Wie erleben junge Allgemeinärzt*innen den Übergang in die hausärztliche Praxis? Eine qualitative Studie

Linde, Klaus; Huber, Catherine; Barth, Niklas; Schneider, Antonius

doi:10.1016/j.zefq.2020.02.001

Cited by 7 publications

(5 citation statements)

References 21 publications

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“…In general practice, these young physicians find themselves facing quite a different world [7]. In the first part of our interviews, we asked participants to report on the differences between work in the hospital and in general practice [9]. The differences were sometimes described as a "shock."…”

Section: Discussionmentioning

confidence: 99%

“…The topic guide was based on that used in our previous study [8] but was adapted for the new target group. In particular, the first 2 questions addressed the course of the post-graduate specialisation and the perceived differences between hospital-based work and that in general practice (for findings from this part of the study, see [9]). The article on hand focusses on the questions relating to CAM.…”

Section: Methodsmentioning

confidence: 99%

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How Young German General Practitioners View and Use Complementary and Alternative Medicine: A Qualitative Study

2020

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Background: Qualitative and quantitative surveys show that many German general practitioners (GPs) use complementary and alternative medicine (CAM) in their daily work. However, participants in such studies were mostly experienced GPs. Objective: The aim of this study was to investigate systematically how young GPs view CAM and to what extent and how they use CAM treatments. Methods: Thirteen young physicians in specialist training for general practice as well as GPs who had completed their specialist training within the last 2 years participated in problem-oriented interviews. Interviews were evaluated by qualitative content analysis. Results: The attitudes of participants towards CAM in general and towards specific CAM modalities varied strongly, but doubts regarding a firm evidence base and specific effects over placebo were expressed frequently. Nevertheless, participants were generally open to herbal medicines and all seemed to use them more or less regularly in clinical practice. Other CAM treatments seemed to be used infrequently. Participants used CAM often for minor illnesses; largely as a first low-intensity therapeutic trial to avoid potentially harmful conventional treatments; and to comply with patient preferences. Conclusions:Compared to more experienced GPs, the participants in our study tended to be more critical towards CAM. Apart from herbal medicines, CAM treatments were used rarely.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

How Young German General Practitioners View and Use Complementary and Alternative Medicine: A Qualitative Study

2020

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“…, 2016 ; Linde et al. , 2020 ). Career paths in Austrian hospitals seem to be more attractive as mentioned by Papp concerning Hungarian pediatricians (Papp et al.…”

Section: Discussionmentioning

confidence: 99%

“…Early introduction of medical students to PC and adequate preparation of future GPs for their tasks are essential. Adapting the duration and setting of internships for medical students, as well as requiring mandatory vocational training for GP trainees, are perceived as relevant "low-hanging fruits" by the study participants and in the literature (Nicholson et al, 2016;Linde et al, 2020). Career paths in Austrian hospitals seem to be more attractive as mentioned by Papp concerning Hungarian pediatricians (Papp et al, 2019).…”

Section: Low-hanging Fruits (High Relevance and Feasibility)mentioning

confidence: 91%

Identifying key policy objectives for strong primary care: a cross-sectional study

Burgmann

Paier-Abuzahra

Sprenger

et al. 2023

Prim Health Care Res Dev

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Aim: The aim of this study was to identify key policy objectives by investigating the perception of important stakeholders and affected professionals concerning relevance and feasibility of a successful primary care (PC) reform. Background: Since 2013, the Austrian PC system has been undergoing a reform process to establish multiprofessional primary care units. The reforms have various defined objectives and lack clear priorities. Methods: After the definition and consensus-based selection of 12 policy objectives, a cross-sectional online survey on their relevance and feasibility was distributed via email and social media to PC and public health networks. The survey was conducted in the period from January to February 2020. Results were analyzed descriptively, and further, Pearson Chi-Square Test or Fisher’s Exact Test was performed for group comparison regarding respondents’ characteristics. Open-ended responses were analyzed using qualitative content analysis. Findings: In total, 169 questionnaires were completed. A total of 46.3% of the responders had more than 20 years of professional experience (female: 60.5%). A mandatory internship in general practice, vocational training for general practice, and a modern remuneration system were the three top-rated policy objectives regarding relevance. A mandatory internship in general practice, specialization in general practice, and coding of services and diagnosis were assessed as the most feasible objectives. The group comparisons regarding working field, years of professional experience, age, and sex did not show any meaningful results in the evaluation of relevance and feasibility. Discussion: In the view of the study participants, easily obtainable objectives include adapting the duration and setting of internships for medical students, as well as mandatory vocational training for GP trainees. Further efforts are necessary to achieve complex objectives such as the adoption of a modern remuneration scheme and a comprehensive quality assurance program. Building capacity and creating team-oriented environments are also important aspects of a successful PC reform.

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“…Several national and international studies have examined occupational attractiveness of and work satisfaction in PC among medical students 4 5 , GP trainees 1 6 7 8 and qualified GPs 3 6 7 9 10 11 12 13 14 15 16 17 . Studies on PC reforms mostly focus on the implementation of policy measures addressing the GP workforce crisis 9 10 13 18 and interprofessional collaboration in the public health care system 19 .…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers in general practitioners’ choice to work in primary care units in Austria: a qualitative study

et al. 2023

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Background Recent reforms in Austria have focused on establishing team-based care within multiprofessional primary care units, to enhance amongst others, the work attractiveness of general practice. Nearly 75% of qualified general practitioners are not working as contracted physicians with the social health insurance. This study aims to explore the facilitators of and barriers to non-contracted general practitioners to work in a primary care unit. Methods We conducted twelve semi-structured, problem-centered interviews among purposively sampled non-contracted general practitioners. To extract categories of facilitators and barriers for working in a primary care unit, transcribed interviews were inductively coded using qualitative content analysis. Subcategories were grouped into factors (facilitators and barriers) of thematic criteria and mapped on the macro-, meso-, micro-, and individual levels. Results We identified 41 categories, including 21 facilitators and 20 barriers. Most facilitators were located at the micro-level, while most barriers were located at the macro-level. Teamwork and associated conditions made primary care units attractive as workplaces and corresponded with individual demands. In contrast, system factors tended to reduce the attractiveness of working as a general practitioner. Conclusions Multifaceted efforts are needed to address relevant factors at all of the levels mentioned above. These need to be carried out and consistently communicated by all stakeholders. Efforts to strengthen the holistic approach in primary care, like modern remuneration and patient steering mechanisms, are essential. Financial support, consulting services as well as training on entrepreneurship, management, leadership, and team-based care may help to reduce the risk and burden of founding and running a primary care unit.

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Wie erleben junge Allgemeinärzt*innen den Übergang in die hausärztliche Praxis? Eine qualitative Studie

Cited by 7 publications

References 21 publications

How Young German General Practitioners View and Use Complementary and Alternative Medicine: A Qualitative Study

How Young German General Practitioners View and Use Complementary and Alternative Medicine: A Qualitative Study

Identifying key policy objectives for strong primary care: a cross-sectional study

Facilitators and barriers in general practitioners’ choice to work in primary care units in Austria: a qualitative study

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