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 55<br />
stud<strong>en</strong>ts who chose another specialty. None of these statistically significant differ<strong>en</strong>ces<br />
seems to hold in the multivariate model (app<strong>en</strong>dix 3.8, table 6). One statem<strong>en</strong>t that is<br />
now statistically significant and was not in the bivariate model is ‘the profession of GP is<br />
highly respected’. This statem<strong>en</strong>t has a negative relationship with the chance on<br />
choosing family medicine/g<strong>en</strong>eral practice in the sev<strong>en</strong>th year of medical education<br />
(odds ratio 0.484 [95% CI (0,262-0,894)]).<br />
In summary, there are differ<strong>en</strong>ces in the perception of the GP profession betwe<strong>en</strong> the<br />
stud<strong>en</strong>ts groups. Stud<strong>en</strong>ts who choose g<strong>en</strong>eral practice to specialize see the profession<br />
as more chall<strong>en</strong>ging, more complex and with more positive facets.<br />
3.6.4 Measures proposed by the stud<strong>en</strong>ts to make the GP profession more<br />
attractive<br />
Measures to make the GP profession more attractive<br />
Table 10 shows the stud<strong>en</strong>t opinions on how to make the GP profession more<br />
attractive. Some of the items m<strong>en</strong>tion rec<strong>en</strong>t initiatives from the Belgian authorities.<br />
Table 10: Measures x (Likert scales) to make the GP profession more<br />
attractive<br />
Stud<strong>en</strong>ts who<br />
Stud<strong>en</strong>ts who choose choose to<br />
another specialty become a<br />
than GP<br />
GP<br />
Mean Mean<br />
(95% CI ) (95% CI )<br />
Effect<br />
size<br />
P-value<br />
t-test n<br />
The work of a GP would be more attractive if the fee-forservice<br />
were replaced by a paym<strong>en</strong>t per pati<strong>en</strong>t (so-called<br />
3,4 3,2 0,061 0,233 378<br />
"capitation" or subscription system). (3,2-3,5) (3,0-3,4)<br />
There should be financing for practice support (practice<br />
4,5 5,1 0,305 0,000 406<br />
assistant, secretary) for the GP. (4,4-4,7) (5,0-5,3)<br />
Higher fees for consultations after 18:00 would be a good<br />
4,4 4,4 0,001 0,982 405<br />
measure for increasing the appeal of the profession of GP. (4,2-4,5) (4,1-4,6)<br />
The job of GP would be more attractive if the pati<strong>en</strong>ts were<br />
strongly recomm<strong>en</strong>ded that they should only visit specialists<br />
4,8 5,0 0,113 0,042 409<br />
after being referred by a GP. (4,7-4,9) (4,9-5,2)<br />
Because the profession of GP is the most cost-effective level of<br />
healthcare, the personal contribution for consultations with the<br />
3,1 3,3 0,058 0,247 395<br />
GP should be scrapped. (3,0-3,3) (3,1-3,5)<br />
The average income of a GP and that of a specialist should be of<br />
3,9 4,8 0,382 0,000 404<br />
the same order. (3,8-4,1) (4,7-5,0)<br />
Organizing continuity during the night and the week<strong>en</strong>d via<br />
4,6 5,1 0,258 0,000 407<br />
doctors on call should make the job of GP more attractive. (4,4-4,7) (4,9-5,2)<br />
Partnerships betwe<strong>en</strong> GPs and other disciplines should be<br />
4,1 4,3 0,078 0,119 400<br />
supported financially. (4,0-4,3) (4,1-4,5)<br />
GPs should have a bigger say in the managem<strong>en</strong>t decisions wh<strong>en</strong><br />
3,6 4,1 0,220 0,000 407<br />
their pati<strong>en</strong>ts are tak<strong>en</strong> into hospital. (3,4-3,8) (3,9-4,3)<br />
Pati<strong>en</strong>ts should be obliged to register with a GP so that the GPs<br />
3,9 4,3 0,139 0,005 406<br />
know whom they are responsible for. (3,8-4,1) (4,1-4,5)<br />
I would rather work as a GP in a salaried position than as self-<br />
3,0 3,3 0,090 0,079 384<br />
employed. (2,9-3,2) (3,1-3,6)<br />
x Stud<strong>en</strong>ts were able to answer by means of a 6-point Likert scale where the first answering possibility was ‘do not<br />
agree at all’ and the sixth category was ‘totally agree’