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Working hours of general practitioners: identifying differences in working hours with data obtained by a real time measurement tool.

Hassel, D.T.P. van. Working hours of general practitioners: identifying differences in working hours with data obtained by a real time measurement tool. Utrecht: Nivel, 2020.
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General introduction
In the Netherlands, general practitioners (GPs) play a central role in the accessibility of care. They are the gatekeepers of the Dutch healthcare system and directly solve about 90% of all the health problems and complaints of their population (De Bakker, 2009). The maintenance and monitoring of GPs’ working time is therefore a key condition for healthcare services in the Netherlands. This thesis concerns the measurement and explanation of GPs’ working hours. I established an extensive time sampling study based on SMS text messaging among more than 1,000 GPs that was conducted in the period December 2012 to January 2014. The aim of this thesis is two-fold. Firstly, to assess this new method with regard to its feasibility, reliability, and validity. Secondly, to analyse the outcomes of the study by exploring individual aspects of employment and practice that account for the variation in working hours among GPs.