Identifying policies and strategies for general practitioner retention in direct patient care in the United Kingdom: a RAND/UCLA appropriateness method panel study
dc.contributor.author | Chilvers, R | |
dc.contributor.author | Richards, SH | |
dc.contributor.author | Fletcher, E | |
dc.contributor.author | Aylward, A | |
dc.contributor.author | Dean, S | |
dc.contributor.author | Salisbury, C | |
dc.contributor.author | Campbell, J | |
dc.date.accessioned | 2019-09-03T08:41:09Z | |
dc.date.issued | 2019-09-12 | |
dc.description.abstract | Background: The United Kingdom (UK) is experiencing a GP workforce retention crisis. Research has focused on investigating why GPs intend to quit, but less is known about the acceptability and effectiveness of policies and strategies to improve GP retention. Using evidence from research and key stakeholder organisations, we generated a set of potential policies and strategies aimed at maximising GP retention and tested their appropriateness for implementation by systematically consulting with GPs. Methods: 28 GP Partners and GPs working in national stakeholder organisations from South West England and London were purposively sampled, and asked to take part in a RAND/UCLA Appropriateness Method panel. Panellists were asked to read an evidence briefing summary, and then complete an online survey on two occasions. During each round, participants rated the appropriateness of policies and strategies aimed at improving GP retention using a nine point scale (1 ‘extremely inappropriate’ to 9 ‘extremely appropriate’). Fifty-four potential policies and strategies (equating to 100 statements) were tested, focusing on factors influencing job satisfaction (e.g. well-being, workload, incentives and remuneration, flexible working, human resources systems). Ratings were analysed for panel consensus and categorised based on appropriateness (‘appropriate’, ‘uncertain’, ‘inappropriate’). Results: 12/28 GPs approached agreed to take part, 9/28 completed two rounds of the online survey between February and June 2018. Panellists identified 24/54 policy and strategy areas (41/100 statements) as ‘appropriate’. Examples included providing GP practices ‘at risk’ of experiencing GP shortages with a toolkit for managing recruitment and retention, and interventions to facilitate peer support to enhance health and wellbeing, or support portfolio careers. Strategies to limit GP workload, and manage patient demand were also endorsed. | en_GB |
dc.description.sponsorship | National Institute for Health Research (NIHR) | en_GB |
dc.identifier.citation | Vol. 20, article 130 | |
dc.identifier.doi | 10.1186/s12875-019-1020-x | |
dc.identifier.grantnumber | 13/93/10 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/38516 | |
dc.language.iso | en | en_GB |
dc.publisher | BMC | en_GB |
dc.rights | The Author(s). 2019 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | |
dc.subject | primary care physicians | en_GB |
dc.subject | health workforce | en_GB |
dc.subject | work engagement | en_GB |
dc.subject | job description | en_GB |
dc.subject | staff development | en_GB |
dc.subject | personnel turnover | en_GB |
dc.subject | health care reform | en_GB |
dc.subject | consensus method | en_GB |
dc.title | Identifying policies and strategies for general practitioner retention in direct patient care in the United Kingdom: a RAND/UCLA appropriateness method panel study | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2019-09-03T08:41:09Z | |
dc.identifier.issn | 1471-2296 | |
dc.description | This is the final version. Available on open access from BMC via the DOI in this record | en_GB |
dc.description | Availability of data and materials: Study data are stored in a secure repository at the University of Exeter Medical School. Although not publically available, requests to access the dataset will be considered, and sent to the Chief Investigator Professor John Campbell. | en_GB |
dc.identifier.journal | BMC Family Practice | en_GB |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2019-08-30 | |
exeter.funder | ::National Institute for Health Research (NIHR) | en_GB |
rioxxterms.version | AM | en_GB |
rioxxterms.licenseref.startdate | 2019-08-30 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2019-09-02T17:21:37Z | |
refterms.versionFCD | AM | |
refterms.dateFOA | 2019-09-19T11:09:00Z | |
refterms.panel | A | en_GB |
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reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
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(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.