Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Burgmann, S; Huter, S; Mayerl, H; Paier-Abuzahra, M; Siebenhofer, A.
Facilitators and barriers in general practitioners' choice to work in primary care units in Austria: a qualitative study.
Gesundheitswesen. 2023; 85(5): e32-e41.
Doi: 10.1055/a-2011-5362
[OPEN ACCESS]
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Burgmann Sarah
- Paier-Abuzahra Muna
- Co-Autor*innen der Med Uni Graz
- Mayerl Hannes
- Siebenhofer-Kroitzsch Andrea
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- BACKGROUND: Recent reforms in Austria have focused on establishing team-based care within multiprofessional primary care units, to enhance amongst others, the work attractiveness of general practice. Nearly 75% of qualified general practitioners are not working as contracted physicians with the social health insurance. This study aims to explore the facilitators of and barriers to non-contracted general practitioners to work in a primary care unit. METHODS: We conducted twelve semi-structured, problem-centered interviews among purposively sampled non-contracted general practitioners. To extract categories of facilitators and barriers for working in a primary care unit, transcribed interviews were inductively coded using qualitative content analysis. Subcategories were grouped into factors (facilitators and barriers) of thematic criteria and mapped on the macro-, meso-, micro-, and individual levels. RESULTS: We identified 41 categories, including 21 facilitators and 20 barriers. Most facilitators were located at the micro-level, while most barriers were located at the macro-level. Teamwork and associated conditions made primary care units attractive as workplaces and corresponded with individual demands. In contrast, system factors tended to reduce the attractiveness of working as a general practitioner. CONCLUSIONS: Multifaceted efforts are needed to address relevant factors at all of the levels mentioned above. These need to be carried out and consistently communicated by all stakeholders. Efforts to strengthen the holistic approach in primary care, like modern remuneration and patient steering mechanisms, are essential. Financial support, consulting services as well as training on entrepreneurship, management, leadership, and team-based care may help to reduce the risk and burden of founding and running a primary care unit.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- General Practitioners - administration & dosage
- Austria - administration & dosage
- Germany - administration & dosage
- General Practice - administration & dosage
- Qualitative Research - administration & dosage
- Primary Health Care - administration & dosage
- Find related publications in this database (Keywords)
- multidisciplinary care team
- primary care physicians
- general practice
- workforce
- primary health care
- public health systems research