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Exploring considerations for becoming a GP practice owner: a qualitative study.

Hinda Stegeman1, Manna A Alma2, Hanneke Pm Vervoort3

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General practice owners are vital for healthcare continuity. Young general practitioners (GPs) face complex factors influencing their decision to become practice owners, impacting the future of primary care.

Keywords:
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Area of Science:

  • Primary Care Medicine
  • General Practice Management
  • Healthcare Workforce Studies

Background:

  • General practice owners ensure 24/7 access to care but face challenges recruiting associates and successors.
  • A declining number of practice owners jeopardizes continuity of care (COC).
  • Limited understanding exists regarding young GPs' career considerations and barriers/facilitators to practice ownership.

Purpose of the Study:

  • To explore the career considerations of general practitioners (GPs) regarding practice ownership.

Main Methods:

  • A qualitative study was conducted in the north of the Netherlands.
  • Ninety GPs (trainees, freelance/salaried, owners, ex-owners) were recruited for focus groups and interviews.
  • Thematic analysis was applied to transcribed verbatim recordings.

Main Results:

  • Practice ownership decisions involve a complex interplay of professional, personal, external, and process-related factors over time.
  • Continuity of care (COC), autonomy, and personal development positively influenced ownership decisions.
  • Work-life balance, ultimate responsibility, negative role models, unappealing practices, preparedness, and process issues negatively impacted considerations; non-owners felt ownership was undiscussable.

Conclusions:

  • Enhancing perceived behavioral control and subjective norms, alongside open dialogue on practice ownership and alternative models, is necessary.
  • Findings provide a basis for future quantitative research to address the shortage of practice owners.
  • This research can identify universal and country-specific themes related to practice ownership.