title: The age profile of the location decision of Australian general practitioners.
abstract: The unbalanced distribution of general practitioners (GPs) across geographic areas has been acknowledged as a problem in many countries around the world. Quantitative information regarding GPs' location decision over their lifecycle is essential in developing effective initiatives to address the unbalanced distribution and retention of GPs. This paper describes the age profile of GPs' location decision and relates it to individual characteristics. I use the Medicine in Australia: Balancing Employment and Life (MABEL) survey of doctors (2008-2012) with a sample size of 5810 male and 5797 female GPs. I employ a mixed logit model to estimate GPs' location decision. The results suggest that younger GPs are more prepared to go to rural and remote areas but they tend to migrate back to urban areas as they age. Coming from a rural background increases the likelihood of choosing rural areas, but with heterogeneity: While male GPs from a rural background tend to stay in rural and remote areas regardless of age, female GPs from a rural background are willing to migrate to urban areas as they age. GPs who obtain basic medical degrees overseas are likely to move back to urban areas in the later stage of their careers. Completing a basic medical degree at an older age increases the likelihood of working outside major cities. I also examine factors influencing GPs' location transition patterns and the results further confirm the association of individual characteristics and GPs' location-age profile. The findings can help target GPs who are most likely to practise and remain in rural and remote areas, and tailor policy initiatives to address the undesirable distribution and movement of GPs according to the identified heterogeneous age profile of their location decisions.
authors: Centre for Health Economics Research and Evaluation (CHERE), University of Technology Sydney, Level 2 Building 5 Block D, 1-59 Quay St, Haymarket, NSW 2000, Australia. Electronic address: Chunzhou.Mu@chere.uts.edu.au.
authors: Chunzhou
authors: C
authors: Mu
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001315:Australia; D002755:Choice Behavior; D005260:Female; D005550:Foreign Medical Graduates; D058005:General Practitioners / Q000523:psychology*; D006801:Humans; D008016:Life Change Events; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011365:Professional Practice Location; D019035:Rural Health Services; D012737:Sex Factors; D011795:Surveys and Questionnaires; D019037:Urban Health Services; D000078329:Workforce
keywords: Age profile; Australia; General practitioners; Location decision; Retention; Unbalanced distribution