161 Perceptions and beliefs of GPs on the CSPs Supplementary Table 1. Quotes resulting from the interviews (n=5) (continued) Topic Number GP Quote Q31 II I do not think it is a good idea for GPs to start inviting. Because that is another extra task, besides, it means that we as GPs then have to take responsibility for this invitation procedures. This just has to run super smooth. We cannot have invitations not being sent, just because of some IT-failures. Or someone might not have changed their address and therefore did not receive an invitation. Q32 II What could be done is a kind of ‘add-on methodology’. So in addition to a common basis, something extra can be done on the community-level by GP practices. Think of a letter, or maybe even a call from the practice Q33 III If you invite yourself as GP, you will probably get higher screening attendance rates. If people get a letter from an organisation they do not know, especially here in the neighbourhood, they very easily throw it away. There is a lack of trust, so to say. There is a lot of suspicion and distrust of what the government is and does. If the letter comes via the GP, or it says on the letter, “this letter is from your GP” then that will probably lead to a higher uptake. Q34 IV I am not in favour of inviting myself. Right now it is well organised. We just do not have the energy and time. We already have enough things to do. Q35 V People do not feel they are individually seen right now. That is also why they do not participate. This is a pity, because it could so easily be organized differently; i.e. by involving us as GPs more. We have also seen this with programmes aimed at cardiovascular risks and diabetes. If you provide individual attention, that will work. People appreciate it when they are looked after. People respond and flourish when you give them attention. Q36 V I think it matters who sends the invitation letter. So whether it comes from a neutral organization/government, or via us, as GPs. This will have an effect on the screening uptake. In the past, we were involved in the invitation procedures, that worked incredibly well. It is a shame that that is no longer possible now. Q37 V It is true, nowadays we have been appointed a lot of other tasks. Before, it was easy to be involved in the CSPs, but maybe now not anymore. This is also a political choice, what do we as a society want a GP to do? In addition, GPs are current busy because of the ‘Purple Crocodile’. If only we could get rid of that, we would have time again to tackle really important issues. There is a desire for GPs to work more on prevention, look also at the Integral Prevention Agreement, but now it is hardly doable for us. Topic IV Q38 I Given the complexity of participation, it is not surprising that people living in a low SES-neighbourhood and with a non-western migration background are less likely to participate. You have to do it all yourself, read it, understand it etc. You may wonder whether sufficient instructions are provided. There has been very little attention to enlighten this problem. 6
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