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General practitioners' perceptions of different practice models: a qualitative study.

Catherine Joyce1, Hayley McDonald1, Laureen Lawlor-Smith2

  • 1School of Public Health and Preventive Medicine, Monash University, 6th Floor, The Alfred Centre, 99 Commercial Road, Melbourne, Vic. 3004, Australia.

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Area of Science:

  • Primary Health Care Research
  • General Practice Management
  • Health Services Research

Background:

  • General practice ownership is evolving, yet general practitioners' (GPs) perspectives on ownership and decision-making factors remain unclear.
  • Understanding these perceptions is crucial for shaping future primary care models.

Purpose of the Study:

  • To investigate general practitioners' (GPs) views and attitudes regarding various practice ownership models.
  • To identify key drivers and deterrents influencing GPs' decisions about practice ownership.

Main Methods:

  • The study involved 138 general practitioners (GPs) from the Southern Adelaide-Fleurieu-Kangaroo Island Medicare Local region.
  • Semi-structured interviews were conducted and analyzed using thematic analysis.

Main Results:

  • 39% of GPs were practice owners; 64% worked in large practices (≥6 GPs).
  • Key motivators for ownership included flexibility, autonomy, and financial benefits.
  • Barriers included increased responsibility, time demands, and financial risks.

Conclusions:

  • GPs expressed interest in future ownership but also concerns about required knowledge and skills.
  • Supportive strategies for aspiring practice owners and diverse practice models are essential.
  • Ensuring accessible, high-quality primary medical care necessitates adaptable practice structures.