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 113<br />
stakeholder survey but it provides a rather low power to detect betwe<strong>en</strong>-groups<br />
differ<strong>en</strong>ces. Socio-demographic (sex and age group) as well as power variables had –<br />
with very few exceptions- no contribution at all to scoring or ranking differ<strong>en</strong>ces. For<br />
g<strong>en</strong>der, this is mainly due to the fact that most non-GP stakeholders are m<strong>en</strong> although<br />
we had a good balance of m<strong>en</strong> and wom<strong>en</strong> for GPs (respectively 19 and 12). Language<br />
and stakeholder groups had slightly more influ<strong>en</strong>ces: the description focuses thus on<br />
these last two variables.<br />
6.7.5.1 Teaching policies<br />
Very few significant associations were found for those most popular policies. GPs<br />
stakeholders were slightly less ke<strong>en</strong> on the policy to improve GP approach in the<br />
curriculum. Dutch-speaking stakeholders were more likely (OR=2.88, p=0.01) to<br />
support such policy than Fr<strong>en</strong>ch-speaking stakeholders. There were few differ<strong>en</strong>ces for<br />
the compulsory clerkship for all medical stud<strong>en</strong>ts: the stakeholders with a medical<br />
degree were less favorable to this option.<br />
6.7.5.2 Financing policies<br />
For the most popular policies related to financing (capitation and target paym<strong>en</strong>t), there<br />
were broadly no significant differ<strong>en</strong>ces betwe<strong>en</strong> groups. Within-group disagreem<strong>en</strong>t<br />
seemed as high as betwe<strong>en</strong>-disagreem<strong>en</strong>t: the model financing policy was indeed<br />
supported by 29% of the sample only. Financing remains a very controversial topic<br />
betwe<strong>en</strong> and within stakeholder groups, indep<strong>en</strong>d<strong>en</strong>tly of the type of group (GPs or<br />
policy makers or interest groups). However, the GPs were more positive for capitation<br />
than the other stakeholders groups (OR=2.49, p=0.09).<br />
For the other policies, the Dutch-speaking stakeholders were more supportive of wage<br />
paym<strong>en</strong>t than the Fr<strong>en</strong>ch-speaking stakeholders (OR=3.54, p
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