Geographical relations between patients and general practitioners

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6986.1072b (Published 22 April 1995) Cite this as: BMJ 1995;310:1072
  1. Steven Ford
  1. General practitioner Haydon Bridge, Northumberland NE47 6HJ

    EDITOR,—Scott A Murray and colleagues draw attention to the geographical relations between patients and general practitioners in an urban area.1 In rural areas lists are low, travel is a major factor for patients and doctors, and there is the additional, and potentially perverse, factor of rural practice units. Remuneration heavily based on capitation penalises rural practitioners, and rural practice units are intended to offset this partially. Unfortunately, no worthwhile limits are placed on the distribution of these payments, with the result that urban practices may be tempted to extend their range of …

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