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Complex issues in general practice - a prevalence study.

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    Area of Science:

    • General Practice
    • Healthcare Management
    • Public Health

    Background:

    • The Norwegian contract GP scheme, while successful, faces sustainability challenges.
    • A 2017 "Trønder rebellion" among GPs prompted an analysis of their daily workload.
    • GPs were surveyed on activities and issues encountered during a typical practice day.

    Purpose of the Study:

    • To analyze the daily workload and the range of issues managed by general practitioners (GPs) in Norway.
    • To understand the prevalence of specific health conditions and patient needs in primary care.

    Main Methods:

    • A web-based questionnaire survey was distributed to all 4,784 registered GPs in Norway in 2018.
    • 1,032 GPs responded, providing data on over 20,000 consultations and 44,000 issues.
    • Data collection focused on 22 pre-defined, relevant issues encountered daily.

    Main Results:

    • GPs managed an average of 20 consultations, addressing 43 different issues daily.
    • Multimorbidity was present in 29% of consultations, mental disorders in 22%, and stress/life strains in 18%.
    • GPs perceived a significant role in providing support or life coaching (15% of consultations).

    Conclusions:

    • Complex and demanding issues are a frequent part of daily GP practice.
    • GPs are vital in managing multimorbidity, disease prevention, and cancer detection/follow-up.
    • The study emphasizes the importance of broad medical knowledge and continuity in the doctor-patient relationship for effective primary care.