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Master Thesis

Description et évaluation des moyens mis en œuvre par les pouvoirs publics, en France et à l'étranger, pour retenir ou inciter les médecins généralistes à exercer en milieu rural‎ : revue narrative non exhaustive de la littérature

Abstract : Introduction: The inequal geographical breakdown of french general practitioner lead the authoritles to take measures in order to guarantee a better health care offer. ln rural areas, these measures have been established since 2004 in France, and 1970 in other developed countries. This study aims at describing these measures and noting those which were appraised. Materials and methods: This descriptive study is a non exhaustive narrative literature review. Written between March 2013 and April 2014, it is leaned on documents published in bibliographic databases, grey literature and legal texts. Results: ln France, mainly motivational and financial, these measures are not much evaluated. ln other countries, coercive measures have not been efficient. Financial assistance only seems useful in the short term. Specific training for working in rural environment increase further installations of general practitioners, but the main factor remains the fact of liking the rural way of life. ln the long term, measures which are promoting the integration of the doctors' familias and spouses, as gathering healthcare practitiens and good professional relationships, would play a major role in keeping general practitioners in these areas. Conclusion: The measures which were set up in France seem to be only efficient in the short term in other countries. The ones which deal about professional environment and doctors' familias are rare, and seem to play a major role in the long term in the other countries. ln a context of staff cuts, and mind changing, a body of focused and coordinate measures would garantee better distibuted primary health care all around the french territory?
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01062665
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Submitted on : Wednesday, September 10, 2014 - 11:35:41 AM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
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  • HAL Id : dumas-01062665, version 1

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Matthieu Sautel. Description et évaluation des moyens mis en œuvre par les pouvoirs publics, en France et à l'étranger, pour retenir ou inciter les médecins généralistes à exercer en milieu rural‎ : revue narrative non exhaustive de la littérature. Médecine humaine et pathologie. 2014. ⟨dumas-01062665⟩

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