Table 3.

GP quotes from interviews

Feasibility aspect	Quote (Interviewee)
Evaluation of care: organizational aspects of the GP-provided test-offer	“I particularly liked the training course, which was essential. It would be difficult to provide the ECS test without doing the training course first.” Interviewee 10
	“At first, I thought 30 minutes should be planned for each consultation… But later I reduced it to 20 minutes, because it was feasible in 20 minutes… Also because at a certain moment you know what to discuss. Well, and people were often perfectly able to tell about the test. Most of them.” Interviewee 5
Evaluation of care: content	“I discussed the items on the checklist with everyone, because I thought those were the essential points. So [amongst others] about what types of diseases were included. What the chances were, that it [the ECS test] does not offer any guarantee [of a healthy baby], and that there were no costs involved [for the couple]. That’s it, in brief.” Interviewee 5
	“What is really important is that they realize that it’s the couple being tested and not the individuals, that the result says nothing about each individual only something about the couple together.” Interviewee 3
Views on future implementation: Suitable provider	[reasons why the GP is suitable]…“well, of course it’s close to the patient, most patients, even these healthy young people know their GP. And that means that, in a counselling like this, the threshold to ask questions is likely to be lower, or to return. They know where to find us when they need to.” Interviewee 8
Views on future implementation	“Well.., I think that with the right provision of information, it could very well be part of this general preconception care advice.” Interviewee 4
Views on future implementation	“The solidarity [healthcare insurance] system here [in the Netherlands] means that if you want to reach people, you should cover the costs.” Interviewee 7