head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2021, vol. 27, issue3
Subject Area: Medicine
DOI: 10.5272/jimab.2021273.3847
Published online: 16 July 2021

Original article

J of IMAB. 2021 Jul-Sep;27(3):3847-3850
Biserka I. Vasileva1ORCID logo Corresponding Autoremail, Milena D. Karcheva2ORCID logo,
1) Department of Therapeutic Care, Faculty of Health Care, Medical University - Pleven, Bulgaria.
2) Department of Epidemiology, Faculty of Public Health, Medical University - Pleven, Bulgaria.

The health reform carried out in our country has resulted in a number of both positive and undesirable results in outpatient medical care, which requires an increase in the level of public health in the country. The introduction of free choice of GPs in our country made it possible for his patients to change freely. The purpose of this study is to analyze the patient's motives for changing P.
Material/methods: A survey was conducted among respondents in the period 1-30 September 2018 in the Pleven region. Patients visited their GPs during the study period. A direct individual anonymous survey was conducted containing 35 questions, of which 29 closed questions, 4 semi-open and 2 open-ended questions. The results were processed through Microsoft Office Excel 2007.
Results: The analysis of a number of authors, as well as our own empirical research, show the existence of a number of motives for changing the choice of patients for a personal physician. The patient's prior knowledge of the qualities and competencies of the chosen physician is very low. This choice of patients is most often spontaneous, random and not sufficiently substantiated with specific information. In any case, this reduces the effectiveness of the free choice of doctor.
Conclusions: It is necessary to improve the organization of admission of patients by GPs.

Keywords: motives, change, doctor, patient, satisfaction,

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Please cite this article as: Vasileva BI, Karcheva MD. Reasons for Change of General Practitioner - Study among Patients. J of IMAB. 2021 Jul-Sep;27(3):3847-3850. DOI: 10.5272/jimab.2021273.3847

Corresponding AutorCorrespondence to: Biserka Ilieva Vasileva, Department of Therapeutic Care, Faculty of Health Care, Medical University-Pleven, Bulgaria; E-mail: b.ilieva84@abv.bg

1. The World Health Report 2008 - primary Health Care (Now More Than Ever). WHO. [Internet]
2. Borisova B, Zlatanova R. [Current management problems of outpatient medical care.] Health policy and management. 2016; 16(3);44-48. [in Bulgarian]
3. Borisova B. [reasons for omissions in the activity of GPs in the opinion of patients omissions.] Health policy and management. 2013; 44(1):28-30. [in Bulgarian]
4. Svedahl ER, Pape K, Toch-Marquardt M, Skarshaug LJ, Kaspersen SL, Bjørngaard JH, et al. Increasing workload in Norwegian general practice – a qualitative study. BMC Fam Pract. 2019 May 21;20(1):68. [PubMed]
5. Cerny T, Rosemann T, Tandjung R, Chmiel C. [Reasons for General Practitioner Shortage – a Comparison Between France and Switzerland]. [in German] Praxis (Bern 1994). 2016 May 25;105(11):619-36. [PubMed]
6. Ordinance for exercising the right of access to medical care. DV. 2006 June 2; 45. [in Bulgarian]
7. Sturman N, Matheson D. 'Genuine doctor care': Perspectives on general practice and community-based care of Australian men experiencing homelessness. Health Soc Care Community.  2020 Jul; 28(4):1301-1309. [PubMed]
8. Buja A, Cavinato M, Perissinotto E, Rausa G, Mastrangelo G, Toffanin R. Why do patients change their general practitioner? Suggestions on corrective actions. Ir J Med Sci. 2011 Mar;180(1):149-54. [PubMed]
9. Dimitrova D, Hristov Zh, Ivanova N. [Some problems of patients' access to primary care.] General Medicine. 2006; 8(1):14-20. [in Bulgarian]
10. Zlatanova T, Zlatanova-Velikova R. [Primary outpatient care - problems and prospects.] Didakta Consult Publishing House – Sofia. 2008. 211 p. [in Bulgarian]
11. Zlatanova T, Zlatanova-Velikova R. [Assessment of the communication skills of GPs from patients.]  Medical Meridians. 2012; 3(1-2):52-56. [in Bulgarian]
12. Petrova Z, Tchamov K, Gladilov S. [Quality in health care - modern dimensions and trends.] Health media, Sofia. 2008. 270p. [in Bulgarian]
13. van Braak M, Visser M, Holtrop M, Statius Muller I, Bont J, van Dijk N.  What Motivates General Practitioners to Change Practice Behaviour? A Qualitative Study of Audit and Feedback Group Sessions in Dutch General Practice. BMJ Open. 2019 Jun 1;19(5):e025286. [PubMed].

Received: 07 January 2021
Published online: 16 July 2021

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