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. 2017 Mar 14;67(657):e227–e237. doi: 10.3399/bjgp17X689929
Authors Year Countries Article type Topic Method Relevance Quality
Buchbinder SB et al 46 2001 US Cohort study Primary care physician, job satisfaction and turnover Questionnaire survey Weak: cohort from the US and data from 1987 to 1991 Good
Buciuniene I et al 42 2005 Lithuania Original research Healthcare reform and job satisfaction Self-administrated anonymous questionnaires Weak: GPs and policy from Lithuania Average/weak: cross-sectional and statistical analyses simplistic (no regression, only correlations)
Bustinza R et al 34 2009 Canada Cohort study Training programme, GP retention in rural area Used of secondary data and questionnaires Average: Canada has a similar primary care context but the study was in a rural context Good
Campos-Outcalt D et al 30 1995 US Review/quality assessment Curricula, role models, research support, career choice Literature search: Medline, PsycINFO, Current Contents, Expanded Academic Index Average, the article presents three elements influencing career choice, but the article is quite old Average: the methods are very detailed. Very few articles were included in the results section due to the lack of quality articles fitting their 70 criteria
CfWI51 2014 UK Review/report GP workforce N/A High Good: because it gives an overview of the GP workforce in the UK
Chellappah M, Garnham L21 2014 UK Original research Medical student attitude towards general practice Questionnaire design High Weak: not generalisable (specific to one college). Measurement scale not used
Crampton PES et al 22 2013 Australia, US, Canada, NZ, South Africa, Japan Systematic literature review Undergraduate clinical placements, underserved areas Database searches, inclusion and exclusion criteria, data extraction, and so on Weak High
Dale J et al 43 2015 UK (West Midlands) Cross-sectional study Retention of GPs Online questionnaire with free-text section High Good: because it questioned the proposition that general practice is in crisis
Dayan M et al 37 2014 UK Report GP workforce crisis N/A Good Average
Doran N et al 47 2016 UK Mixed-methods research Why GPs leave the NHS Online questionnaire with qualitative interviews High Good
Evans J et al 52 2000 UK Cohort study Medical graduates and flexible/part-time working in medicine Survey with free-text comment. Reported mainly the qualitative data Weak: medical graduate in general not only future GPs, also the data come from 1977, 1988, and 1993 Average: used mainly qualitative data coming from the free-text comment. The percentage of comment on flexible and part time is less than 9% for the three cohorts
Feeley TH53 2003 N/A Narrative literature review Retention in rural primary care physicians N/A Weak Weak
Geyman JP et al33 2000 US Study Educating GPs for rural practice Comprehensive literature search: Medline, Health STAR databases Weak, but the recommendations are interesting Average/weak: little analysis, only looked at programmes
Gibson J et al14 2015 UK Report, survey GP work/life survey Questionnaire Good Average: it is a report.
Groenewegen PP et al44 1991 US Review of the literature GP, effective workload, job satisfaction N/A Good Average: no method but definition and theorisation is interesting
Halaas GW et al 24 2008 US Study Recruitment and retention of rural physicians Analysed data from a recruitment programme Good, but the results are linked to the rural context Average: no hypothesis, nor hypothesis testing, but 37-year trend studied
Harding A et al 2 2015 UK Cross-sectional study Teaching and general practice Review of past national survey and questionnaire survey Good Good
Hemphill E et al 61 2007 Australia Mixed design GP rural recruitment Three sources of data collection: GP survey, data collected from a convenient sample of students, and interviews with recruiting agencies Weak Average
Humphreys J et al 49 2001 Australia Critical review Rural medical workforce retention Australian and international database: ATSI Health, Consumer service, AusportMed, Family & Society, and so on Good Average: issues with method inclusion/exclusion criteria
Illing J et al 25 2003 UK Review of evidence Learning in practice (preregistration house officers) and general practice Literature search: Embrase, Medline, ERIC, FirstSearch, PsycINFO, www.timelit.org.uk, www.educationgp.com Good Average: methods inclusion and exclusion criteria not presented
Landry M et al 26 2011 Canada Original study Recruitment and retention of doctors and local training (rural) Short survey Good but the results are linked to the rural context Good: methods well presented, the analyses are adequate
Lee DM, Nichols T 27 2014 US, Canada Case study, review Physician recruitment and retention, rural and underserved areas Literature review Weak: but suggestions for different factors influencing recruitment and retention Average: the review method is described but the case study choice is not explained
Newton J et al 50 2004 UK (Northern Deanery) Original study Job dissatisfaction and early retirement Qualitative study: interviews, using a purposefully drawn sample from seven sub-groups of responders Good Average: small number of interviewees
O’Connor DB et al 45 2000 UK (Liverpool) Preliminary study Job strain and blood pressure in general practice Questionnaire and ambulatory blood pressure procedure High: relationship between job strain and blood pressure Good
Petchey R et al 23 1997 UK Original study Junior doctors’ perceptions of general practice as a career Qualitative study: interviews, using an heterogeneous sample High Weak: little theoretical. development
Roos M et al 36 2014 Czech Republic, Denmark, Germany, Italy, Norway, Portugal, UK Original cross-sectional study Motivation for career choice and job satisfaction: GP trainees and newly qualified GPs Questionnaire/survey High Good
Rosenthal TC 32 2000 US Review Rural training tracts N/A Weak: but interesting insight Weak
Schwartz MD et al 28 2005 US Reflection Student interest in generalist career N/A High Weak: recommendations without original study, nor based on evidence from various articles
Shadbolt N, Bunker J 20 2009 Australia Review Career choice determinants N/A High Weak: no method
Sibbald B et al 39 2003 England National survey Job satisfaction and retirement Survey High Good
Stapleton G et al 62 2014 English-speaking countries Review, ethical criteria Primary care physicians Database: Web of Knowledge Weak Average: presentation of methods
Van Ham I et al 40 2006 UK, US, Australia Systematic review GPs and job satisfaction Two strategies: database and snowball methods High High
Verma P et al 19 2016 UK, US, Canada, Australia, Japan, NZ, Norway, Chile Systematic review Strategies to recruit and retain Literature search: Medline, Embase, and Central, 1974–2013 High High
Williamson JW et al 31 1993 US Comparative studies Primary care, health systems change N/A Weak Weak: no method
Wordsworth S et al 48 2004 UK Original study Preferences for general practice jobs Discrete-choice experiment Good Good
Young R, Leese B 29 1999 UK Discussion paper/review Recruitment and retention of GPs in the UK Literature search: Medline, BIDS-EMBASE, IBSS, HELMIS, survey of articles in recent issues of relevant professional journals High Average: little theoretical development and evidence

ATSI = Aboriginal and Torres Strait Islander. CfWI = Centre for Workforce Improvement. ERIC = Education Resources Information Centre. HELMIS = Health Management Information Service. IBSS: = International Bibliography of the Social Sciences.