• Hans van den Dool, Ria Jochemsen-van der Leeuw, and Nynke van Dijk.
• Department of General Practice/Family Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
• Fam Med. 2023 Jan 1; 55 (1): 273327-33.

Background And ObjectivesOffice-based minor surgery (OBMS) refers to all surgical procedures performed under local anesthetic in the office setting. It is cost effective for the health economy, safe, and appreciated by patients. It is not yet fully understood why some general practitioners (GPs) perform OBMS and others do not, while there is a growing demand for OBMS. Therefore, we explored factors that influence the performance of OBMS by GPs. The aim of this study is to explore the facilitators and barriers that influence GPs in deciding whether to perform OBMS.MethodsWe performed a qualitative study using focus groups consisting of GPs and GP trainers. Two researchers analyzed the data independently.ResultsThe analysis resulted in a comprehensive list of facilitators and barriers. Besides already known factors such as financial consequences and geographic location, the most important factors influencing the decision to perform OBMS were training and the role of the GP trainer; fear of having to work alone and having to solve unexpected complications; and the influence of collaboration, organization, and facilities in the GP's own practice.ConclusionsThe increasing demand for OBMS in primary care centers requires more attention to training aspects, the existing fear, adequate reimbursement for special accreditation, and collaboration and organization. We expect that addressing these factors will result in the strengthening of primary care, improving patient safety, lower referral rates, and a reduction in health care costs.

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