Display Settings:


Send to:

Choose Destination
See comment in PubMed Commons below
Br J Gen Pract. 2008 Oct;58(555):720-6, 728; discussion 727-8. doi: 10.3399/bjgp08X342372.

Deprivation, demography, and the distribution of general practice: challenging the conventional wisdom of inverse care.

Author information

  • 1School of Law & Social Science, University of Plymouth, Plymouth. sasthana@plymouth.ac.uk


It is generally believed that the most deprived populations have the worst access to primary care. Lord Darzi's review of the NHS responds to this conventional wisdom and makes a number of proposals for improving the supply of GP services in deprived communities. This paper argues that these proposals are based on an incomplete understanding of inverse care which underestimates the degree to which, relative to their healthcare needs, older populations experience low availability of primary care. Many deprived practices appear to have a better match between need and supply than practices serving affluent but ageing populations. However, practices serving the oldest and most deprived populations have the worst availability of all.

[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Write to the Help Desk