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Master Thesis

Ressenti des médecins généralistes face aux difficultés de création d'une maison médicale : étude qualitative par entretiens individuels dans l'Isère

Abstract : Background. Since the last few years, young general practitioners favor group practices, which have become more common. But settlement is a difficult process and multidisciplinary practices remain unusual. Objective. To study experience of general practitioners facing difficulties when creating their own medical center in Isère since 2011. Method. Qualitative study with individual semi-structured interviews of general practitioners set up in group practices in Isère between January 2011 and the first of February 2015. The sample was established with maximum variation. The interviews were conducted until data saturation was achieved, then processed by content analysis with open coding. A triangulation of the data analysis was performed between both researchers ant their thesis director. Results. Twenty doctors were interviewed between March and May 2015. This study highlighted seven main subjects: complex administrative procedures for which no training is provided; management of a team of professionals; the real estate management; the financial aspect; the transition period, particularly relating to municipalities; and the impact on personal life. Conclusion. Numerous factors hinder the creation of a medical center and explain why the implementation of such projects is so long. Areas of improvement have already been suggested to simplify the settlement of doctors. But their deployment is still difficult as they are recent and they fail to meet doctors’ expectations. Other measures may be considered, for example reinforcing training about settlement, creating a single-access point of contact and develop a multidisciplinary coordinator job.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01242982
Contributor : Jean-Hugues Morneau <>
Submitted on : Monday, December 14, 2015 - 1:40:26 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
Long-term archiving on: : Saturday, April 29, 2017 - 1:08:19 PM

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  • HAL Id : dumas-01242982, version 1

Citation

Lucie Marie Buttet, Nicolas Raymond Claude Jullien. Ressenti des médecins généralistes face aux difficultés de création d'une maison médicale : étude qualitative par entretiens individuels dans l'Isère . Médecine humaine et pathologie. 2015. ⟨dumas-01242982⟩

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