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Master Thesis

Médecine générale en milieu rural : freins à l'installation : étude qualitative nationale auprès d'internes et de médecins installés

Abstract : Introduction: Health care access is unequal on the French territory. Rural areas are particularly affected as they accumulate both high level of aging doctor population leaving for retirement and reluctances to settle there from new graduates. The objective of this study is to identify the obstacles to settlement in rural areas for future physicians. Materials and Methods: This qualitative study was conducted by telephone among general practitioners and residents working in France. Data collection was conducted between April 27 and August 15, 2013 by semi-structured interviews. Results: Eighteen interviews were conducted and three types of settlement brakes in rural areas emerged. The first was related to rurality itself: the problem of rurality definition, overall isolation and employment difficulties for the spouses. The second obstacle was related to medical practice in rural areas: professional isolation, heavy workload and proximity with the population. The last brake was related to student's training: initial selection of doctors-to-be and ambulatory care internship in rural areas. Conclusion: Obstacles to settlement in rural areas are numerous and not resolved by the current incentive measures. However residents seem to be interested in the practice of medicine in rural areas. The challenge is therefore to take young doctors' expectations into consideration to hope to see them settling in rural areas. Further studies may clarify motivations for settlement in rural area and assess the real impact of incentives.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00904065
Contributor : Jean-Hugues Morneau <>
Submitted on : Wednesday, November 13, 2013 - 4:18:17 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:03 AM
Long-term archiving on: : Friday, February 14, 2014 - 3:50:50 PM

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  • HAL Id : dumas-00904065, version 1

Citation

Clémence Arnaud, Pierre Thiron. Médecine générale en milieu rural : freins à l'installation : étude qualitative nationale auprès d'internes et de médecins installés. Médecine humaine et pathologie. 2013. ⟨dumas-00904065⟩

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