Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias

92 Making General Practice Attractive: Encouraging GP attraction and Retention KCE Reports 90
6.3.4 Development of policy criteria
o To diversify the remuneration modalities of the general
practice by remunerating the realization of objectives or the
quality of the taking care of the patient
• Work organization and work-life balance policies (5 policies)
o To allow or to encourage an evolving career associating
ambulatory curative medicine and other activities like
research, teaching, public health, hospitals, …
o Not to penalize the work of general practitioners with regular
working hours or who are working part-time (for example, by
modulating the accreditation rules)
o To organize provincial groups of professional GPs responsible
in the replacement
o To finance the GPs for their accreditation activities during the
week and the day
o To replace the individual duty obligation by a professional
service like “SOS médecins” and/or secured duty places
• Health care organization policies (10 policies).
o To remove the Numerus Clausus
o To tend towards a more equitable geographical distribution,
by improving the incentives to work in less covered areas.
o To support the creation of local agencies in charge of
promoting the attractiveness and the retention of the general
practitioners according to the local needs (for example: in
partnership with the Circles)
o To create another training of nurses in advanced practice to
back the general practitioner (for example, in the follow-up of
the chronically ill patients)
o To encourage the delegation of some clinical tasks to other
existing health professions (nurses, physiotherapists…)
o To encourage the delegation of some social, tax activities,
administrative or computer tasks to administrative staff
o To encourage the GPs to have a common infrastructure or a
common secretariat
o To encourage the GPs to work together (by having the same
patients or not)
o To financially discourage the excessive or the premature
recourse of the second line
o To reinforce the role of the GPs in the multi-field dialogue.
The criteria are the objectives the decision-maker wishes to complete through the
policies. These criteria are the dimensions on which the options are to be assessed.
Several sources of information helped to identify those criteria:
• the literature review carried out in the first part of the study,
• the criteria suggested by the GPs themselves as collected in the
qualitative interviews mentioned in part 5,
• the criteria used in previous priority settings in the health sector
, 206 , 207 , 208 , 209 198 , 199
or in multi-criteria analysis .
204 , 205