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Out-of-hours co-operatives: General practitioner satisfaction with governance and working arrangements

O'Dowd, Thomas C, Mc Namara, Kevin, Kelly, Alan and O'Kelly, Fergus 2006, Out-of-hours co-operatives: General practitioner satisfaction with governance and working arrangements, European journal of general practice, vol. 12, no. 1, pp. 15-18, doi: 10.1080/13814780600757195.

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Title Out-of-hours co-operatives: General practitioner satisfaction with governance and working arrangements
Author(s) O'Dowd, Thomas C
Mc Namara, KevinORCID iD for Mc Namara, Kevin orcid.org/0000-0001-6547-9153
Kelly, Alan
O'Kelly, Fergus
Journal name European journal of general practice
Volume number 12
Issue number 1
Start page 15
End page 18
Total pages 4
Publisher Taylor & Francis
Place of publication Abingdon, Eng.
Publication date 2006-01
ISSN 1381-4788
1751-1402
Keyword(s) co-operatives
governance
out of hours
GP views
Summary Objective. General practice co-operatives have led to significant improvements in quality of life for general practitioners. Little is known about general practitioners’ own experiences with the working arrangements and governance of co-operatives. This study investigates GP satisfaction, the working environment, governance and future developments in co-operatives. Methods. A questionnaire was sent to GPs in two co-operatives in the Republic of Ireland, covering mixed urban and rural areas. Results. Of 221 GPs in the co-operatives, 82% responded and confirmed the co-operatives’ positive effects on their lives. However, 57% still received requests for out-of-hours care while off duty, most commonly from patients who preferred to see their own doctor. Half felt overburdened by out-of-hours work, especially those over 40 y of age. Twenty-five per cent were dissatisfied with the GP complaints mechanism. The majority (63%) would prefer a GP/ health board partnership for the organization of out of hours, while 23% wanted sole responsibility. GPs indicated a strong need for better ancillary services such as nursing, mental health, dentistry, pharmacy and social work. Access to records is an important issue in terminal care and mental illness. Conclusion. While GP co-operatives are a success story for general practice, they will work better for general practitioners and their patients if nursing, mental health, dentistry, pharmacy and social services are improved. Support and training is needed in mental health, palliative and emergency care to increase competence and reduce stress. GPs are willing to work with health authorities in further co-operative development. More attention needs to be paid to the complaints and suggestions of GPs in the running and governance of their co-operatives.
Language eng
DOI 10.1080/13814780600757195
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2006, Taylor & Francis
Persistent URL http://hdl.handle.net/10536/DRO/DU:30090143

Document type: Journal Article
Collection: School of Medicine
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