GP, Health Organisation, Policy and Economics (HOPE), Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK.
Policy and Economics (HOPE), Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK; Melbourne Institute: Applied Economic and Social Research, University of Melbourne, Melbourne, Australia.
Br J Gen Pract. 2019 Dec 26;70(690):e64-e70. doi: 10.3399/bjgp19X706073. Print 2020 Jan.
There is widespread concern over the recruitment and retention of GPs in England. Income is a fundamental consideration affecting the attractiveness of working in general practice.
To report on trends in average incomes earned by GPs in England, adjusted for inflation and contracted time commitment.
Postal surveys of random samples of GPs working in England in 2008, 2010, 2012, 2015, and 2017.
Trends in average reported incomes of partner and salaried GPs were directly standardised for the reported number of sessions worked per week and adjusted for inflation.
Data were obtained from between 1000 and 1300 responders each year, representing response rates between 25% and 44%. Almost all responders (96%) reported the income they earned from their job as a GP. Mean nominal annual income decreased by 1.1% from £99 437 in 2008 to £98 373 in 2017 for partner GPs and increased by 4.4% from £49 061 to £51 208 for salaried GPs. Mean sessions worked decreased from 7.7 to 7.0 per week for partner GPs and decreased from 5.6 to 5.3 per week for salaried GPs. Mean income adjusted for sessions worked and inflation decreased by 10.0% for partner GPs and by 7.0% for salaried GPs, between 2008 and 2017.
The decrease in GP income adjusted for sessions worked and inflation over the last decade may have contributed to the current problems with recruitment and retention.
英格兰普遍关注全科医生的招聘和留用问题。收入是影响在全科医疗工作吸引力的一个基本因素。
报告英格兰全科医生的平均收入趋势，经通胀和合同承诺时间调整。
2008 年、2010 年、2012 年、2015 年和 2017 年对英格兰在职全科医生进行的随机样本的邮寄调查。
对每周报告的工作次数进行直接标准化，并对通胀进行调整，以报告合伙人医生和受薪医生的平均报告收入趋势。
每年获得 1000 至 1300 名应答者的数据，应答率在 25%至 44%之间。几乎所有（96%）应答者都报告了他们作为全科医生的收入。合伙人全科医生的名义年平均收入从 2008 年的 99437 英镑下降到 2017 年的 98373 英镑，下降了 1.1%；受薪全科医生的收入从 49061 英镑增加到 51208 英镑，增长了 4.4%。合伙人全科医生每周的工作时间从 7.7 小时减少到 7.0 小时，受薪全科医生每周的工作时间从 5.6 小时减少到 5.3 小时。经工作时间和通胀调整后的合伙人全科医生的平均收入下降了 10.0%，受薪全科医生的平均收入下降了 7.0%，这两个数字都是在 2008 年至 2017 年间。
过去十年中，经工作时间和通胀调整后的全科医生收入下降可能是导致目前招聘和留用问题的原因之一。
