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KCE Reports 90 Making General Practice Attractive: Encouraging GP attraction and Retention 1
Table of contents
Scientific summary
INTRODUCTION ..................................................................................................................................... 4
1 CHAPTER 1: GP INACTIVITY IN BELGIUM: THE FIGURES ................................................. 6
1.1 INTRODUCTION.............................................................................................................................................................6
1.2 OBJECTIVES........................................................................................................................................................................6
1.3 METHODS...........................................................................................................................................................................6
1.3.1 Databases...............................................................................................................................................................6
1.3.2 Statistical analyses ................................................................................................................................................7
1.4 RESULTS ..............................................................................................................................................................................8
1.4.1 INAMI/RIZIV DATABASE..................................................................................................................................8
1.4.2 CIPMP DATABASE: Inactivity 4 to 6 years AND 9 to 11 years after the degree as Medical Doctor
12
1.5 DISCUSSION ................................................................................................................................................................... 16
1.5.1 Main findings....................................................................................................................................................... 16
1.5.2 Strengths of the study...................................................................................................................................... 16
1.5.3 Comparison with previous works................................................................................................................. 16
1.5.4 Limitations of the study................................................................................................................................... 17
1.6 STATE OF THE ART OF THE GENERAL PRACTICE IN BELGIUM: SUMMARY ......................................... 19
2 CHAPTER 2: LITERATURE REVIEW ON FACTORS INFLUENCING ATTRACTION,
RECRUITMENT AND RETENTION OF GENERAL PRACTITIONERS ............................... 20
2.1 OBJECTIVES..................................................................................................................................................................... 20
2.2 LITERATURE SEARCH METHODOLOGY.............................................................................................................. 20
2.2.1 Strategy of research: ........................................................................................................................................ 20
2.2.2 Data sources ...................................................................................................................................................... 20
2.2.3 Phase 1: Research questions........................................................................................................................... 20
2.2.4 Phase 2: Identification, selection and quality appraisal of the literature............................................... 21
2.3 RESULTS OF THE LITERATURE REVIEW: ATTRACTION, RECRUITMENT AND RETENTION IN THE
GP PROFESSION............................................................................................................................................................ 21
2.3.1 Factors affecting GPs attraction-recruitment-retention ..........................................................................21
2.4 SUMMARY: LITERATURE REVIEW ON FACTORS INFLUENCING ATTRACTION, RECRUITMENT
AND RETENTION......................................................................................................................................................... 29
3 CHAPTER 3: WHY DO STUDENTS CHOOSE TO STUDY GENERAL PRACTICE:
QUALITATIVE AND QUANTITATIVE STUDY WITH 7 TH YEAR MEDICAL STUDENTS
ON MOTIVATIONS TO CHOOSE OR NOT THE GP PROFESSION.................................. 30
3.1 OBJECTIVES..................................................................................................................................................................... 30
3.2 LITERATURE.................................................................................................................................................................... 30
3.3 RESEARCH QUESTION ............................................................................................................................................... 30
3.4 METHODS........................................................................................................................................................................ 31
3.4.1 Qualitative interview study............................................................................................................................. 31
3.4.2 Quantitative survey study ............................................................................................................................... 32
3.5 RESULTS OF THE QUALITATIVE ANALYSIS ........................................................................................................ 35
3.5.1 Factors related to study and specialty choice before entering medical school .................................. 35
3.5.2 Factors related to any specialty choice during medical education......................................................... 36
3.5.3 Factors in the curriculum related to the choice for (or not) general practice................................... 38
3.6 RESULTS OF THE QUANTITATIVE ANALYSIS .................................................................................................... 42
3.6.1 Factors related to study and specialty choice before entering medical school. ................................. 42
3.6.2 Factors related to the specialty choice during medical education......................................................... 48
3.6.3 Perception of the GP profession by the students ..................................................................................... 52