Til hovedinnhold

Workload in general practice – a qualitative study from Norway

Workload in general practice – a qualitative study from Norway

Kategori
Konferansebidrag og faglig presentasjon
Sammendrag
Background: General practitioners (GPs) play a key role in securing and coordinating appropriate use of health care services. Historically, European GPs have had high job satisfaction, attributed to high autonomy and compatibility with family life. However, trends of increasing workload in general practice is now seen in several European countries including Norway, leading to recruitment problems and concerns about both the GPs´ and the patients´ wellbeing. Aim: This qualitative interview study with GPs and their co-workers, aims to explore their perception of the causes and consequences of workload in Norwegian general practice. Methods: We conducted 7 focus groups and 4 individual interviews with GPs and their co-workers in Mid-Norway. Our study population included 23 GPs and 10 co-workers (21 females and 12 males). The interviews were analysed using systematic text condensation. Results: The analysis identified three main themes: 1) Increasing workload – fluctuations or trend?; 2) Causes of high workload; 3) Consequences of high workload. Our findings show that both GPs and their co-workers experience workload as increasing. They addressed multiple causes for this; the most frequently mentioned being the transfer of tasks from secondary care, as a result of new Norwegian legislations. Changes in society, both in patients´ expectations and help seeking behaviour, and the higher need for documentation, were perceived as important causes. Most of the participants agreed that high workload had a negative impact on their practice, and many expressed concerns for the future in regard to patient safety, their own health and motivation, and the recruitment of new GPs. Conclusions: This study sheds light on the perceived mechanisms of high workload for GPs and their co-workers in Norway. A unifying feature of the participants´ responses is an experience of increasingly high workload, where current conditions are not sustainable.
Oppdragsgiver
  • Norges forskningsråd / 256579
Språk
Engelsk
Forfatter(e)
  • Svedahl Ellen Rabben
  • Pape Kristine
  • Toch-Marquardt Marlen
  • Skarshaug Lena Janita
  • Kaspersen Silje Lill
  • Bjørngaard Johan Håkon
  • Austad Bjarne
Institusjon(er)
  • Norges teknisk-naturvitenskapelige universitet
  • SINTEF Digital / Helse
Presentert på
The third Norwegian Health Service Research Conference
Sted
Trondheim
Dato
11.03.2019 - 12.03.2019
Arrangør
Sintef / Norwegian Health Service Research Network
År
2019