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Hospital physicians’ assessments of their interaction with GPs: The role of physician and community characteristics


  • Martinussen, Pål E.


The way in which hospital physicians and general practitioners (GPs) interact has important implications for any health care system, particularly in systems relying on gatekeeping through the GPs for moderating access to hospital and specialist services. Several individual, organisational and contextual factors may serve as potential barriers or facilitators of the interaction between specialists and GPs. Using a survey among 1229 Norwegian hospital physicians the paper tests the role of physician and community factors for hospital physicians’ satisfaction with their interaction with GPs, while also controlling for relevant hospital characteristics. The results indicate that the hospital physicians are only moderately satisfied with their interaction with GPs, and that there is certainly room for improvement. The multivariate analysis shows that the more satisfied the GPs are with their interaction with the hospital, the more satisfied are also the hospital physicians with their corresponding interaction with the GPs. Furthermore, a high GP coverage in the municipalities in the hospital catchment area is associated with a higher satisfaction among the hospital physicians. The results also suggest that meeting GPs face-to-face in meetings is associated with a more positive evaluation of the interaction with GPs.

Suggested Citation

  • Martinussen, Pål E., 2013. "Hospital physicians’ assessments of their interaction with GPs: The role of physician and community characteristics," Health Policy, Elsevier, vol. 110(1), pages 14-21.
  • Handle: RePEc:eee:hepoli:v:110:y:2013:i:1:p:14-21
    DOI: 10.1016/j.healthpol.2012.10.014

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    References listed on IDEAS

    1. Martinussen, Pål Erling & Magnussen, Jon, 2011. "Resisting market-inspired reform in healthcare: The role of professional subcultures in medicine," Social Science & Medicine, Elsevier, vol. 73(2), pages 193-200, July.
    2. Hagen, Terje P., 2009. "Modeller for kommunal medfinansiering av spesialisthelsetjenestene," HERO On line Working Paper Series 2009:6, Oslo University, Health Economics Research Programme.
    3. Tjerbo, Trond, 2010. "Does competition among general practitioners increase or decrease the consumption of specialist health care?," Health Economics, Policy and Law, Cambridge University Press, vol. 5(01), pages 53-70, January.
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