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2 Making General Practice Attractive: Encouraging GP attraction and Retention KCE Reports 90
3.6.4 Measures proposed by the students to make the GP profession more attractive............................ 55
3.7 DISCUSSION ................................................................................................................................................................... 56
3.7.1 General observations....................................................................................................................................... 56
3.7.2 Factors relating to specialty choice before medical school..................................................................... 57
3.8 FACTORS DURING THE CURRICULUM RELATING TO SPECIALTY CHOICE........................................ 58
3.8.2 Factors attracting students to choose the GP profession in Belgium................................................... 59
3.8.3 Suggestions for making General practice more attractive for medical students................................ 60
3.9 SUMMARY: MOTIVATIONS OF 7TH YEAR STUDENTS TO CHOOSE (OR NOT) THE GP
PROFESSION................................................................................................................................................................... 61
4 CHAPTER 4: WHY YOUNG GENERAL PRACTITIONERS CHOOSE TO LEAVE THE
PRACTICE: A QUALITATIVE STUDY..................................................................................... 63
4.1 INTRODUCTION.......................................................................................................................................................... 63
4.2 RESEARCH QUESTION ............................................................................................................................................... 63
4.3 METHODS........................................................................................................................................................................ 63
4.3.1 Qualitative instrument..................................................................................................................................... 63
4.3.2 Participants ......................................................................................................................................................... 64
4.3.3 Interviews ........................................................................................................................................................... 64
4.3.4 Analysis................................................................................................................................................................ 65
4.4 RESULTS ........................................................................................................................................................................... 65
4.4.1 Factors related to leaving general practice ................................................................................................. 66
4.4.2 Suggestions of participants for retention in general practice.................................................................. 71
4.5 DISCUSSION ................................................................................................................................................................... 73
4.5.1 Methodological issues ...................................................................................................................................... 73
4.5.2 Findings................................................................................................................................................................ 74
4.6 SUMMARY: MOTIVATIONS OF GENERAL PRACTIONERS WHO LEFT THE PROFESSION ................ 76
5 CHAPTER 5: POLICIES INFLUENCING THE ATTRACTION, RECRUITMENT AND
RETENTION OF GENERAL PRACTITIONERS (GPS)........................................................... 77
5.1 OBJECTIVES..................................................................................................................................................................... 77
5.2 LITERATURE SEARCH METHODOLOGY.............................................................................................................. 77
5.3 SUMMARY: LITERATURE REVIEW ON POLICIES INFLUENCING ATTRACTION, RECRUITMENT
AND RETENTION OF GENERAL PRACTITIONERS ..........................................................................................87
5.3.1 Attraction ........................................................................................................................................................... 87
5.3.2 Recruitment........................................................................................................................................................ 87
5.3.3 Retention ............................................................................................................................................................ 88
6 CHAPTER 6: WHAT ARE THE POLICIES TO BE IMPLEMENTED IN BELGIUM TO
IMPROVE ATTRACTION, RECRUITMENT AND RETENTION OF THE GENERAL
PRACTITIONERS: A STAKEHOLDERS’ ANALYSIS.............................................................. 89
6.1 INTRODUCTION.......................................................................................................................................................... 89
6.2 OBJECTIVES..................................................................................................................................................................... 90
6.3 METHOD OF THE STAKEHOLDER SURVEY........................................................................................................ 90
6.3.1 Design.................................................................................................................................................................. 90
6.3.2 Development of the questionnaire ............................................................................................................... 91
6.3.3 Identification of policy options....................................................................................................................... 91
6.3.4 Development of policy criteria...................................................................................................................... 92
6.3.5 Development of the scoring and the ranking ............................................................................................. 93
6.3.6 Open-ended comments................................................................................................................................... 94
6.4 IDENTIFICATION OF STAKEHOLDERS................................................................................................................. 94
6.4.1 Groups of stakeholders................................................................................................................................... 94
6.4.2 Gathering and validation of names................................................................................................................ 95
6.4.3 Sample size, stratification and participation rate........................................................................................ 96
6.5 DATA COLLECTION METHOD............................................................................................................................... 97
6.5.1 Face-to-face interview...................................................................................................................................... 97
6.5.2 Training of the interviewers ........................................................................................................................... 97