Defining GP Practices from an Urban Versus Rural Perspective: The Case of Czechia
Abstract Background: This study is an attempt to demonstrate the potential for classifying GP practices in Czechia along an urban versus rural dimension and to compare the structure of areas thus defined with the OECD territorial typology. The aim is to ascertain whether a general approach to distinguishing regions is transferrable and could be used to define GP practices in Czechia. Methods: In this study two variants are considered using data supplied to the authors by the largest health insurance company in Czechia, using geographical information systems. The results were then compared with the OECD regional typology, in which areas are classified as predominantly urban, intermediate, and predominantly rural. Results: The two GP practice typologies were then found to correspond closely to the OECD typology, but the most recent variant is more suitable. A high degree of similarity was evident in the categorisation of urban regions, and therefore practices, and slightly less so in the rural type areas. The most problematic aspect is defining the intermediate type, which has its own peculiarities and has to be considered within the wider context. Conclusions: Despite some structural differences, we can state that the main thinking behind the OECD typology is transferrable and can be used to determine urban versus rural healthcare providers, especially primary care ones. Nonetheless, the results point to further research avenues, especially on how to best to define the intermediate category so greater accuracy can be achieved in determining the resulting urban versus rural polarity.