Themes | Subthemes | Axial codes |
---|---|---|
Both GPs’ trust in APP and a clear added value of APP are critical for starting implementation | GPs need to trust APP | |
GPs doubt added value of APP | ||
APPs need continuous support from GPs | APPs need the full commitment of GPs to start | APPs cannot refer to secondary care on their own |
Limited availability of patient information | ||
Triaging patients lacks criteria | ||
APPs and GPs want to scale-up | ||
GPs and APPs struggle with who is in charge of the care pathway | ||
APPs require support from GPs while they build-up their self-confidence | Insecurity during delivery of care | |
Insecurity during team interactions | ||
More work experience increases their self confidence | ||
Establishment of proper reimbursement is crucial | ||
APPs believe that their position needs strengthening | GPs want to retain their authority and control | Competencies and attainment levels are poorly crystalised |
Different preferences for type of employment and final responsibility | ||
APPs experienced tension between GPs’ standards and their working methods | ||
More guidance from the professional association is desirable | APPs want more backing from trade organisation | |
Trade organisation needs to be a driving force towards stakeholders | ||
APPs found limited added value in the training they attended | Work experience influences the added value of the training | |
Curriculum needs more in-depth and practical training | ||
Implementation of the APP model creates tension over ownership | No place for APP among physiotherapy yet | Gaining trust amongst physiotherapists with whom they need to collaborate |
Controversy over the positioning of APPs | ||
Finding the balance between taking over GP care and safeguarding core values | Deployment of APP jeopardises patient-centred care | |
Ensuring the independent delivery of care appears to be an unfeasible ideal | ||
GPs must be able to maintain the delivery of general medical care at a qualified level | ||
APPs and GPs need to develop a common language |