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List patient system: straitjacket or a tool for developing general practice? General practitioners' experiences from
1Ranheim Health Centre, Trondheim, Norway.
Scandinavian Journal of Primary Health Care
|May 16, 2000
Summary
General practitioners (GPs) in Norway found the list patient system increased their workload but improved their ability to provide quality care. A majority supported its permanent implementation.
Area of Science:
- Primary Health Care Research
- Medical Practice Management
Background:
- The implementation of a list patient system in Norwegian primary health care aimed to assess its impact on general practitioners (GPs).
- This study focuses on the experiences of GPs after a 3-year trial period of the system.
Purpose of the Study:
- To investigate the attitudes and experiences of general practitioners (GPs) participating in a list patient system trial.
- To evaluate the perceived impact of the list patient system on the professional work of GPs.
Main Methods:
- A questionnaire survey was administered to all 160 GPs in four Norwegian municipalities.
- Data was collected after three years of the list patient system trial.
Main Results:
- Most GPs reported increased obligations under the list patient system.
- A significant majority (68%) felt the system enhanced their ability to perform their professional duties effectively.
- 14% of GPs rejected the system, while most expressed positive overall attitudes.
Conclusions:
- The positive aspects of the list patient system, particularly its contribution to professional practice, outweigh the perceived increase in obligations for GPs.
- The study suggests that the list patient system is a viable model for Norwegian primary health care, with strong support for its continuation.