Europe is short of General Practitioners

The European population is expanding and getting older, while there are constantly less General Practitioners (GPs) that can satisfy their needs and take good care of them. Indeed, GPs play a crucial role in intermediating between patients who are unwell and specialists, but there are not enough of them. While there are very few new doctors who decide to specialize in this field, the ones who are already active are aging together with the population, and are getting closer to retirement age.

Among the various underlying causes to this situation there are working conditions, wages, the difficulties of the job, long travel time, and the fact that shortages often take place in areas that are already poorer and less desirable. An EDJNet investigation coordinated by Voxeurop, dug deeper into the reasons behind this European-wide shortage of GPs. The investigation analyzed the situation in 11 European countries, also highlighting the challenges of working with fragmentary and hard-to-compare data.

Main findings:

  • The proportion of citizens aged 65 and over in the EU has increased from 16% in 2000 to 21% in 2023, and is likely to reach around 30% by 2050. This is a result of longer life expectancy and lower fertility rates, which are causing a major shift in the demographic composition of countries.
  • Doctors across all specializations are ageing as well, and they are getting closer and closer to retirement. However, the influx of young doctors into healthcare systems is not sufficient to compensate for the large number of doctors who are going to retire. Today, it is estimated that it will take two young doctors to replace every retiring one.
  • The shortage of GPs also impacts on the quantity of patients that every doctor has to take care of, which often goes beyond the maximum threshold beyond which it becomes difficult to function and provide appropriate care.
  • Additionally, many EU countries also feature massive inequalities in healthcare provisions between rural and urban areas, with the latter being less attractive for young doctors who are just starting their career.
  • Given the huge plethora of causes, there can be no ‘miracle cure’ to solve the problem all at once. Rather, solutions should aim at prioritizing general medicine in higher education, improving salaries and working conditions, and gaining a better understanding of healthcare delivery.

Stories

The data unit

Adrian Burtin (Voxeurop, coordinator)
is a French journalist currently based in Belgium. He graduated in narrative and investigative journalism from the Université Libre de Bruxelles. At Voxeurop, he covers mainly the topics of migration and asylum.

EDJNet members which took part in this investigation:

Adrian Burtin, Fabien Perrier

Kata Moravecz

Maria Delaney, Patricia Devlin

CINS – Center for Investigative Journalism of Serbia

Teodora Ćurčić

DIVERGENTE — Stories that unveil silences

Pedro Miguel Santos