European general practitioners' attitudes towards person-centred care and factors that influence its implementation in everyday practice: The protocol of the cross-sectional PACE GP/FP study in 24 European countries.
Goranka Petriček, Zalika Klemenc-Ketiš, Zlata Ožvačić Adžić, Venija Cerovečki, Sara Willems, Zoi Tsimtsiou, Erika Zelko, Claire Collins, Kathryn Hoffmann, Torunn Bjerve Eide, Sara Ares Blanco, Thomas Frese, Heidrun Lingner, Radost Assenova, Péter Torzsa, Bohumil Seifert, Mehmet Ungan, Sabine Bayen, Adam Windak, Joana Azeredo, Katarina Stavrikj, Sanda Kreitmayer, Milena Kostić, Iliana-Carmen Busneag, Tuomas Koskela, Alice Serafini, Joanne Butterworth, Dorien Louise Maria Zwart, Jesús González-Lama, Gorka Vuletić, Esther Van Poel, Ksenija Tušek Bunc, Canan Tuz, Vildan Mevsim, Martin Seifert, Mina Dahli, Pero Hrabač, Miroslav Hanževački, Jelena Rakić Matić, Marion Tomičić, Marko Rađa, Bruno Heleno, Krzysztof Studzinski, Ádám Becze, Rosa Megallón-Botaya, Heather Lynn Rogers, Christine Brütting, Didem Kafadar, David Lerma Irureta, Davide Fornacciari, Katarzyna Nessler, Kiril Soleski, Fátima Méndez-López, Oğulcan Çöme, Abeer Ahmad, Davorina Petek
Author Information
Goranka Petriček: Department of Family Medicine, School of Medicine, University of Zagreb, Zagreb, Croatia. ORCID
Zalika Klemenc-Ketiš: Ljubljana Community Health Centre, Ljubljana, Slovenia. ORCID
Zlata Ožvačić Adžić: Department of Family Medicine, School of Medicine, University of Zagreb, Zagreb, Croatia. ORCID
Venija Cerovečki: Department of Family Medicine, School of Medicine, University of Zagreb, Zagreb, Croatia.
Sara Willems: Department of Public Health and Primary Care, Ghent University, Ghent, Belgium. ORCID
Zoi Tsimtsiou: Department of Hygiene, Social-Preventive Medicine and Medical Statistics, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece. ORCID
Erika Zelko: Department of Family Medicine, Medical Faculty, University of Maribor, Maribor, Slovenia. ORCID
Claire Collins: Department of Public Health and Primary Care, Ghent University, Ghent, Belgium. ORCID
Kathryn Hoffmann: Department of Primary Care Medicine, Center for Public Health, Medical University of Vienna, Vienna, Austria. ORCID
Torunn Bjerve Eide: Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway. ORCID
Sara Ares Blanco: Federica Montseny Health Centre, Gerencia Asistencial Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain. ORCID
Thomas Frese: Institute of General Practice, Faculty of Medicine, University of Halle-Wittenberg, Halle/Saale, Germany. ORCID
Heidrun Lingner: Center for Public Health and Healthcare, Hannover Medical School, Hannover, Germany. ORCID
Radost Assenova: Department Urology and General Practice, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria. ORCID
Péter Torzsa: Department of Family Medicine, Semmelweis University, Budapest, Hungary. ORCID
Bohumil Seifert: First Faculty of Medicine, Institute of General Practice, Charles University, Prague, Czech Republic. ORCID
Mehmet Ungan: Department of Family Medicine, Ankara University School of Medicine, Ankara, Turkey. ORCID
Sabine Bayen: Department of General Practice, University of Lille, Lille, France. ORCID
Adam Windak: Department of Family Medicine, Jagiellonian University Medical College, Kraków, Poland. ORCID
Joana Azeredo: Unidade de Saúde Familiar Jardim dos Plátanos, Unidade Local de Saúde de Lisboa Ocidental, Lisbon, Portugal. ORCID
Katarina Stavrikj: Centre for family medicine, Family Medicine, St Cyril and Methodius University, Skopje, North Macedonia. ORCID
Sanda Kreitmayer: Public Health Center 'Dr M. Sehovic' Tuzla, Tuzla, Bosnia and Herzegovina. ORCID
Milena Kostić: Health Center 'Dr Đorđe Kovačević', Belgrade, Serbia. ORCID
Iliana-Carmen Busneag: Kinetic Therapy and Special Motricity, 'Spiru Haret' University, Bucharest, Romania. ORCID
Tuomas Koskela: Faculty of Medicine and Health technology, Tampere University, Tampere, Finland. ORCID
Alice Serafini: Azienda Unità Sanitaria Locale di Modena, Laboratorio EduCare, University of Modena and Reggio Emilia, Modena, Italy. ORCID
Joanne Butterworth: Exeter Collaboration for Academic Primary Care (APEx), University of Exeter, Exeter, United Kingdom. ORCID
Dorien Louise Maria Zwart: Department of General Practice & Nursing Science, Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht Utrecht University, Utrecht, The Netherlands. ORCID
Jesús González-Lama: Maimonides Institute for Biomedical Research of Córdoba (IMIBIC), Reina Sofía University Hospital, Córdoba University, Córdoba, Spain. ORCID
Gorka Vuletić: Department of Psychology, Faculty of Humanities and Social Sciences, University J. J. Strossmayer in Osijek, Osijek, Croatia. ORCID
Esther Van Poel: Department of Public Health and Primary Care, Ghent University, Ghent, Belgium. ORCID
Ksenija Tušek Bunc: Department of Family Medicine, Medical Faculty, University of Maribor, Maribor, Slovenia. ORCID
Canan Tuz: Department of Family Medicine, Bursa Uludag University, Bursa, Turkey. ORCID
Vildan Mevsim: Faculty of Medicine, Department of Family Medicine, Dokuz Eylul University, Izmir, Turkey. ORCID
Martin Seifert: Division of General Practice, 3rd Faculty of Medicine, Charles University in Prague, Prague, Czechia. ORCID
Mina Dahli: Department of Medical Statistics, Epidemiology and Medical Informatics, School of Medicine, University of Zagreb, Zagreb, Croatia. ORCID
Pero Hrabač: Department of Medical Statistics, Epidemiology and Medical Informatics, School of Medicine, University of Zagreb, Zagreb, Croatia. ORCID
Miroslav Hanževački: Department of Family Medicine, School of Medicine, University of Zagreb, Zagreb, Croatia. ORCID
Jelena Rakić Matić: Health Centre Zagreb-West, Zagreb, Croatia. ORCID
Marion Tomičić: Department of Family Medicine, School of Medicine, University of Split, Split, Croatia. ORCID
Marko Rađa: Department of Family Medicine, School of Medicine, University of Split, Split, Croatia. ORCID
Bruno Heleno: Comprehensive Health Research Centre, Person-Centred Research Group, NOVA Medical School, Lisbon, Portugal. ORCID
Krzysztof Studzinski: Department of Family Medicine, Jagiellonian University Medical College, Kraków, Poland. ORCID
Ádám Becze: National Institute of Environmental Health, Semmelweis University, Budapest, Hungary. ORCID
Rosa Megallón-Botaya: Aragones Group of Research in Primary Health Care (GAIAP), Institute for Health Research Aragon (IISAragon), Zaragoza, Spain. ORCID
Heather Lynn Rogers: Biocruces Bizkaia Health Research Institute, Barakaldo, Bizkaia, Spain. ORCID
Christine Brütting: Institute of General Practice, Faculty of Medicine, University of Halle-Wittenberg, Halle/Saale, Germany. ORCID
Didem Kafadar: Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Cerrahpaşa Fatih/İstanbul, Turkey. ORCID
David Lerma Irureta: Aragones Group of Research in Primary Health Care (GAIAP), Institute for Health Research Aragon (IISAragon), Zaragoza, Spain. ORCID
Davide Fornacciari: Local Health Authority of Modena (Ausl), Modena, Italy. ORCID
Katarzyna Nessler: Department of Family Medicine, UJCM at Uniwersytet Jagielloński - Collegium Medicum, Kraków, Poland. ORCID
Kiril Soleski: Macedonaian Medical Association, Skopje, North Macedonia. ORCID
Fátima Méndez-López: Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain. ORCID
Oğulcan Çöme: Faculty of Medicine, Department of Family Medicine, Dokuz Eylul University, Izmir, Turkey. ORCID
Abeer Ahmad: Department of Clinical Pharmacology and Pharmacy, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands. ORCID
Davorina Petek: Department of Family Medicine, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia. ORCID
BACKGROUND: Person-centred care (PCC) is a fundamental principle in general practice, emphasising practices tailored to individual patient preferences, needs, and values. Despite the importance of PCC, general practitioners (GPs) face obstacles in effectively implementing it, with associated factors remaining unclear. OBJECTIVES: The PACE GP/FP study aims to explore GPs' attitudes towards PCC and the factors facilitating or hindering its implementation in daily practice across European countries. This paper outlines the PACE GP/FP study protocol. METHODS: The cross-sectional design with data collection an online survey distribution to GPs in 24 European countries. Study instruments include two validated questionnaires (Perceived Stress Scale (PSS) and Patient Physician Orientation Scale (PPOS)) and additional items covering general information about the doctor and their practice, as well as facilitators and barriers to PCC. These additional items were specifically developed for the study, translated using the forward-backward method, evaluated through cognitive debriefing, and integrated into the REDCap platform to create language and country-specific survey links. The STROBE checklist guides the reporting of the manuscript. CONCLUSION: The PACE GP/FP study will provide a comprehensive exploration of GPs' attitudes towards PCC and the factors shaping its practice in Europe. The findings from the PACE GP/FP study will provide evidence for designing future implementation strategies and guide targeted interventions to promote PCC in primary care across Europe.
