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The majority of the respondents (55.6%) were working only in the full-time private practice sector, 19.8% mentioned a combination of the public and the private practice sectors, 2.5% worked at the university, and 1.2% were retired (partly).
Such debate is partly reflective of a difference in opinion between nurses in education and those within clinical practice sectors, as to whether new GRNs are in fact practice ready.
Key informants were selected for broad representation of professions, practice sectors and geographic variation.
A second important finding is that we have identified differences across the care continuum regarding relative attractiveness of practice sectors for physical therapists.
Working in a private clinic was the most common form of employment in both private and dual practice sectors (40.5% and 53.6%, respectively).
PHC practitioners, managers and researchers have been sharing learnings across institutions and, to some extent, practice sectors, and are beginning to work collaboratively on QI-PHC planning and projects.
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Another 14.8% of the respondents worked in the private practice sector, at the university, and in the public clinic, while 6.2% of the orthodontists noted the university and the public clinic as their workplaces.
(The study made no reference to primary health care or the private practice sector).
Consequently, health departments must emphasise in national and sub-national plans, the critical need for all levels of the health system to integrate the general practice sector in the planning process.
We argue instead that the general practice sector, which is characterised by loose networks between ambulatory care services, and often lacks the appropriate organisational structure and mandate, cannot spearhead many elements of planning for primary care.
While the diversity of the general practice sector means that there will not be guidelines to cover all scenarios and contexts, a coherent approach would enable multi-actor accountability and more efficient, contextual planning by jurisdictions.
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