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Research

Exploring considerations for becoming a GP practice owner: a qualitative study

Hinda A Stegeman, Manna A Alma, Hanneke PM Vervoort, Vivian van Vliet, Nynke D Scherpbier, Daniëlle MC Jansen and Marjolein Y Berger
BJGP Open 2025; 9 (3): BJGPO.2024.0213. DOI: https://doi.org/10.3399/BJGPO.2024.0213
Hinda A Stegeman
1 Business Administration, Primary and Long Term Care, University Medical Centre Groningen, Groningen, The Netherlands
Msc
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  • ORCID record for Hinda A Stegeman
  • For correspondence: h.a.stegeman{at}umcg.nl
Manna A Alma
2 Applied Health Research, University Medical Centre Groningen, Groningen, The Netherlands
PhD
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  • ORCID record for Manna A Alma
Hanneke PM Vervoort
3 Social Psychology, Primary and Long Term Care, University Medical Centre Groningen, Groningen, The Netherlands
Msc
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  • ORCID record for Hanneke PM Vervoort
Vivian van Vliet
4 General Practice, Primary and Long Term Care, University Medical Centre Groningen, Groningen, The Netherlands
MD
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Nynke D Scherpbier
4 General Practice, Primary and Long Term Care, University Medical Centre Groningen, Groningen, The Netherlands
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  • ORCID record for Nynke D Scherpbier
Daniëlle MC Jansen
1 Business Administration, Primary and Long Term Care, University Medical Centre Groningen, Groningen, The Netherlands
5 Sociology, Primary and Long Term Care, University Medical Centre Groningen, Groningen, The Netherlands
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  • ORCID record for Daniëlle MC Jansen
Marjolein Y Berger
1 Business Administration, Primary and Long Term Care, University Medical Centre Groningen, Groningen, The Netherlands
4 General Practice, Primary and Long Term Care, University Medical Centre Groningen, Groningen, The Netherlands
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Article Figures & Data

Figures

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  • Figure 1.
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    Figure 1. Themes and sub-themes. PO = practice owner
  • Figure 2.
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    Figure 2. Model of theory of planned behaviour41
  • Figure 3.
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    Figure 3. Model of theory of planned behaviour with predominantly positive and negative considerations for becoming a practice owner41

Tables

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    Table 1. Thematic analysis process using phases of Braun and Clarke
    PhaseActionResult
    1. Familiarising with dataReading three transcripts of different subgroups (HS, MA, HV, VvV, SdV)Individual initial list of ideas for coding
    2. Generating initial codesa. Jointly going through transcripts of three focus groups, focusing on discussing everyone’s initial ideas of codes and arriving at a corresponding idea (HS, MA, HV, VvV, SdV)Initial codebook with definitions of the codes
    b. Coding of the remaining data by HS, reviewed transcript by one of the other researchers (MA, HV, VvV, SdV). New codes were defined and cross-checked by the whole team before inclusion in the codebookFinal codebook
    c. Peer debriefing, looking back on the process and cooperation, and sharing the overall impression of the data (HS, MA, HV, VvV, SdV)Shared overall view across the data
    3. Searching for themesa. Developing themes using mind mapping (HS and MA)Initial concept of themes
    b. Discussion of overarching themes (HS, MA, HV, VvV, SdV)Concept of themes
    4. Reviewing themesDiscussion of the themes with the authors of the article (HS, MA, HV, VvV, DJ, MB)Completion of the thematic map
    5. Defining and naming themesWriting down the essence of the themes by HS, reviewed by authors (MA, DJ, HV, VvV, MB)Completion definition of themes; concept of result paragraph of article
    6. Producing the reportRewriting the results in several stages (HS), always commented by the other authors (MA, DJ, HV, VvV, NS, MB). During this process, a synthesis was formulated and discussed with the authors (MA, DJ, HV, VvV, NS, MB)Finalised text of the results section
    • View popup
    Table 2. Background information of participants
    GP trainees
    (n = 41)
    Freelance and
    salaried GPs
    (n = 31)
    POs
    (n = 12)
    Freelance and
    salaried GPs (n = 3)
    Ex-POsa (n = 3)
    Number of FGDs
    (14 total)
    56
    (1 mixed group with 1 ex-PO)
    3 Number of Interviews (6 total) 33
    Sex Male/female14/275/261/111/22/1
    Age in years Range, years26–3831–4733–4436–5146–48
    Mean30.936.838.743.347
    Missing n = 2--- n = 1
    Years after graduation as GP Range-0–152–173–169–17
    Mean5.588.91013
    Missing-- n = 1--
    Children Yes/no14/2523/810/13/02/0
    Range (number of children)1–41–41–72–32–3
    Mean (if children yes)1.712.173.12.32.5
    Missing n = 2 - n = 1- n = 1
    Children’s age in years Range (years)0–100–170–163–1810–19
    Mean3.26.16.210.712.6
    Missing--- n = 1
    • aPractice owners who resigned early, before reaching age 50 years. FGD = focus group discussion. PO = practice owners

Supplementary Data

  • Steg_10.3399BJGPO.2024.0213_supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy. 

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Exploring considerations for becoming a GP practice owner: a qualitative study
Hinda A Stegeman, Manna A Alma, Hanneke PM Vervoort, Vivian van Vliet, Nynke D Scherpbier, Daniëlle MC Jansen, Marjolein Y Berger
BJGP Open 2025; 9 (3): BJGPO.2024.0213. DOI: 10.3399/BJGPO.2024.0213

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Exploring considerations for becoming a GP practice owner: a qualitative study
Hinda A Stegeman, Manna A Alma, Hanneke PM Vervoort, Vivian van Vliet, Nynke D Scherpbier, Daniëlle MC Jansen, Marjolein Y Berger
BJGP Open 2025; 9 (3): BJGPO.2024.0213. DOI: 10.3399/BJGPO.2024.0213
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Keywords

  • practice organisation
  • qualitative research
  • continuity of patient care
  • general practice
  • general practitioners
  • primary healthcare

More in this TOC Section

  • Experiences of dyslexia in GP training in the UK: a qualitative study
  • Artificial intelligence in general practice in Germany: an online survey of current use, perceived benefits, barriers, and future needs
  • Planetary health in general practice: a cross-sectional survey in France
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