Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias

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98 Making General Practice Attractive: Encouraging GP attraction and Retention KCE Reports 90 6.6 RESULTS OF THE STAKEHOLDERS SURVEY The results are presented in sections. The first section describes how the stakeholders understood the challenges faced by the GP in terms of attraction, recruitment and retention. The second section describes the rating of the policies and help to pick the best one according to the multi-criteria analysis. The last sections detail the policies most likely to be implemented and the new policy options according to the stakeholders. The results of the sections are presented globally for all the stakeholders, independently of their groups, age groups and genders. The next chapter on the preferences will make some distinctions between different groups. 6.6.1 Which challenges does face General Practice in Belgium? Overall, the interviewees found that specialty medicine faces a more favorable situation than general practice except for the work interest (Table 14: The stakeholders’ perception of the specialty medicine: percentage of those who find that the situation is better in specialty medicine. There is a wide consensus among stakeholders that specialty medicine faces a more favorable situation than general practice regarding attraction after 7 years (93%) and remuneration of the working hours (94%). For most interviewees (79%), the likelihood to stay in the profession is better in specialty medicine than in general practice. Three out of five stakeholders (62%) stated that the working conditions in specialty medicine were better than in general practice. According to half of the stakeholders, specialty medicine and general practice face a similar situation for the balance between work and quality of life (51%). Finally, the interest of the work is lower in specialty medicine than in general practice (34%). Table 14: The stakeholders’ perception of the specialty medicine: percentage of those who find that the situation is better in specialty medicine (n=102) % saying that the situation is better in specialty medicine 1. Remuneration of working hours 94.1 2. Attractiveness after 7 years 93.1 3. Chances to stay in the profession 79.4 4. Working conditions 61.6 5. Compatibility working hours with quality of life 51.5 6. Interest of the work 34.0 There were few differences between Dutch- and French-speaking interviewees (Table 15) and no test was statistically significant (highest P value for the remuneration of the working hours (p=0.06)
KCE Reports 90 Making General Practice Attractive: Encouraging GP attraction and Retention 99 Table 15: Differences of perception in relation with the stakeholder’s linguistic regime: percentages (n=102) Location Dutch-speaking Frenchspeaking % % 1. Remuneration of working hours 98.1 89.6 2. Attractiveness after 7 years 96.3 89.6 3. Chances to stay in the profession 75.9 83.3 4. Working conditions 66.0 56.5 5. Compatibility working hours with quality of life 49.1 54.3 6. Interest of the work 39.6 27.7 6.6.2 What are the most important policies for each topic? This part presents the results of the most important policies in the stakeholders’ point of view to improve GPs attraction, recruitment and retention. For each topic, this analysis is made in 2 steps: 1. Description of the average ranks and scores, 2. Qualitative comments regarding the relevance or the implementation of the policies. 3. The influence of the criteria on the policies As explained in the method, this analysis is presented by topic of policies: teaching and training, financing, work-life balance and health care organization. 6.6.2.1 Teaching and training policies The literature study and the study on the students showed that teaching and training are very important issues in order to attract GPs. Two policies were singled out in the teaching topic (Table 16: Preferred teaching and training policies: mean ranks and scores • The integration of a GP approach in all master courses got a mean rank of 1.81; • Next the compulsory clerkship in General Practice with an average rank of 1.91. Table 16: Preferred teaching and training policies: mean ranks and scores (n=102) Teaching and training policies Mean rank Mean score 1. Integrate a GP approach in all Master courses 1.81 5.56 2. Compulsory clerkships in GP for all medical students 1.91 5.55 3. Better selection of the medical students according to their social and communication skills 2.63 5.06 4. To develop a Clinical Academic activity for general practice 3.51 4.33 The integration of a GP approach in all master courses had a mean score of 5.56 as the compulsory clerkships in GP for all medical students. The reasons evoked by the stakeholders for preferring the integration of a GP approach in all the master courses is the fact that it will improve the GP status among specialists and students together with a better knowledge of each others’ work. A multidisciplinary approach of health problems is a goal to attain and this policy is perceived as a good support regarding this purpose. The interviewees take this opportunity to talk about the lectures that should be renewed: a more practical approach, a good balance
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Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias

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