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Master Thesis

Organisation professionnelle et projet de soins en médecine générale : état des lieux des maisons de santé pluri-professionnelles en Rhône-Alpes

Abstract : Introduction: Multi-professional houses (MSP) care appears to be a solution for the future for restructuring of primary care. Their dynamic is based on the work out of a health project, defined by a professional project and a care project. The objective was to work out the current situation of the organizational characteristics of MSP in Rhône-Alpes. Material and methods: We conducted a quantitative and qualitative survey.We interviewed 37 MSP in operation in Rhône-Alpes at 31/03/2013. Results: Multi-professional organization was considered to be developed for 26/35 MSP. Health professional cooperation began to set up (12/35). Patient management organization seemed encouraging (13/35). The positives in MSP exercise were teamwork and complementarity between health professionals. The negatives were professional cooperation, cost and administrative burdens. Discussion: There is no single model in MSP organization. Several prospects could be cited to further their development. An approach is to strengthen cooperation between the health professionals. To improvement, it seems essential to redefine their scope, to generalize information sharing systems, and strengthen primary care training. This requires also changing rewards patterns, and optimizing management and coordination systems. Conclusion: Current situation of multi-professional houses care in Rhone-Alpes is encouraging and translates the professional's agreement. Beyond the MSP concept, the care system is evolving towards a new approach for comprehensive and coordinated cares.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00867215
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Submitted on : Friday, September 27, 2013 - 4:53:45 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Saturday, December 28, 2013 - 4:33:01 AM

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  • HAL Id : dumas-00867215, version 1

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Axelle Mouty. Organisation professionnelle et projet de soins en médecine générale : état des lieux des maisons de santé pluri-professionnelles en Rhône-Alpes. Médecine humaine et pathologie. 2013. ⟨dumas-00867215⟩

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