In several countries, morbidity burdens have prompted authorities to change the system for allocating resources among patients from a demographic-based to a morbidity-based casemix system. In Danish general practice clinics, there is no morbidity-based casemix adjustment system.

Background: Based upon the assumption that GPs utility as a function of income and leisure it has been suggested that GPs serving complex patients will face lower utility in mixed remuneration systems. The income effect in this model is ambiguous but is has been shown, with Danish data, that...

Nurses are currently undertaking other tasks than GPs, and larger practices do not lead to increased production per GP. However, a relative increase in list size increased the efficiency. This indicates that organisational changes aiming to increase capacity in general practice should be...