title: General practitioners' altered preferences for private practice vs. salaried positions: a consequence of proposed policy regulations?
abstract: BACKGROUND
  General practitioners (GPs) in most high-income countries have a history of being independent private providers with much autonomy. While GPs remain private providers, their autonomous position appears to be challenged by increased policy regulations. This paper examines the extent to which GPs' preferences for private practice vs. salaried contracts changed in a period where a new health care reform, involving proposed increased regulations of the GPs, was introduced.
  
  
  METHODS
  We use data collected from Norwegian GPs through structured online questionnaires in December 2009 and May 2012.
  
  
  RESULTS
  We find that the proportion of GPs who prefer private practice (i.e. the default contract for GPs in Norway) decreases from 52% to 36% in the period from 2009 to 2012. While 67% of the GPs who worked in private practice preferred this type of contract in 2009, the proportion had dropped by 20 percentage points in 2012. Salaried contracts are preferred by GPs who are young, work in a small municipality, have more patients listed than they prefer, work more hours per week than they prefer, have relatively low income or few patients listed.
  
  
  CONCLUSIONS
  We find that GPs' preferences for private practice vs. salaried positions have changed substantially in the last few years, with a significant shift towards salaried contracts. With the proportions of GPs remaining fairly similar across private practice and salaried positions, there is an increasing discrepancy between GPs' current contract and their preferred one.
authors.affiliation: Department of Community Medicine,Faculty of Health Sciences, University of Tromsø, 9037, Tromsø, Norway. jon.h.holte@uit.no.
authors.forename: Jon Helgheim
authors.initials: JH
authors.lastname: Holte
authors.affiliation: Department of Community Medicine,Faculty of Health Sciences, University of Tromsø, 9037, Tromsø, Norway. birgit.abelsen@uit.no.
authors.forename: Birgit
authors.initials: B
authors.lastname: Abelsen
authors.affiliation: Department of Community Medicine,Faculty of Health Sciences, University of Tromsø, 9037, Tromsø, Norway. peder.halvorsen@kraftlaget.no.
authors.forename: Peder Andreas
authors.initials: PA
authors.lastname: Halvorsen
authors.affiliation: Department of Community Medicine,Faculty of Health Sciences, University of Tromsø, 9037, Tromsø, Norway. jan.abel.olsen@uit.no.
authors.forename: Jan Abel
authors.initials: JA
authors.lastname: Olsen
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D032982:Contracts / Q000191:economics*; D005260:Female; D058005:General Practitioners / Q000191:economics* / Q000523:psychology*; D018166:Health Care Reform / Q000191:economics*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009664:Norway; D011331:Private Practice / Q000191:economics*; D012456:Salaries and Fringe Benefits / Q000191:economics*; D011795:Surveys and Questionnaires