Career duration in general practice: Evidence from Two Decades of Norwegian Registry Data

<i>Background:</i> Resignations among general practitioners (GPs) have been cited as a contributing factor to challenges in Norway's GP scheme. <i>Aim:</i> To analyse trends in GP exit rates and examine whether there is evidence of systematic changes in these rates over time. <i>Design and setting:</i> Registry-based observational study of all GPs in Norway since the scheme's implementation in 2001. <i>Method:</i> Exit rates were calculated for the entire study period and by year. Significant deviations were identified using 95% confidence intervals with Bonferroni corrections for multiple hypothesis testing. <i>Results:</i> GP exit rates declined until age 50 years and remained low until retirement at 67. This pattern was stable throughout the study period (2002-2022). Only two significant deviations occurred: higher-than-expected rates for 67-year-olds in 2007 and 41-year-olds in 2010. <b><i>Conclusions:</i></b> <b>GP exit rates remained stable over the study period, with no evidence suggesting increased exits as a major factor in the current challenges facing Norway's GP scheme.</b>

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Publication Details

Journal
Scandinavian Journal of Public Health
Published
2025-12-02
DOI
https://doi.org/10.1177/14034948251394639
Primary Topic
Primary Care and Health Outcomes
Type
article
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article

Career duration in general practice: Evidence from Two Decades of Norwegian Registry Data

Øyvind Snilsberg, Geir Godager, Johannes Bjørnstad Tyrihjell
Scandinavian Journal of Public Health
Primary Care and Health Outcomes
article

Career duration in general practice: Evidence from Two Decades of Norwegian Registry Data

Øyvind Snilsberg, Geir Godager, Johannes Bjørnstad Tyrihjell
article en

Abstract

<i>Background:</i> Resignations among general practitioners (GPs) have been cited as a contributing factor to challenges in Norway's GP scheme. <i>Aim:</i> To analyse trends in GP exit rates and examine whether there is evidence of systematic changes in these rates over time. <i>Design and setting:</i> Registry-based observational study of all GPs in Norway since the scheme's implementation in 2001. <i>Method:</i> Exit rates were calculated for the entire study period and by year. Significant deviations were identified using 95% confidence intervals with Bonferroni corrections for multiple hypothesis testing. <i>Results:</i> GP exit rates declined until age 50 years and remained low until retirement at 67. This pattern was stable throughout the study period (2002-2022). Only two significant deviations occurred: higher-than-expected rates for 67-year-olds in 2007 and 41-year-olds in 2010. <b><i>Conclusions:</i></b> <b>GP exit rates remained stable over the study period, with no evidence suggesting increased exits as a major factor in the current challenges facing Norway's GP scheme.</b>

Scandinavian Journal of Public Health
University of Oslo (NO), Akershus University Hospital (NO), 657 Oslo (NO)
Openalex Percentile: Top 45%
Primary Care and Health Outcomes
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