Publication - Research and analysis
Models of multidisciplinary working: international review
An international review by Rossal Research and Consultancy (RRC) of models of multi-disciplinary team working in rural primary care.
Appendix 4: Characteristics of participating countries
| Canada | Australia | New Zealand | South Africa | Thailand | Finland | Iceland | Norway | Scotland | |
|---|---|---|---|---|---|---|---|---|---|
| Population (est) (2019) | 37,411,047 | 25,203,198 | 4,783,063 | 58,558,270 | 69,625,582 | 5,532,156 | 339,031 | 5,378,857 | 5,427,000 |
| Area (km²) | 9,093,510 | 7,682,300 | 263,310 | 1,213,090 | 510,890 | 303,890 | 100,250 | 365,268 | 80,240 |
| Population Density (people per km²) | 4/km² | 3/km² | 18/km² | 48/km² | 136/km² | 16/km² | 3/km² | 17/km² | 65/km² |
| GDP / head (IMF 2018) in GBP (to nearest £) * | 38,694 | 40,816 | 31,269 | 10,654 | 15,181 | 36,190 | 43,580 | 57,782 | 35,621 (UK) |
| % GDP on health | 10.53 | 9.25 | 9.22 | 8.11 | 3.71 | 9.49 | 8.29 | 10.50 | 9.08 (UK) |
| Health free at point of access for all | yes | no | no | Dual system | yes | no | no | no | yes |
| Contractual status of GPs | mixed | Mostly fee for service | Mostly fee for service | Mixed | salaried | salaried | salaried | Individual contract | Mostly independent, some salaried |
| Contractual status of nurses | mixed | Mostly fee for service | Mostly fee for service | Mixed | salaried | salaried | salaried | Individual contract | Employed by GP practice/salaried by NHS trust |
| Front line service | Nurses in the most remote areas, doctors elsewhere | Nurses in the most remote areas, doctors elsewhere | mixed | Nurses in the most remote areas, doctors elsewhere | Volunteers, Nurses | GPs | GPs | GPs | GPs |
| Nurse Practitioners in Primary Care | yes | Some, limited prescribing | Yes, full prescribing rights | yes | Model is different | no | no | no | some |
| Community involvement | In remote areas | Some community owned practices in rural areas | Some community owned practices in rural areas | yes | yes | Through local councils | Through local councils | Through local councils | Very limited |
| MDTs in primary care | In remote areas | In remote areas | In some areas | yes | yes | In self-referral model | no | no | In some rural areas |
* Figures in Wikipedia in International Dollars <https://en.wikipedia.org/wiki/List_of_countries_by_GDP_%28PPP%29_per_capita>, last accessed 16/10/2019, converted to GBP using <www.xe.com>.
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Email: Teja.Bapuram@gov.scot
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