RT Journal Article SR Electronic T1 Attracting and retaining GPs: a stakeholder survey of priorities JF British Journal of General Practice JO Br J Gen Pract FD British Journal of General Practice SP e411 OP e418 DO 10.3399/bjgp11X583191 VO 61 IS 588 A1 Vincent Lorant A1 Charlotte Geerts A1 Christiane Duchesnes A1 Jo Goedhuys A1 Lynn Ryssaert A1 Roy Remmen A1 William D'hoore A1 the KCE study group YR 2011 UL http://bjgp.org/content/61/588/e411.abstract AB Background Despite being a key player in the healthcare system, training and practising general practice has become less attractive in many countries and is in need of reform.Aim To identify political priorities for improving GPs' attraction to the profession and their retention within it.Design and setting Stakeholder face-to-face survey in Belgium, 2008.Method A total of 102 key stakeholders were recruited from policymakers, professional groups, academia, GP leaders, and the media. All interviewees were asked to score 23 policies on four criteria: effectiveness in attracting and retaining GPs, cost to society, acceptance by other health professionals, and accessibility of care. An overall performance score was computed (from –3 to +3) for each type of policy — training, financing, work–life balance, practice organisation, and governance — and for innovative versus conservative policies.Results Practice organisation policies and training policies received the highest scores (mean score ≥1.11). Financing policies, governance, and work–life balance policies scored poorly (mean score ≤0.65) because they had negative effects, particularly in relation to cost, acceptance, and accessibility of care. Stakeholders were keen on moving GPs towards team work, improving their role as care coordinator, and helping them to offload administrative tasks (score ≥1.4). They also favoured moves to increase the early and integrated exposure of all medical students to general practice. Overall, conservative policies were better scored than innovative ones (beta = –0.16, 95% confidence interval = –0.28 to –0.03).Conclusion The reforming of general practice is made difficult by the small-step approach, as well as the importance of decision criteria related to cost, acceptance, and access.