Maintaining a Sufficient Primary Care Workforce: A Problem We Should Not Have

Mainous, Arch G.

doi:10.3389/fmed.2020.638894

Cited by 2 publications

(3 citation statements)

References 16 publications

(19 reference statements)

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“…The policy position of creating more family physicians regardless of how they end up in residency slots has a relatively noble, population-based rationale. 3 Based on the recommendations of the Council on Graduate Medical Education for the past 30 years, we need more family physicians. 4,5 Having a robust primary care system in the United States is a good thing because it is associated with better health outcomes and lower costs.…”

Section: Introductionmentioning

confidence: 99%

Is There a Better Way to Produce a Health Workforce for the Population?

Mainous

2023

Fam Med

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Section: Introductionmentioning

confidence: 99%

Is There a Better Way to Produce a Health Workforce for the Population?

Mainous

2023

Fam Med

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“…Its continued adoption is, at the time of writing, potentially disrupted with government initiatives promoting a prioritisation of face-to-face consultation and a removal of the mandate. Nevertheless, Primary care in the UK continues to struggle with demand, with staff wellbeing and retention, major challenges and internationally (4) (5) Views of workload impact vary depending on staff role, the location of the GP practice and perceptions of patient interest in the use of OC (1). The pandemic confounded effects, online consultation becoming a requirement to support social distancing policies (6).…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, primary care in the UK continues to struggle with demand, with major challenges surrounding staff wellbeing and retention, which is also an international issue. 4 , 5 …”

Section: Introductionmentioning

confidence: 99%

Workload effects of online consultation implementation from a Job-Characteristics Model perspective: a qualitative study

Smart

Newman²,

Hartill³

et al. 2022

BJGP Open

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BackgroundOnline Consultation (OC) was previously promoted by the NHS to solve primary care workload challenges. Its implementation was sped up during the COVID-19 pandemic. Workload effects are widely debated. Using a job design perspective may enhance understandings of workload effect.AimTo qualitatively interrogate the workload experiences of primary care staff involved in OC implementation using Job Characteristics Model (JCM) enabling: clearer understanding of the primary care staff psychological experiences; and recommendations informing the design of digital implementations and continued use.Design & settingA qualitative interview study of GP practices using online consultation within South-West England.Method13 participants representing 7 practices completed JCM based semi-structured telephone interviews. An abductive theoretically driven thematic analysis was completed using NVIVO software.ResultsParticipants experienced qualitatively different tasks pre and post implementation of OC, and adapted differently to this. Differences included: contact modality change, some administrative staff feeling removed from patient contact; and in perceived autonomy, some GPs valuing increased workload control. Variation in workload experience was affected by job role, and practice context, form of and rationale for implementation. Use of a psychological model (the JCM) allowed clearer consideration of the effects of change, as well as OC on workload.ConclusionPsychological theory may be helpful in interpreting workload effects of technology implementation such as OC. Designing change to include consideration of: technology effects, psychological experiences, differences across roles, individuals and practice contexts may be important, for technology implementation and evaluation of its workload effects.

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Maintaining a Sufficient Primary Care Workforce: A Problem We Should Not Have

Cited by 2 publications

References 16 publications

Is There a Better Way to Produce a Health Workforce for the Population?

Is There a Better Way to Produce a Health Workforce for the Population?

Workload effects of online consultation implementation from a Job-Characteristics Model perspective: a qualitative study

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