Programme no. 128-OP
A new European model to enhance GPs workforce throughout Europe: be positive and competent
Tuomas Koskela*1, Hilde Bastiaens2, Jean Yves Le Reste3, Radost Assenova4, Patrice Nabbe5, Zalika Klemenc-Ketiš 6, Claire Lietard7, Lieve Peremans8, Bernard Le Floch9, Heidrun Lingner10, Slawomir Czachowski11, Agieszka Sowinska12, Robert Hoffman13
1Department of General Practice,University of Tampere,Tampere,Finland, 2Department of Primary and Interdisciplinary Care,University of Antwerp,Antwerp,Belgium, 3Department of General Practice,Université de Bretagne occidentale,Brest,France, 4Department of General Practice, University of Plovdiv,Plovdiv,Bulgaria, 5Department of General Practice,Université de Bretagne occidentale,Brest,France, 6Department of Family Medicine,University of Maribor,Maribor,Slovenia, 7Department of Public Health,Université de Bretagne occidentale,Brest,France, 8Department of Primary and Interdisciplinary Care,University of Antwerp,Antwerp,Belgium, 9Department of General Practice,Université de Bretagne occidentale,Brest,France, 10 Allgemein Medizin Hochschule Hannover,Hannover,Germany, 11Department of Family Doctors, University Nicolaus Copernicus,Torun,Poland, 12Department of English Studies,University Nicolaus Copernicus,Torun,Poland, 13Departments of Family Medicine and Health Education ,Tel Aviv University,Ramat Aviv,Israel
* = Presenting author
Objectives: Which positive factors determine the appeals and staying in GP?
Background: General Practice (GP) seems to be perceived as less attractive throughout Europe. Most of the policies on the subject focused on negative factors. An EGPRN (European General Practice Research Network) research team from eight participating countries was created in order to clarify the positive factors involved in appeals and retention in GP throughout Europe.
Results: Eight European codebooks were pooled in this collaborative research. Positive factors to stay in practice were summarized in the following themes: 1) The GP as a person, 2) Special skills or competencies needed in practice, 3) Supportive factors for work-life balance, 4) Freedom to personalize your work, 5) Characteristics of the GP work content, 6) Elements of work organization, 7) Relationships with other professionals, 8) Specific relations with patients, 9) Perception of the profession by society, 10) Attitudes towards GP, 11) Teaching and learning and 12) Positive experiences.
Material/Methods: The European team undertook qualitative research with a phenomenological perspective. GPs were selected, using a purposive sampling strategy, until data saturation. Descriptive thematic data analysis was performed. Each participating country did a translation and back translation of the codes. During the Malta and Barcelona EGPRN meetings the team clarified the codes. The final codebook and themes were defined in Antwerp (2014).
Conclusion: This study identified themes for a new positive model of European GP. Crucial is the GP as a person, who needs a continuous support and professional development of special competences and wants to have freedom to choose his working environment and organize his practice.
Points for discussion: Who wants to validate these themes in a quantitative study?