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RESEARCH ARTICLE
Contents Vol 15(1)

Doctor supply in Australia: rural–urban imbalances and regulated supply1

Abhaya Kamalakanthan A B and Sukhan Jackson A
+ Author Affiliations
- Author Affiliations

A University of Queensland, School of Economics, Level 6, Colin Clark Building, St Lucia, Brisbane, Qld 4072, Australia.

B Corresponding author. Email: a.kamalakanthan@uq.edu.au

Australian Journal of Primary Health 15(1) 3-8 https://doi.org/10.1071/PY08055
Published: 19 March 2009

Abstract

We review the debate on the supply of doctors in Australia from an economic perspective. We focus on the supply between urban and rural areas and on Australia’s reliance on foreign-born overseas-trained doctors. Documented evidence shows that doctors are concentrated in cities and rural Australians have relatively poor access; and there is heavy reliance on the recruitment of foreign doctors. We suggest that besides training more local doctors, policy-making should include innovations to resolve the supply imbalance such as physician assistants and community pharmacy care in areas where access to general practitioners is often limited.


References


Adams O, Hicks V (2000) Pay and non-pay incentives, performance and motivation. Human Resources Development Journal 4, 126–145. [Verified 24 August 2008]

Australian Department of Health and Ageing (2005) ‘Health workforce definition.’ (Australian Department of Health and Ageing: Canberra) Available at http://www.health.gov.au/internet/wcms/Publishing.nsf/Content/health-workforce-bmp-definition.htm [Verified 8 March 2008]

Australian Department of Health and Ageing (2006) ‘Medical schools – more places.’ (Australian Department of Health and Ageing: Canberra) Available at http://www.health.gov.au/internet/wcms/publishing.nsf/content/factsheet-medicalschools-moreplaces.htm [Verified 16 March 2008]

Australian Department of Health and Ageing (2008) ‘District of workforce shortage factsheet.’ (Australian Department of Health and Ageing: Canberra) Available at http://www.health.gov.au/internet/wcms/Publishing.nsf/Content/Factsheet-DWS.htm [Verified 28 March 2008]

Australian Department of Immigration and Multicultural Affairs (2006) ‘Skilled occupation list.’ (Australian Department of Immigration and Multicultural Affairs: Canberra) Available at http://www.immi.gov.au/migration/skilled/ [Verified 6 March 2008]

Australian Institute of Health and Welfare (2005) ‘Medical labour force 2003.’ (Australian Institute of Health and Welfare: Canberra)

Australian Institute of Health and Welfare (2008) ‘Medical labour force 2005.’ (Australian Institute of Health and Welfare: Canberra)

Australian Medical Council (2008) ‘International medical graduates home.’ (Australian Medical Council: Canberra) Available at http://www.amc.gov.au [Verified 24 August 2008]

Australian Medical Workforce Advisory Committee (2000) Innovations in medical education to meet workforce challenges. Australian Health Review 23, 43–59. [Verified 14 March 2008]

Queensland Health (2006b) ‘Statistics report.’ (Queensland Health: Brisbane) Available at http://www.health.qld.gov.au [Verified 14 March 2008]

Secretary of State for Health (2000) ‘The NHS plan. A plan for investment. A plan for reform.’ HMSO Cm 4818. (Secretary of State for Health: London)

Van Lerberghe W, Conceicao C, Van Damme W, Ferrinho P (2002) When staff is underpaid: Dealing with the individual coping strategies of health personnel. Bulletin of the World Health Organization 80, 581–584.
| PubMed | devised the Robin Hood Index to measure the unequal allocation of doctors. The index is calculated as the number of GP per person divided by the crude mortality rate.