc; Sociological Abstracts; ScienceDirect Journals (5 years ago - present) |
| subjects | Avoidance Learning Biological and medical sciences Delivery of Health Care - organization & administration distribution Emigration and Immigration - trends general practitioners Germany Germany general practitioners distribution urban Health and social institutions Health participants Humans Medical sciences Organizational Innovation Physician's Role Physicians Physicians, Family - psychology Physicians, Family - supply & distribution Physicians, Family - trends Population Population Dynamics Poverty Professional Practice Location - trends Public health. Hygiene Public health. Hygiene-occupational medicine Social research urban Urban areas Urban Population |
| title | General practitioner distribution and population dynamics: Munich, 1950–1990 |
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