Malcolm L A, Barnett J R
N Z Med J. 1980 May 28;91(660):396-9.
Data relating to GMS claims for 1977/78 and 1978/79 were analysed from all health districts. Calculations from these and other sources showed a figure for 1978/79 of 2120 population per full time equivalent general practitioner ranging from 1685 in Whangarei to 2691 in Invercargill. A mean GMS claim of $2.87 was used to calculate utilisation rates. These similarly varied from 4.8 services per person per year in Whangarei to 2.8 in Invercargill and were highly correlated with availability. This and other evidence suggests that supply is determining demand. Mean utilisation rates increased over the above period from 3.7 to 3.8 pointing to the cost consequences of an increasing number of general practitioners.
对所有卫生区1977/78年和1978/79年与全科医疗服务(GMS)索赔相关的数据进行了分析。根据这些数据及其他来源的计算显示,1978/79年每一名全职等效全科医生对应的人口数为2120人,范围从旺阿雷的1685人到因弗卡吉尔的2691人。使用平均每次GMS索赔2.87美元来计算使用率。这些使用率同样各不相同,从旺阿雷的每人每年4.8次服务到因弗卡吉尔的2.8次服务,并且与可获得性高度相关。这一情况及其他证据表明供给正在决定需求。在上述时期内,平均使用率从3.7上升至3.8,这表明全科医生数量增加所带来的成本影响。