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Master Thesis

Exercice libéral ou salarié : qu'est-ce qui détermine le choix des médecins généralistes ? Étude qualitative auprès des jeunes médecins de Gironde

Abstract : Introduction: The number of general practitioners working exclusively in private practice has decreased by 4,4% these last seven years whereas those working exclusively for the salaried sector has been increasing. These trends still go on in spite of the measures taken by the state and the regional communities to encourage the new practitioners to choose the first one. Objectives : The main purpose was first to investigate the main determining factors in the choice of the general practitioners in Gironde, then to generate hypotheses for the reasons why the new doctors choose the salaried ambulatory general medicine and investigate the adequacy between the existing incentives and the choice of the general practitioners when they have to make it. Methods: Qualitative research in a hypothetic-inductive approach of anchored theorization. Semi-structured interviews have been conducted with a purposing sampling of young general practitioners in Gironde until reaching saturation. Results: Through the 16 interviews led, multiple professional factors have been found, the first one being the professional interest. Their choice wasn't much influent by the installation location. Yet the professional factors had to be consistent with their private (family and social) life. The young practitioners were attracted by health centers hoping for a less intense rythm of work, a best quality of care, an easier access to a team work and the advantages of the public area even in general practice. They thought incentives weren’t enough efficient, inaccurate and unknown. Conclusion: The medical demography could be improved by incentives taking into account the needs of the population and the wills of the young doctors together. A political effort must be made in order to give the universities enough resources to train the future general practitioners to the private practice.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01095705
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Tuesday, December 16, 2014 - 10:12:45 AM
Last modification on : Wednesday, August 23, 2017 - 4:30:55 PM
Long-term archiving on: : Monday, March 23, 2015 - 1:41:36 PM

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Gary Boukhors. Exercice libéral ou salarié : qu'est-ce qui détermine le choix des médecins généralistes ? Étude qualitative auprès des jeunes médecins de Gironde. Médecine humaine et pathologie. 2014. ⟨dumas-01095705⟩

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