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Exploring the training and scope of practice of GPs in England, Germany and Spain.
Glonti, Ketevan; Struckmann, Verena; Alconada, Alvaro; Pettigrew, Luisa M; Hernandez-Santiago, Virginia; Minue, Sergio; Risso-Gill, Isabelle; McKee, Martin; Legido-Quigley, Helena.
Afiliación
  • Glonti K; London School of Hygiene and Tropical Medicine, London, United Kingdom.
  • Struckmann V; Department of Health Care Management, Berlin University of Technology, Berlin, Germany.
  • Alconada A; London School of Hygiene and Tropical Medicine, London, United Kingdom.
  • Pettigrew LM; London School of Hygiene and Tropical Medicine, London, United Kingdom.
  • Hernandez-Santiago V; Division of Population Health Sciences, Medical Research Institute, University of Dundee, Dundee, United Kingdom.
  • Minue S; Andalusian School of Public Health, Granada, Spain.
  • Risso-Gill I; London School of Hygiene and Tropical Medicine, London, United Kingdom.
  • McKee M; London School of Hygiene and Tropical Medicine, London, United Kingdom.
  • Legido-Quigley H; Saw Swee Hock School of Public Health, National University Health System, National University of Singapore, Singapore. Electronic address: helena.legido-quigley@lshtm.ac.uk.
Gac Sanit ; 33(2): 148-155, 2019.
Article en En | MEDLINE | ID: mdl-29576244
OBJECTIVE: To explore general practitioner (GP) training, continuing professional development, scope of practice, ethical issues and challenges in the working environment in three European countries. METHOD: Qualitative study of 35 GPs from England, Germany and Spain working in urban primary care practices. Participants were recruited using convenience and snowball sampling techniques. Semi-structured interviews were recorded, transcribed and analysed by four independent researchers adopting a thematic approach. RESULTS: Entrance to and length of GP training differ between the three countries, while continuing professional development is required in all three, although with different characteristics. Key variations in the scope of practice include whether there is a gatekeeping role, whether GPs work in multidisciplinary teams or singlehandedly, the existence of appraisal processes, and the balance between administrative and clinical tasks. However, similar challenges, including the need to adapt to an ageing population, end-of-life care, ethical dilemmas, the impact of austerity measures, limited time for patients and gaps in coordination between primary and secondary care are experienced by GPs in all three countries. CONCLUSION: Primary health care variations have strong historical roots, derived from the different national experiences and the range of clinical services delivered by GPs. There is a need for an accessible source of information for GPs themselves and those responsible for safety and quality standards of the healthcare workforce. This paper maps out the current situation before Brexit is being implemented in the UK which could see many of the current EU arrangements and legislation to assure professional mobility between the UK and the rest of Europe dismantled.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina General Tipo de estudio: Guideline / Qualitative_research Aspecto: Ethics País/Región como asunto: Europa Idioma: En Revista: Gac Sanit Asunto de la revista: SAUDE PUBLICA Año: 2019 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: España
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicina General Tipo de estudio: Guideline / Qualitative_research Aspecto: Ethics País/Región como asunto: Europa Idioma: En Revista: Gac Sanit Asunto de la revista: SAUDE PUBLICA Año: 2019 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: España