The present state and future direction of primary care: A qualitative study of GPs' views

British Journal of General Practice

Volumn 59, Issue 569, 2009, Pages 908-915

  Lester, Helen ^a   Campbell, Stephen M ^a   McDonald, Ruth ^a  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

Author keywords

Primary care; Salaried GP; Workforce

Indexed keywords

ARTICLE; EMPLOYMENT; GENERAL PRACTICE; GENERAL PRACTITIONER; JOB PERFORMANCE; MEDICAL DECISION MAKING; MEDICAL PRACTICE; MEDICAL SPECIALIST; MOTIVATION; PHYSICIAN INCOME; PREDICTION; PRIMARY MEDICAL CARE; QUALITATIVE RESEARCH; SEMI STRUCTURED INTERVIEW; UNITED KINGDOM; WORK ENVIRONMENT;

ADULT; ATTITUDE OF HEALTH PERSONNEL; ENGLAND; FAMILY PRACTICE; FEMALE; FORECASTING; HUMANS; JOB SATISFACTION; MALE; MIDDLE AGED; PHYSICIANS, FAMILY;

EID: 72049092387     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: 10.3399/bjgp09X473060     Document Type: Article

References (28)

1. The NHS Information Centre - Workforce and Facilities. General and personal medical services. England. 1998-2008. Leeds: The Health and Social Care Information Centre, 2009. http://www.ic.nhs.uk/statistics-and-data-collections/ workforce/nhs-staff-numbers/nhs-staff-1998-2008-general-practice (accessed 30 Sept 2009).
2. British Medical Association. Employment and contracts. http://www.bma.org.uk/employmentandcontracts/index.jsp (accessed 30 Sept 2009).
3. Ding A, Hann M, Sibbald B. Profile of English salaried GPs: labour mobility and practice performance. Br J Gen Pract 2008; 58(546): 20-25.
4. Gosden J, Williams J, Petchey R, et al. Salaried contracts in UK general practice: a study of job satisfaction and stress. J Health Serv Res Policy 2002; 7(1): 26-33. (Pubitemid 34041774)
5. Jones L, Green J. Shifting discourses of professionalism: a case study of general practitioners in the United Kingdom. Sociol Health Illn 2006; 28(7): 927-950. (Pubitemid 44906031)
6. Department of Health. Alternative providers of medical services (APMS). http://www.dh.gov.uk/en/Healthcare/Primarycare/Primarycarecontracting/APMS/ index.htm (accessed 30 Sept 2009).
7. Pollock A, Price D, Viebrock E, et al. The market in primary care. BMJ 2007; 335(7618): 475-477.
8. Salisbury C. The involvement of private companies in NHS general practice. BMJ 2008; 336(7641): 400-401. (Pubitemid 351310868)
9. Campbell SM, Roland MO, Middleton E, Reeves D. Improvements in the quality of clinical care in English general practice 1998-2003: longitudinal observational study. BMJ 2005; 331(7525): 1121-1125.
10. Roland MO, Campbell SM, Bailey N, et al. Financial incentives to improve the quality of primary care in the UK: predicting the consequences of change. Prim Care Res Dev 2006; 7: 18-26.
11. Strauss A, Corbin J. Basics of qualitative research grounded theory procedures and techniques. London: Sage, 1990.
12. Silverman D. Interpreting qualitative data. Methods for analysing talk, text and interaction. London: Sage, 1997.
13. McKinlay J, Marceau L. When there is no doctor: reasons for the disappearance of primary care physicians in the US during the early 21st century. Soc Sci Med 2008; 67(10): 1481-1491.
14. Pinder R. On the margins: belonging in general practice for women part timers and non-principals. Fam Pract 1998; 15(4): 363-368. (Pubitemid 28466812)
15. Kmietowicz Z. Contract for GPs in England failed to live up to expectations. BMJ 2008; 337: a2025.
16. Campbell S, McDonald R, Lester HE. The experience of pay for performance in English family practice: a qualitative study. Ann Fam Med 2008; 6(3): 228-234. (Pubitemid 351716781)
17. Green J. Generalisability and validity in qualitative research. BMJ 1999; 319(7207): 421.
18. Campbell SM, Reeves D, Kontopantelis E, et al. Quality of primary care in England with the introduction of pay for performance. N Engl J Med 2007; 357(2): 181-190. (Pubitemid 47057740)
19. Doran T, Fullwood C, Gravelle H, et al. Pay-for-performance programs in family practices in the United Kingdom. N Engl J Med 2006; 355(17): 375-384. (Pubitemid 44127540)
20. Checkland K, Harrison S, McDonald R, et al. Biomedicine, holism and general medical practice: responses to the 2004 general practitioner contract. Social Health Illn 2008; 30(5): 788-803.
21. Charles-Jones H, Latimer J, May C. Transforming general practice: the redistribution of medical work in primary care. Sociol Health Illn 2003; 25(1): 71-92. (Pubitemid 36789770)
22. Gemmell I, Campbell SM, Hann M, Sibbald B. Assessing workload in English general practice before and after the introduction of pay-for-performance. J Adv Nurs 2009; 65(3): 509-515.
23. Cooper RA, Henderson T, Dietrich CL. Roles of nonphysician clinicians as autonomous providers of patient care. JAMA 1998; 280(9): 795-802. (Pubitemid 28406754)
24. Nancarrow S, Borthwick A. Dynamic professional boundaries in the health care workforce. Sociol Health Illn 2005; 27(7): 897-919. (Pubitemid 41796889)
25. Larkin G. Occupational monopoly and modern medicine. London: Tavistock, 1983.
26. Hughes EC. Men and their work. Toronto: Free Press of Glencoe, 1958.
27. Freeborn D, Hooker R, Pope C. Satisfaction and well-being of primary care providers in managed care. Eval Health Prof 2002; 25(2): 239-254. (Pubitemid 34507363)
28. Gerada C, Weeks V. Changing partnerships. London: Royal College of General Practitioners, 2009.