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God faglig standard viktig for å beholde fastleger

01.08.2013

Australske forskere har snakker med erfarne allmennleger om hva de mener er viktig for et langvarig legeliv på landet. Det handler om forhold i det private livet, om måter å organisere praksisen på, profesjonelle muligheter og forhold på system nivå. Mulighet for å holde en god faglig standard peker seg ut: mindre papirarbeid, tid til egen fagligutvikling, undervisning og tverrfaglig teamarbeid trekkes frem. I tilegg kommer lønn og avlastningsmuligheter

Prolonging a sustainable working life amongst older rural GP’s

*Provide encouragement and support for GPs at all stages of their career, wishing to work part-time.

*Try to achieve control over your working life, by maintaining a healthy work-life balance through implementation of
mental and lifestyle strategies. Eat healthy, be physically active, and recognise and respond to signs of stress and burnout.

*Offer support and assistance to GPs wishing to sell their practice but remain in rural general practice in a contracting
capacity.

*Work in a good team with other GPs, ideally with nursing and allied health support. Promote good team
communication through regular scheduled meetings.

*Have a gradual retirement plan. Promotion of practice structures enabling GPs to retire gradually without being
financially penalised.

*Implement practice-based health promotion strategies.

*Pursue a special professional interest. Promote GP cross-referral. Establish a GP specialist/expertise database. Utilise
and fund positions for GPs with special interests within hospitals (eg discharge planning, out-patient clinics).

*Become involved in teaching and mentoring young doctors. Implement legislation to make it financially viable for
semi-retired GPs to remain in clinical practice, and to enable GPs retired from clinical practice to continue their
involvement in teaching.

*Ensure that a good range of educational opportunities are available and easily accessible (including technology upskilling
for older GPs).

*Reduce the bureaucratic burden on GPs.

*Implement strategies to improve the status and recognition of GPs in the local and medical community.

*Build on and improve utilisation of current local locum database.

Personal Strategies

Practice based strategies

Professional strategies    Beyond the practice – systemic factors
Achieve a healthy work-life balance Ability to work part-time Pursue a professional interest Payment systems supportive of continued involvement in teaching
Looking after physical and mental health Alternatives to ownership of practice Become an educator or mentor Educational opportunities
Progressive retirement Develop teams with multi disciplinary support   Burden of bureaucracy
Achieve a sense of control over working life Innovative practice structures   Improve status and recognition of GPs in local and medical communities
  Implement practice based health promotion strategies   Build on and improve local locum database
     

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Nasjonalt senter for distriktsmedisin. Institutt for samfunnsmedisin, 9037 Tromsø. Telefon: +47 776 45 512