a Research Unit and Section of General Practice, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen , Copenhagen , Denmark.
b Copenhagen Academy for Medical Education and Simulation , Copenhagen , Denmark.
Eur J Gen Pract. 2019 Jul;25(3):149-156. doi: 10.1080/13814788.2019.1639668. Epub 2019 Jul 24.
A well-staffed and an efficient primary healthcare sector is beneficial for a healthcare system but some countries experience problems in recruitment to general practice. This study explored factors influencing Danish junior doctors' choice of general practice as their specialty. This study is based on an online questionnaire collecting quantitative and qualitative data. Two focus-group interviews were conducted to inform the construction of the questionnaire to ensure high content validity. All Danish junior doctors participating in general practice specialist training in 2015 were invited to participate in the survey, from which both qualitative and quantitative data were collected. The data was analysed using systematic text condensation and descriptive statistics. Of 1099 invited, 670 (61%) junior doctors completed the questionnaire. Qualitative data: junior doctors found educational environments and a feasible work-life balance were important. They valued patient-centred healthcare, doctor-patient relationships based on continuity, and the possibility of organizing their work in smaller, manageable units. Quantitative data 90.8% stated that the set-up of Danish specialist-training programme positively influenced their choice of general practice as their specialty. Junior doctors (80.4%) found that their university curriculum had too little emphasis on general practice, 64.5% agreed that early basic postgraduate training in general practice had a high impact on their choice of general practice as their specialty. Several factors that might positively affect the choice of general practice were identified. These factors may hold the potential to guide recruitment strategies for general practice.
一个人员配备充足且高效的初级医疗保健部门对医疗保健系统是有益的，但一些国家在招聘全科医生方面存在问题。本研究探讨了影响丹麦初级医生选择全科医学作为专业的因素。本研究基于一项在线问卷调查，收集定量和定性数据。进行了两次焦点小组访谈，为问卷的构建提供信息，以确保内容具有高度有效性。邀请了 2015 年参加全科医学专科培训的所有丹麦初级医生参与调查，从他们那里收集了定性和定量数据。使用系统文本浓缩和描述性统计分析数据。在受邀的 1099 人中，有 670 名（61%）初级医生完成了问卷。定性数据：初级医生发现教育环境和可行的工作-生活平衡很重要。他们重视以患者为中心的医疗保健、基于连续性的医患关系，以及将工作组织在更小、更易于管理的单位的可能性。定量数据：90.8%的人表示丹麦专科培训计划的设置对他们选择全科医学作为专业产生了积极影响。初级医生（80.4%）发现他们的大学课程对全科医学的重视程度太低，64.5%的人同意早期接受基本的研究生全科培训对他们选择全科医学作为专业有很大影响。确定了一些可能对选择全科医学产生积极影响的因素。这些因素可能有潜力指导全科医学的招聘策略。
