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General practitioners' perspectives on relocating care: a Dutch interview study.

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  • 1Nivel, The Netherlands Institute for Health Services Research, Utrecht, The Netherlands. l.damen@nivel.nl.

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Summary
This summary is machine-generated.

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.

Keywords:
General practitionersHealthcare systemPrimary careQualitative researchRelocating care

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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.