Which positive factors determine the attractiveness of general practice and retention in clinical practice? A qualitative research in France

Abstract : In France, General Practitioners (GPs) were running out and increasingly aging. Stressing the positive aspects of general practice might improve the interest of the future general practitioners. This study was the French part of the Womanpower project conducted by the European General Practitioner Research Network (EGPRN). Which positive factors determined the attractiveness of general practice and retention in clinical practice? Method : a secondary qualitative research was undertaken in France. It synthesized four previous qualitative studies with different methods and population of GPs. Using an interview grid of six questions developed by EGPRN, GPs were asked about determinants of job satisfaction in their practice. The transcripts were analyzed in a phenomenological perspective by a thematic analysis using grounded theory based tools. Results : 3258 verbatim were extracted from the interviews. After being summarized in 37 axial codes, they were grouped into six main themes. The first and central theme was GP as a person. The second theme concerned the special skills and competencies needed in practice. The third one stressed supportive factors for life balance. The fourth one was about freedom of work. All the verbatim concerning doctor-patient relationships were grouped into the fifth theme. The sixth theme was about teaching and learning in everyday practice. Conclusion : this research helped to understand the wellbeing of a GP. The six main themes would have to be worked on, in order to ease future installations and enhance GP’s retention. Further research in other European countries would be necessary.
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Master Thesis
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Jacques Bry. Which positive factors determine the attractiveness of general practice and retention in clinical practice? A qualitative research in France. Life Sciences [q-bio]. 2016. ⟨dumas-02020176⟩

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