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Article History

Received: 14 June 2023

Accepted: 11 March 2024

First Online: 23 March 2024

Declarations

:

: This study was approved by the Netherlands Institute for Health Services Research (Nivel) and all methods were performed in accordance with the relevant guidelines and regulations. For the QUALICOPC (Quality and Costs of Primary Care) study, ethical approval was acquired in accordance with the legal requirements in each participating country. The surveys were carried out voluntarily (based on informed consent) and anonymously. As the use of the QUALICOPC data for this study is in line with the original goals of the data collection and no additional data was collected, the initial ethical approval is sufficient for this study.Ethic approval was granted by:Australia: The Australian National University (ANU) Human Research Ethics Committee, University of Western Sydney Human Research Ethics Committee, The Royal Australian College of General Practitioners (RACGP) National Research and Evaluation Ethics Committee,Austria: Ethics committee of the Medical University of Vienna,Belgium: University Hospital Ghent—Commission for Medical Ethics.Bulgaria: The coordinator sent an official letter to the Ministry of Health which gave consent and support for the survey. The coordinator confirmed that there is no statutory requirement for ethical approval for this study.Canada: Behavioural Research Ethics Board, Community Research Ethics Board of Alberta, University of Sakatchewan Behavioural Research Ethics Board, Health Research Ethics Board, Health Sciences Research Ethics Board, Health Sciences and Science Research Ethics Board, Comité institutionnel d'éthique de la recherche avec les êtres humains, Research Ethics Board, Health Sciences Research Ethics Board, Interdisciplinary Committee on Ethics in Human Research.Cyprus: National Bioethical Committee of Cyprus.Czech Republic: General University Hospital linked to the First Faculty of Medicine, Charles University in Prague.Denmark: The coordinator confirmed that there is no statutory requirement for ethical approval for this study.Estonia: The national coordinator consulted with the Ethics Review Committee on Human Research of the University of Tartu. It was confirmed that there is no statutory requirement for ethical approval for this study.Finland: The ethical committee of Pirkanmaa Hospital District.Germany: Ethics Commission of the "Landesärtzenkammer Hessen".Greece: Bioethical committees of seventy hospitals.Hungary: National Ethical Committee.Iceland: The Icelandic Bioethics Committee. A national committee under the Ministry of Welfare.Ireland: Irish College of General Practitioners Research Ethics Committee – National Committee.Italy: At Local Health Authorities level. Approval was requested from LHA Ethical Committees.Latvia: Latvian Physicians Association Board of Certification.Lithuania: Kauno Regionus Biomedicininu Tyrimu Etikos Komitetas.Luxembourg: National committee of Research Ethic (CNER) in Luxembourg.FYR Macedonia: Medical Faculty Skopje, R.Macedonia.Matla: University of Malta Research Ethics Committee.Netherlands: The ethics committee of VU Medisch Centrum confirmed via an official letter that the research is outside the scope of the WMO (Medical Research Involving Human Subjects Act).New Zealand: Northern regional committee (Northern Y) for the nationally coordinated Health and Disability Ethics Committees (HDEC).Norway: The coordinator confirmed that there is no statutory requirement for ethical approval for this study.Poland: Bioethics approval of Jagiellonian University.Portugal: Ethical committee of Lisbon and Oporto regions; the National Commission for Health Data Safety.Romania: Scientific Committee of CPSS.Spain: Research Units of Primary Care of the Autonomous Community in the Basque Country. In all other Autonomous Communities, the study was approved at the Healthcare Area level.Slovakia: The national coordinator consulted the Council of the Slovak Society of General Practice. It was confirmed that there is no statutory requirement for ethical approval for this study.Slovenia: National medical ethics committee.Sweden: Regional Research Ethics Committte.Switzerland: Ethical Committee of the University of Lausanne.Turkey: Ethical committee of Kartal Research and Education Hospital in Istanbul.United Kingdom: University of Lincoln School of Health and Social Care Ethics Committee; National Research Ethics Service.

: Not applicable.

: The authors declare no competing interests.