How can primary care be secured in the long term? - a qualitative study from the perspective of general practitioners in Germany.
GP shortage
country practice
established care
primary care
rural physician
Journal
The European journal of general practice
ISSN: 1751-1402
Titre abrégé: Eur J Gen Pract
Pays: England
ID NLM: 9513566
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
medline:
3
7
2023
pubmed:
30
6
2023
entrez:
30
6
2023
Statut:
ppublish
Résumé
Securing primary care is an important issue for health policy. Given a threatened shortage of GPs in Germany, there are discussions about what actions to take to guarantee primary care. The aim was to obtain opinions of German GPs towards (a) the status quo and development of primary care, (b) favoured actions to secure it and (c) assessment of the actions taken. In 2021 and 2022, 96 semi-structured interviews (criterion sampling) amongst GPs were conducted in all German federal states (41 face-to-face, 32 by telephone, 23 Many interviewees fear a veritable shortage of GPs in the future. They identify structural problems linked to the health care system. The interviewees suggested creating a primary care physician system or upgrading the GP position. They proposed greater support of interests about general practice in education and training, a restructuring of curricula and admissions criteria in higher medical education and reforming GP training. Building up multi-professional outpatient care centres and strengthening task shifting are valuable. The interviewees have observed progress in ensuring primary care but see a need for further action. The study has shown that GPs, from their perspective and experience, make specific suggestions to ensure primary care in the long term. Consequently, it is advisable to consider their points of view when planning, implementing and adjusting steps to strengthen primary care.
Sections du résumé
BACKGROUND
UNASSIGNED
Securing primary care is an important issue for health policy. Given a threatened shortage of GPs in Germany, there are discussions about what actions to take to guarantee primary care.
OBJECTIVES
UNASSIGNED
The aim was to obtain opinions of German GPs towards (a) the status quo and development of primary care, (b) favoured actions to secure it and (c) assessment of the actions taken.
METHODS
UNASSIGNED
In 2021 and 2022, 96 semi-structured interviews (criterion sampling) amongst GPs were conducted in all German federal states (41 face-to-face, 32 by telephone, 23
RESULTS
UNASSIGNED
Many interviewees fear a veritable shortage of GPs in the future. They identify structural problems linked to the health care system. The interviewees suggested creating a primary care physician system or upgrading the GP position. They proposed greater support of interests about general practice in education and training, a restructuring of curricula and admissions criteria in higher medical education and reforming GP training. Building up multi-professional outpatient care centres and strengthening task shifting are valuable. The interviewees have observed progress in ensuring primary care but see a need for further action.
CONCLUSION
UNASSIGNED
The study has shown that GPs, from their perspective and experience, make specific suggestions to ensure primary care in the long term. Consequently, it is advisable to consider their points of view when planning, implementing and adjusting steps to strengthen primary care.
Identifiants
pubmed: 37387362
doi: 10.1080/13814788.2023.2223928
pmc: PMC10316722
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2223928Références
Med Educ. 2021 Nov;55(11):1242-1252
pubmed: 34075608
Gesundheitswesen. 2012 Jan;74(1):12-20
pubmed: 21161878
Milbank Q. 2005;83(3):457-502
pubmed: 16202000
Scand J Prim Health Care. 2020 Jun;38(2):184-191
pubmed: 32396781
BMC Fam Pract. 2018 Apr 5;19(1):44
pubmed: 29621992
Dtsch Med Wochenschr. 2018 Sep;143(18):e152-e158
pubmed: 30199905
BMC Fam Pract. 2018 Mar 10;19(1):40
pubmed: 29523092
BMC Fam Pract. 2016 Nov 30;17(1):168
pubmed: 27899090
Dtsch Arztebl Int. 2020 Aug 31;117(35-36):583-590
pubmed: 33161942
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Sep;62(9):1129-1137
pubmed: 31420714
J Womens Health (Larchmt). 2014 Nov;23(11):927-34
pubmed: 25320867
BMJ Open. 2022 Feb 1;12(2):e048857
pubmed: 35105565
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2018 Feb;61(2):187-194
pubmed: 29209761
Soc Sci Med. 2015 Mar;128:1-9
pubmed: 25569609
BMC Fam Pract. 2017 Dec 19;18(1):102
pubmed: 29258422
BMJ. 2018 Oct 24;363:k4469
pubmed: 30355571