Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias
Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias
Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias
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KCE Reports 90 Making G<strong>en</strong>eral Practice Attractive: Encouraging GP attraction and Ret<strong>en</strong>tion 103<br />
Table 18: Preferred work-life balance policies: mean ranks and scores (n=102)<br />
Most preferred work-life balance policies<br />
Mean<br />
rank<br />
Mean<br />
score<br />
1. Support an evolving career 1.91 4.69<br />
2. Suppression of the individual duty obligation of on-call 2.10 4.48<br />
3. Not to p<strong>en</strong>alize work with regular schedules 2.23 4.40<br />
4. Comp<strong>en</strong>sate GPs for their continuous teaching activities 2.83 4.17<br />
5. Groups of professional GPs for on-call 3.01 4.26<br />
The respond<strong>en</strong>ts made positive op<strong>en</strong>-<strong>en</strong>ded comm<strong>en</strong>ts about evolving career: it will<br />
make their work more diverse, allow them to meet specialists, improve the link<br />
betwe<strong>en</strong> teaching and practice, and allow for taking a break and thus avoiding burn-out.<br />
Suggested improvem<strong>en</strong>ts concern the group of wom<strong>en</strong> who should be the special target<br />
of this policy. Some interviewees notice that new professional activities are only feasible<br />
for those working in group where colleagues can assure the continuity of care. This<br />
policy should also concern the possibility to do prev<strong>en</strong>tive health care activities without<br />
being p<strong>en</strong>alized. The risks that lie behind this policy are the decrease of practicing and<br />
consequ<strong>en</strong>tly of available GPs as well as their decreased knowledge of the profession<br />
that is linked to the number of acts.<br />
The most discarded policy is the setting-up of professional groups of GPs for on-call<br />
duties (mean rank 3.01 and mean score 4.26). This policy triggers bipolar comm<strong>en</strong>ts.<br />
The positive ones refer to the experi<strong>en</strong>ce in France and see this suggestion as<br />
interesting for the training of the young GPs. The negative comm<strong>en</strong>ts put the emphasis<br />
on the pati<strong>en</strong>t’s confid<strong>en</strong>ce in his/her GP and on the fact that the GP on duty will not<br />
know the pati<strong>en</strong>ts (“merc<strong>en</strong>aries” was the term used). It would be better to organize<br />
duty and replacem<strong>en</strong>t betwe<strong>en</strong> local GPs.<br />
Supporting an “evolving” career and allowing GPs to have regular working schedules<br />
were only positive for the attractiv<strong>en</strong>ess (Figure 4: Criteria of work-life balance policies:<br />
radar by policy.). The reason could be that the stakeholders do worry that those<br />
measures would jeopardize the accessibility of care.