Determinants of well-being and their interconnections in Australian general practitioners: a qualitative study

Naehrig, Diana; Glozier, Nick; Klinner, Christiane; Acland, Louise; Goodger, Brendan; Hickie, Ian B.; Milton, Alyssa

doi:10.1136/bmjopen-2021-058616

Cited by 3 publications

(1 citation statement)

References 56 publications

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“…In fact, many of the results from a study conducted from March to September 2021 on the well-being of Australian GPs are similar to those of our study. 28…”

Section: Results Interpretationmentioning

confidence: 99%

Job satisfaction criteria to improve general practitioner recruitment: a Delphi consensus

et al. 2022

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Background The clinical general practitioner (GP) workforce is decreasing. Many studies have analysed the negative aspects of the profession but, few examine the positive aspects and job satisfaction. A European collaborative group including 8 participating countries recently conducted a qualitative study to analyse the positive factors and found 31 job satisfaction factors. Objectives To determine which of these 31 factors are important and applicable to future policies to improve family medicine attractiveness, recruitment, and retention in France. Method The Delphi consensus method was chosen. Two Delphi rounds were conducted in March–April 2017 and retained satisfaction factors with at least 70% of scores ≥7. The Nominal Group Technique (NGT) was used to rank these retained factors. Participants assigned 5 points to the factor they considered most important, 3 points to the second, and 1 point to the third. Factors receiving at least 5% (10 points) of the total points (198 points) were included in the final list. The expert panel included GPs and non-GPs. Results Twenty-nine experts began the procedure and 22 completed it. Thirty factors were retained after the 2 Delphi rounds. The NGT resulted in 8 factors: (i) Engage in family medicine to take care of the patients; (ii) Care coordination, patient advocacy; (iii) Flexibility in work; (iv) Trying to be a person-centred doctor; (v) Involvement in healthcare organization; (vi) Benefiting from a well-managed practice; (vii) Being a teacher, a trainer; (viii) Efficient professional collaboration. Conclusion These 8 job satisfaction factors are important to consider and apply to future policy development.

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“…In fact, many of the results from a study conducted from March to September 2021 on the well-being of Australian GPs are similar to those of our study. 28…”

Section: Results Interpretationmentioning

confidence: 99%

Job satisfaction criteria to improve general practitioner recruitment: a Delphi consensus

et al. 2022

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Personal value fulfillment predicts burnout and wellbeing amongst Australian General Practitioners

Prentice,

Benson,

Need

et al. 2023

Journal of Workplace Behavioral Health

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SUSTAIN Strengthening Care for Children : Protocol for a stepped wedge cluster randomised controlled trial of a virtual integrated general practitioner–paediatrician model of primary care. (Preprint)

Meyers-Morris,

Hiscock,

Wheeler

et al. 2024

Preprint

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BACKGROUND Australia’s healthcare system is under pressure. Paediatric referrals to public hospital emergency (ED) and outpatient departments (OP) have increased recently, overburdening emergency services and resulting in extended waiting times for non-urgent paediatric care. Children living outside metropolitan areas are disproportionately affected. Integrated models of care with paediatricians collaborating with general practitioners (GPs) in their practices, have been evaluated in the UK and Australia. Results are promising for quality of care improvement and reducing referrals to hospitals . GPs and paediatricians found the model feasible, knowledge- and confidence-boosting. In-person paediatric-GP support is resource intensive, limiting scalability and sustainability . OBJECTIVE The objectives of the SUSTAIN trial are to evaluate a virtually delivered integrated GP-paediatrician model of care to: 1. Reduce GP paediatric referrals to hospitals ED (<18 years) (primary outcome) 2. Improve GP delivered paediatric guideline-concordant care, GP confidence, family trust in primary care. 3. Examine barriers and enablers for the implementation of SUSTAIN. 4. Understand the cost of the intervention compared with standard GP care by undertaking a health economic evaluation. METHODS SUSTAIN uses a stepped wedge cluster randomised controlled trial (RCT) design to implement a GP-paediatrician integrated model of care delivered virtually. Participating GP practices across both metropolitan and non-metropolitan in New South Wales (NSW) are included and randomly assigned to a start time. The intervention consists of 12-month’s access to the shared GP-paediatrician consulting sessions with patients < 18 years conducted by telehealth, virtual paediatrician-led case discussions sessions, phone/email paediatrician support and complimentary access to the internationally renowned online Sydney Child Health Program (SCHP) learning platform. GP and family surveys are collected at baseline, prior to and in the final month of the intervention. An implementation evaluation using focus group discussions with GPs and practice staff is conducted with each practice during the intervention and optional GP and family interviews offered at the end of the intervention. A health economic evaluation will explore the cost effectiveness of this model of care RESULTS The trial is supported through a 2.5-year New South Wales (NSW) Ministry of Health Translational Research Grants Scheme (TRGS Round 6). Human Research Ethics Committee approval was obtained in November 2022, and practice recruitment began from March 2023. Data collection commenced for all participating practices from 1 September 2023 with anticipated completion by 28 February 2025. A data analysis will commence thereafter from March 2025 with results expected to be available by 31 July 2025. CONCLUSIONS Positive outcomes for the SUSTAIN trial, demonstrating that virtual paediatric support for GPs in both metropolitan and non-metropolitan areas can strengthen paediatric primary care provision has the potential to influence future health policy. This innovative approach to integrated care could be rolled out across Australia and other countries with primary care-led healthcare systems facing similar challenges. CLINICALTRIAL The trial has been registered on the Australian New Zealand Clinical Trials Registry (AZNCTR no. ACTRN12623000543684).

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Determinants of well-being and their interconnections in Australian general practitioners: a qualitative study

Cited by 3 publications

References 56 publications

Job satisfaction criteria to improve general practitioner recruitment: a Delphi consensus

Job satisfaction criteria to improve general practitioner recruitment: a Delphi consensus

Personal value fulfillment predicts burnout and wellbeing amongst Australian General Practitioners

SUSTAIN Strengthening Care for Children : Protocol for a stepped wedge cluster randomised controlled trial of a virtual integrated general practitioner–paediatrician model of primary care. (Preprint)

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