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General practitioners' perspectives on relocating care: a Dutch interview study
L J Damen1, L H D Van Tuyl2, B J Knottnerus2
1Nivel, The Netherlands Institute for Health Services Research, Utrecht, The Netherlands. l.damen@nivel.nl.
BMC Primary Care
|May 25, 2024
Summary
To ensure sustainable healthcare, general practitioners (GPs) suggest relocating care from hospitals to primary care settings. This requires GPs to have adequate time and resources to manage new responsibilities effectively.
Area of Science:
- Healthcare Management
- Primary Care
- Health Workforce Sustainability
Background:
- Global healthcare systems face sustainability challenges due to rising costs and demand outpacing workforce growth.
- Relocating care from hospitals to general practices is a proposed solution for healthcare sustainability.
- This shift significantly impacts general practitioners (GPs), necessitating an understanding of their perspective.
Purpose of the Study:
- To identify which healthcare services GPs believe can be relocated from hospitals to primary care.
- To determine the conditions under which such care relocation is feasible from the GPs' viewpoint.
Main Methods:
- Qualitative study involving general practitioners (GPs) recruited through Nivel's network in the Netherlands.
- Conducted one exploratory focus group and 12 in-depth interviews.
- Thematic analysis was applied to interview transcripts.
Main Results:
- GPs indicated that certain diagnostic and follow-up care could be relocated from hospitals, provided specific prerequisites are met.
- A key condition for relocating hospital care to GPs is ensuring GPs have sufficient time.
- Care that can be relocated from GPs to other settings includes cases where GP expertise offers no added value or where system navigation issues lead patients to GPs.
Conclusions:
- The study recommends prioritizing the relocation of care from GPs to other settings before focusing on hospital-to-GP care relocation.
- Successful relocation of diagnostic and follow-up care from hospitals to GPs is achievable once initial conditions and other prerequisites are satisfied.
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