Análisis de la formación y el ámbito de práctica de los médicos de atención primaria en Inglaterra, Alemania y España

Translated title of the contribution: Exploring the training and scope of practice of GPs in England, Germany and Spain

Ketevan Glonti, Verena Struckmann, Alvaro Alconada, Luisa M. Pettigrew, Virginia Hernandez-Santiago, Sergio Minue, Isabelle Risso-Gill, Martin McKee, Helena Legido-Quigley (Lead / Corresponding author)

    Research output: Contribution to journalArticle

    87 Downloads (Pure)

    Abstract

    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.

    Original languageSpanish
    Pages (from-to)148-155
    Number of pages8
    JournalGaceta Sanitaria
    Volume33
    Issue number2
    Early online date22 Mar 2018
    DOIs
    Publication statusPublished - Mar 2019

    Fingerprint

    England
    Spain
    Germany
    Primary Health Care
    General Practitioners
    Gatekeeping
    Secondary Care
    Terminal Care
    Quality of Health Care
    Legislation
    Ethics
    Research Personnel
    Interviews
    Safety
    Population

    Keywords

    • General practice
    • General practitioners
    • Qualitative research

    Cite this

    Glonti, K., Struckmann, V., Alconada, A., Pettigrew, L. M., Hernandez-Santiago, V., Minue, S., ... Legido-Quigley, H. (2019). Análisis de la formación y el ámbito de práctica de los médicos de atención primaria en Inglaterra, Alemania y España. Gaceta Sanitaria, 33(2), 148-155. https://doi.org/10.1016/j.gaceta.2017.10.011
    Glonti, Ketevan ; Struckmann, Verena ; Alconada, Alvaro ; Pettigrew, Luisa M. ; Hernandez-Santiago, Virginia ; Minue, Sergio ; Risso-Gill, Isabelle ; McKee, Martin ; Legido-Quigley, Helena. / Análisis de la formación y el ámbito de práctica de los médicos de atención primaria en Inglaterra, Alemania y España. In: Gaceta Sanitaria. 2019 ; Vol. 33, No. 2. pp. 148-155.
    @article{4995f2bf1e7642f4b7e59cecc4510c76,
    title = "An{\'a}lisis de la formaci{\'o}n y el {\'a}mbito de pr{\'a}ctica de los m{\'e}dicos de atenci{\'o}n primaria en Inglaterra, Alemania y Espa{\~n}a",
    abstract = "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.",
    keywords = "General practice, General practitioners, Qualitative research",
    author = "Ketevan Glonti and Verena Struckmann and Alvaro Alconada and Pettigrew, {Luisa M.} and Virginia Hernandez-Santiago and Sergio Minue and Isabelle Risso-Gill and Martin McKee and Helena Legido-Quigley",
    note = "This work was supported by the European Union 7th Framework Programme EU Cross Border Care Collaboration (EUCBCC). Contract no: 242058.",
    year = "2019",
    month = "3",
    doi = "10.1016/j.gaceta.2017.10.011",
    language = "Spanish",
    volume = "33",
    pages = "148--155",
    journal = "Gaceta Sanitaria",
    issn = "0213-9111",
    publisher = "Elsevier",
    number = "2",

    }

    Glonti, K, Struckmann, V, Alconada, A, Pettigrew, LM, Hernandez-Santiago, V, Minue, S, Risso-Gill, I, McKee, M & Legido-Quigley, H 2019, 'Análisis de la formación y el ámbito de práctica de los médicos de atención primaria en Inglaterra, Alemania y España', Gaceta Sanitaria, vol. 33, no. 2, pp. 148-155. https://doi.org/10.1016/j.gaceta.2017.10.011

    Análisis de la formación y el ámbito de práctica de los médicos de atención primaria en Inglaterra, Alemania y España. / Glonti, Ketevan; Struckmann, Verena; Alconada, Alvaro; Pettigrew, Luisa M.; Hernandez-Santiago, Virginia; Minue, Sergio; Risso-Gill, Isabelle; McKee, Martin; Legido-Quigley, Helena (Lead / Corresponding author).

    In: Gaceta Sanitaria, Vol. 33, No. 2, 03.2019, p. 148-155.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Análisis de la formación y el ámbito de práctica de los médicos de atención primaria en Inglaterra, Alemania y España

    AU - Glonti, Ketevan

    AU - Struckmann, Verena

    AU - Alconada, Alvaro

    AU - Pettigrew, Luisa M.

    AU - Hernandez-Santiago, Virginia

    AU - Minue, Sergio

    AU - Risso-Gill, Isabelle

    AU - McKee, Martin

    AU - Legido-Quigley, Helena

    N1 - This work was supported by the European Union 7th Framework Programme EU Cross Border Care Collaboration (EUCBCC). Contract no: 242058.

    PY - 2019/3

    Y1 - 2019/3

    N2 - 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.

    AB - 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.

    KW - General practice

    KW - General practitioners

    KW - Qualitative research

    U2 - 10.1016/j.gaceta.2017.10.011

    DO - 10.1016/j.gaceta.2017.10.011

    M3 - Article

    C2 - 29576244

    AN - SCOPUS:85044329408

    VL - 33

    SP - 148

    EP - 155

    JO - Gaceta Sanitaria

    JF - Gaceta Sanitaria

    SN - 0213-9111

    IS - 2

    ER -