ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2009
The present state and future direction of primary care: a qualitative study of GPs' views.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Global job satisfaction and fluctuation among community general practitioners: a systematic review and meta-analysis.BMC health services research · 2024Pooled it
- Can We Reduce the Duration of Untreated Psychosis? A Systematic Review and Meta-Analysis of Controlled Interventional Studies.Schizophrenia bulletin · 2018Pooled it
- Do compensation models affect family physician job satisfaction? Scoping review.Canadian family physician Medecin de famille canadien · 2025Article
- Core values of employed general practitioners in Germany - a qualitative study.BMC primary care · 2024Article
- Understanding the impact of professional motivation on the workforce crisis in medicine: a rapid review.BJGP open · 2021Article
- Factors associated with professional satisfaction in primary care: Results from EUprimecare project.The European journal of general practice · 2017Article
- GP views on strategies to cope with increasing workload: a qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Unfashionable tales: narratives about what is (still) great in NHS general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
- Retaining the general practitioner workforce in England: what matters to GPs? A cross-sectional study.BMC family practice · 2015Article
- Views of newly-qualified GPs about their training and preparedness: lessons for extended generalist training.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Implementation of pay for performance in primary care: a qualitative study 8 years after introduction.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Article
- Experience of contractual change in UK general practice: a qualitative study of salaried GPs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- Exception reporting in the Quality and Outcomes Framework: views of practice staff - a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundOver the past decade there has been a sharp increase in the number of non-profit-sharing salaried doctors employed by practices. This has been accompanied by the introduction of mechanisms to facilitate the entry of other providers into the primary care market.
aimTo explore the views of GP principals and salaried doctors on current working practices and the future direction of primary care in England. DESIGN OF STUDY: Qualitative study using semi-structured interviews.
settingTwenty-two nationally representative practices across England, between February and August 2007.
methodInterviews were conducted with 22 principals and seven salaried doctors. A topic guide included questions on motivations for working in primary care, descriptions of working lives, the way in which clinical time was spent, and predictions for future working conditions.
resultsSignificant changes to GP working arrangements were identified, including increasing pursuit of specialist clinical interests by GP principals and increasing employment of salaried GPs. These developments were reported as improving the working lives of principals but also creating a hierarchical structure at practice level that led to resentment among salaried doctors. Many of the salaried GPs felt disenfranchised and disillusioned by the difference in status and autonomy in decision making and the type of work they performed in the practice. Almost all GPs felt uncertain about the future of primary care and were concerned about the potential threat of private providers delivering primary care within the NHS through a largely salaried workforce.
conclusionBy failing to recognise the problems of employing an increasingly disenfranchised salaried labour force, GP principals may be undermining the very ethos of general practice they otherwise advocate and recreating smaller versions of the private provider organisations they suggest threaten to corrode NHS primary care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.