Related Experiment Videos
Dilemmas in the development of the general practitioner workforce in primary care: a qualitative study in Beijing,
Yajia Cui1, Tao Sun2, Mengying Tian3
1School of General Practice and Continuing Education, Capital Medical University, Beijing, China.
Background:
The general practitioner workforce (GPWF) is an important factor influencing primary care capacity. Many countries face GP shortages and substantial challenges in workforce development. However, the factors and mechanisms shaping GPWF development remain insufficiently understood.
Purpose:
To explore key challenges affecting GPWF development and their interrelationships in the primary care system of Beijing, China.
Methods:
Between October and December 2024, directors and GPs from 18 community health centres were recruited using purposive sampling. Data were collected through a focus group discussion and in-depth interviews; thematic analysis was conducted in line with Merriam and Tisdell's approach. A causal loop diagram (CLD) was then developed to identify and visualise dynamic relationships among factors influencing the GPWF development.
Results:
The participants comprised 10 directors and 8 GPs from urban and suburban areas, with a predominance of women and those holding senior professional titles. Participants had diverse educational and professional backgrounds. Three major themes were identified: (1) rising demand for GP services, (2) supply challenges in the GPWF, and (3) challenges to GPs' professional sustainability. Across these themes, 12 subthemes and 10 key variables were identified. The CLD reflected participants' perceptions of how these variables interacted and illustrated potential reinforcing interactions among them.
Conclusion:
The development of the GPWF in Beijing is constrained by multiple interrelated challenges. Addressing these challenges entails coordinated policy actions to strengthen workforce planning and training, enhance job attractiveness, improve the alignment between training and practice, and reinforce professional support and continuing professional development, thereby promoting the sustainability of the GPWF.
Related Concept Videos
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:30Ethical Dilemmas II
01:17Ethical Dilemmas I
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...