Huisartsgeneeskunde: aantrekkingskracht en beroepstrouw ... - Lirias

KCE Reports 90 Making General Practice Attractive: Encouraging GP attraction and Retention 105
Regarding the delegation of the administrative activities, it seems more than necessary
to decrease them to give more time to GPs to perform medicine. However, the
interviewees think it would be better to decrease the work than to add help.
One of the conditions behind the improvement of the role of the GP in the
multidisciplinary team is the fact that it should be paid. Furthermore, the time for the
meetings and their conditions (face-to-face, phone or email) should also be clear.
Table 19: Preferred health organization policies: mean ranks and scores (n=102)
Most preferred health organization policy
Mean
rank
Mean
score
1. GPs working together 1.91 5.68
2. Delegation of administrative activities 2.03 5.40
3. Improvement of the role of the GP in the multidisciplinary team 2.04 5.54
4. Delegation of specific clinical tasks to other health professions 2.12 4.82
5. Limitation of the excessive use of the second line 2.19 5.09
6. GPs sharing a common infrastructure 2.30 5.50
7. Creation of a nurse-assistant master
2.60 5.01
8. Incentives for working in underserved areas 2.66 5.27
9. Removal of the Numerus Clausus 3.39 3.89
10. Support of a local resource agency for GPs 4.00 4.27
Some respondents are positive about the most discarded policy (to support a local
resource agency for GPs) but negative comments are more important and concern the
administrative characteristics and burdens of these agencies. The suggestions go in the
way of reinforcing the existing structures, for example the GPs’ circles, to perform this
mission.
Fostering GPs to work together and improving its role in the multidisciplinary team are
two major strategies according to the 4 criteria (figure 5). Limiting the use of the 2 nd
line is a good strategy for improving attraction and cost-benefit: but it is poorly
acceptable by the other health professions and performs badly regarding accessibility.
Scrapping the numerus clausus and creating local resource agencies were mostly two
ineffective strategies on the four criteria (figure 6). The delegation of either clinical
tasks or administrative tasks as well as the organization of a new master course for
nurse-assistants had mixed results: although their effect on attraction would be good,
they were judged as a poor cost-benefit measure.
Figure 5: Criteria of organisation policies: radar by policy.