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 1<br />
Table of cont<strong>en</strong>ts<br />
Sci<strong>en</strong>tific summary<br />
INTRODUCTION ..................................................................................................................................... 4<br />
1 CHAPTER 1: GP INACTIVITY IN BELGIUM: THE FIGURES ................................................. 6<br />
1.1 INTRODUCTION.............................................................................................................................................................6<br />
1.2 OBJECTIVES........................................................................................................................................................................6<br />
1.3 METHODS...........................................................................................................................................................................6<br />
1.3.1 Databases...............................................................................................................................................................6<br />
1.3.2 Statistical analyses ................................................................................................................................................7<br />
1.4 RESULTS ..............................................................................................................................................................................8<br />
1.4.1 INAMI/RIZIV DATABASE..................................................................................................................................8<br />
1.4.2 CIPMP DATABASE: Inactivity 4 to 6 years AND 9 to 11 years after the degree as Medical Doctor<br />
12<br />
1.5 DISCUSSION ................................................................................................................................................................... 16<br />
1.5.1 Main findings....................................................................................................................................................... 16<br />
1.5.2 Str<strong>en</strong>gths of the study...................................................................................................................................... 16<br />
1.5.3 Comparison with previous works................................................................................................................. 16<br />
1.5.4 Limitations of the study................................................................................................................................... 17<br />
1.6 STATE OF THE ART OF THE GENERAL PRACTICE IN BELGIUM: SUMMARY ......................................... 19<br />
2 CHAPTER 2: LITERATURE REVIEW ON FACTORS INFLUENCING ATTRACTION,<br />
RECRUITMENT AND RETENTION OF GENERAL PRACTITIONERS ............................... 20<br />
2.1 OBJECTIVES..................................................................................................................................................................... 20<br />
2.2 LITERATURE SEARCH METHODOLOGY.............................................................................................................. 20<br />
2.2.1 Strategy of research: ........................................................................................................................................ 20<br />
2.2.2 Data sources ...................................................................................................................................................... 20<br />
2.2.3 Phase 1: Research questions........................................................................................................................... 20<br />
2.2.4 Phase 2: Id<strong>en</strong>tification, selection and quality appraisal of the literature............................................... 21<br />
2.3 RESULTS OF THE LITERATURE REVIEW: ATTRACTION, RECRUITMENT AND RETENTION IN THE<br />
GP PROFESSION............................................................................................................................................................ 21<br />
2.3.1 Factors affecting GPs attraction-recruitm<strong>en</strong>t-ret<strong>en</strong>tion ..........................................................................21<br />
2.4 SUMMARY: LITERATURE REVIEW ON FACTORS INFLUENCING ATTRACTION, RECRUITMENT<br />
AND RETENTION......................................................................................................................................................... 29<br />
3 CHAPTER 3: WHY DO STUDENTS CHOOSE TO STUDY GENERAL PRACTICE:<br />
QUALITATIVE AND QUANTITATIVE STUDY WITH 7TH YEAR MEDICAL STUDENTS<br />
ON MOTIVATIONS TO CHOOSE OR NOT THE GP PROFESSION.................................. 30<br />
3.1 OBJECTIVES..................................................................................................................................................................... 30<br />
3.2 LITERATURE.................................................................................................................................................................... 30<br />
3.3 RESEARCH QUESTION ............................................................................................................................................... 30<br />
3.4 METHODS........................................................................................................................................................................ 31<br />
3.4.1 Qualitative interview study............................................................................................................................. 31<br />
3.4.2 Quantitative survey study ............................................................................................................................... 32<br />
3.5 RESULTS OF THE QUALITATIVE ANALYSIS ........................................................................................................ 35<br />
3.5.1 Factors related to study and specialty choice before <strong>en</strong>tering medical school .................................. 35<br />
3.5.2 Factors related to any specialty choice during medical education......................................................... 36<br />
3.5.3 Factors in the curriculum related to the choice for (or not) g<strong>en</strong>eral practice................................... 38<br />
3.6 RESULTS OF THE QUANTITATIVE ANALYSIS .................................................................................................... 42<br />
3.6.1 Factors related to study and specialty choice before <strong>en</strong>tering medical school. ................................. 42<br />
3.6.2 Factors related to the specialty choice during medical education......................................................... 48<br />
3.6.3 Perception of the GP profession by the stud<strong>en</strong>ts ..................................................................................... 52