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Master Thesis

Caractéristiques et projections à cinq ans de l’offre de soins primaires dans le 14e arrondissement parisien : enquête transversale auprès des médecins généralistes, gynécologues et pédiatres

Abstract : Objective: We investigated the characteristics of primary care in the 14th arrondissement of Paris in 2013 and its evolution within 5 years. Method: As part of the study DEMOMED, we sent a questionnaire between June and October 2013 to all general practitioners (GPs), gynecologists and pediatricians with a liberal activity, hereby assessing sociodemographic characteristics, the organization of their cabinet, the mode of exercise, the access to care, the volume of activity, the practitioners’ experiencesand the evolution of their activity within 5 years, drawing thus the portrait of the predictable primary care in 2018. Primary endpoint: The primary endpoint was the 5-year project, "departure", meaning cessation or decrease in activity over 25%, versus "continuity" as defined by stable or increasing activity over 25%. Results: 60 GPs, 17 gynecologists and 6 pediatricians responded (respectively 48%, 41% and 33%). By 2018, 52% of the GPs, 63% of the gynecologists and 80% of the pediatricians forecast a cessation or a decrease of their activity. For the GPs, the significant differences between the groups “departure” and “continuity” are age, gender, computerization of records, increased clinical activity forthe remaining practitioners, the reduction of consultation term, the increase of holidays and a larger share of younger patients. Conclusion: Our study shows an alarming decline of primary care within 5 years, making it urgent to rethink its organization.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01117306
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Submitted on : Monday, February 16, 2015 - 6:31:28 PM
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  • HAL Id : dumas-01117306, version 1

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Susanna Friedli. Caractéristiques et projections à cinq ans de l’offre de soins primaires dans le 14e arrondissement parisien : enquête transversale auprès des médecins généralistes, gynécologues et pédiatres. Médecine humaine et pathologie. 2014. ⟨dumas-01117306⟩

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