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96 Making General Practice Attractive: Encouraging GP attraction and Retention KCE Reports 90 The selection of stakeholders who got a score equal to 3 was based on the ranking they got by rankers from the same language community. The selection of the first 12 (out of 20) gave a whole sample of 67 stakeholders. 1. This provisional list was sent to two last persons who have a sound knowledge of the stakeholders working in the GP and political field. They suggested a few other names and two stakeholders were further added. 2. The researchers also sent a letter to the INAMI/RIZIV, the Public Health Federal Service and the Sickness funds to inform them about the survey and to ask for possible additional names. 3. Each stakeholder was asked during his/her interview to suggest other names as in classical snowball sampling 215. The interviewee could recommend a maximum of three persons in each group of stakeholders 216: policymakers, unions, universities, media and sickness funds (this last group has been taken apart from the policymakers because they do not have the same status as policymakers). 4. This last procedure allowed to check the validity of the list and to select new stakeholders who were not mentioned beforehand but were cited by several interviewed persons. 6.4.3 Sample size, stratification and participation rate Six from the 78 stakeholders contacted refused to participate either due to a lack of time or for private reasons. One person did not completely fill the questionnaire and was not taken into account. The remaining 71 stakeholders were stratified as follows: Table 12: Stratification of the stakeholders Groups N % Policymakers 28 39.4 Unions 20 28.2 Universities 16 22.5 Media 7 9.9 Language N % Dutch-speaking 39 54.9 French-speaking 32 45.1 Age groups N % 20-30 3 4.2 31-40 4 5.6 41-50 21 29.6 51-60 34 47.9 61+ 9 12.7 Gender N % Men 56 78.9 Women 15 21.1 The initial protocol of this project planned to interview 70 stakeholders from the first 4 groups. Moreover, the protocol included interviews of 30 GPs to focus on the most interested group on the field. This sample size had been defined according to logistical constraints and previous stakeholder survey sampling 198 , 217 , 218 , 219 , 220 . Those GPs have been selected according to their status (president of GP’s circles and/or training supervisors), their gender and their language (reflecting their location - North or South-). A balance between those elements has been reached. Thirty-eight GPs (n=38) were contacted. Seven (n=7) refused to participate either for a lack of time or for private reasons. The characteristics of the 31 interviewed GPs are the following:
KCE Reports 90 Making General Practice Attractive: Encouraging GP attraction and Retention 97 Table 13: characteristics of the interviewed GPs Type of GPs % N President or secretary of a 64 20 regional GPs’ circle Presidents of circles and 23 7 clerkship supervisors Clerkship supervisors 13 4 Language % N Dutch-Speaking 48.4 15 French-Speaking 51.6 16 Age groups % N 31-40 6.5 2 41-50 29 9 51-60 61.3 19 61+ 3.2 1 Gender % N Men 61.3 19 Women 38.7 12 The overall participation rate was 88% (71+31/78+38). 6.5 DATA COLLECTION METHOD This section is divided into four parts: 6.5.1 Face-to-face interview • the method of interview, • the training of the interviewers, • reaching the stakeholders, • unfolding of the interviews. This study used a CAPI (computer-assisted personal interview). However, MCM is a rather sophisticated technique and it was necessary to provide help to the interviewee by an interviewer. He/she was reading and whether required, explained the questions while the interviewee was answering on the laptop 200 . 6.5.2 Training of the interviewers The 102 interviews had to be conducted within a period of maximum three months (from May 2008 until July 2008). Five interviewers followed a standardized training to interview all stakeholders in the same way. The training simulated interviews following the interview guide (see appendix 5.9. and 5.10). 6.5.3 Reaching the stakeholders A letter signed by all main researchers, invited the stakeholders to participate. A few days later, phone contacts confirmed their agreement to participate and fixed the time for the interview. If the selected stakeholder did not want to participate, he/she was asked to name a proxy. 6.5.4 Unfolding of the interviews The average duration time of the interview was 49 minutes: 20% lasted less than 40 minutes, 30% lasted between 41-60 minutes and 50% lasted more than 1 hour. During the interviews, the interest of the stakeholders and their understanding of the questions were observed and rated by the interviewers. Most of the stakeholders (87%) had a good to a very good interest for the questionnaire and a good to a very good understanding of the questionnaire (83%).
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