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Family Practice Vol. 20, No. 2, 167-172
© Oxford University Press 2003

Health Services Research

GPs working in solo practice: obstacles and motivations for working in a group? A qualitative study

Jean-Marc Feron, Françoise Cerexhe, Dominique Pestiaux, Michel Roland, Didier Giet, Christian Montrieux and Dominique Paulus

Centre Universitaire de Medecine Generale, Université Catholique de Louvain, Avenue Mounier 5360, 1200 Bruxelles, Belgium.

Correspondence to Dr Feron; E-mail: Jean-Marc. Feron{at}cumg.ucl.ac.be

Objective. Our aim was to analyse the obstacles and eventual motivations of solo GPs for working in group practice.

Methods. A qualitative study using 12 focus groups was carried out in primary care in French-speaking Belgium. The subjects comprised four samples of GPs: 20 GP trainers, 18 GP trainees, 25 women GPs and 25 other GPs. The focus groups were taped and transcribed. Two independent researchers carried out the analysis using the QSR NUD.IST® software.

Results. The participants (88 GPs) did not share a common definition of group practice—in particular multidisciplinary working—the need for a common pool of patients and shared premises. Their main sources of motivation for eventually setting up a group practice were better quality of life, continuity of care and sharing professional knowledge. The main obstacles were a required agreement between colleagues, the loss of a personal patient–GP relationship, budgetary constraints, and divergent views on group practice and GPs’ profession (especially true for the association of GPs from different age groups).

Conclusion. The current study shows that GPs working solo have divergent views of group practice. However, they clearly perceive advantages to this type of association (e.g. better quality of life and continuity of care). This study also confirms the high level of stress and tiredness felt by GPs and especially senior practitioners.

Keywords. Continuity of patient care, family practice, focus groups, group practice, quality of life.


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