title: Private or salaried practice: how do young general practitioners make their career choice? A qualitative study.
abstract: BACKGROUND
  Young French postgraduates in general practice increasingly prefer salaried practice to private practice in spite of the financial incentives offered by the French government or local communities to encourage the latter. This study aimed to explore the determinants of choice between private or salaried practice among young general practitioners.
  
  
  METHODS
  A qualitative study was conducted in the South West of France. Semi-structured interviews of young general practitioners were audio-recorded until data saturation. Recordings were transcribed and then analyzed according to Grounded Theory by three researchers working independently.
  
  
  RESULTS
  Sixteen general practitioners participated in this study. For salaried and private doctors, the main factors governing their choice were occupational factors: working conditions, need of varied scope of practice, quality of the doctor-patient relationship or career flexibility. Other factors such as postgraduate training, having worked as a locum or self-interest were also determining. Young general practitioners all expected a work-life balance. The fee-for-service scheme or home visits may have discouraged young general practitioners from choosing private practice.
  
  
  CONCLUSIONS
  National health policies should increase the attractiveness of ambulatory general practice by promoting the diversification of modes of remuneration and encouraging the organization of group exercises in multidisciplinary medical homes and community health centers.
authors: Univ. Bordeaux, UMR1219, F-33000, Bordeaux, France. sherazade.kinouani@u-bordeaux.fr.|INSERM, team HEALTHY, UMR1219, F-33000, Bordeaux, France. sherazade.kinouani@u-bordeaux.fr.|Department of General Practice, Univ. Bordeaux, F-33000, Bordeaux, France. sherazade.kinouani@u-bordeaux.fr.|Département de Médecine générale, Université de Bordeaux, 146, rue Léo Saignat, Case 148, 33076, Bordeaux, Cedex, France. sherazade.kinouani@u-bordeaux.fr.
authors: Shérazade
authors: http://orcid.org/0000-0003-2921-008X
authors: S
authors: Kinouani
authors: Department of General Practice, Univ. Bordeaux, F-33000, Bordeaux, France.
authors: Gary
authors: G
authors: Boukhors
authors: Department of General Practice, Univ. Bordeaux, F-33000, Bordeaux, France.
authors: Baptiste
authors: B
authors: Luaces
authors: Department of General Practice, Univ. Bordeaux, F-33000, Bordeaux, France.
authors: William
authors: W
authors: Durieux
authors: Department of General Practice, Sorbonne Universités, UPMC Univ Paris 06, School of Medicine, F-75012, Paris, France.
authors: Jean-Sébastien
authors: JS
authors: Cadwallader
authors: Department of General Practice, Sorbonne Paris Cité, Univ Paris Diderot, F-75018, Paris, France.|EA Recherche Clinique Coordonnée Ville-Hôpital, Méthodologies et Société (REMES), F-75018, Paris, France.
authors: Isabelle
authors: I
authors: Aubin-Auger
authors: Department of General Practice, Univ. Bordeaux, F-33000, Bordeaux, France.
authors: Bernard
authors: B
authors: Gay
mesh_terms: D001291:Attitude of Health Personnel; D002321:Career Choice; D005602:France; D058006:General Practice / Q000191:economics / Q000706:statistics & numerical data; D058005:General Practitioners / Q000523:psychology*; D006801:Humans; D009042:Motivation; D010817:Physician-Patient Relations; D011331:Private Practice / Q000191:economics / Q000706:statistics & numerical data; D036301:Qualitative Research
keywords: Career choice; Fee for service; General practitioners; Medical education; Primary health care; Professional practice location; Qualitative research; Salary