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Master Thesis

Facteurs positifs de recrutement vers la médecine générale : recherche de consensus par la méthode Delphi puis hiérarchisation par groupe nominal par des experts non médecin généraliste

Abstract : Background: Looking for what makes General Practitioners (GPs) satisfied in their profession may be important in increasing the General Practice workforce in the future. An EGPRN research team from eight participating countries studied the positive factors for retention of satisfied GPs in their clinical practice throughout Europe. 183 GPs participated to the qualitative studies. 31 factors of job satisfaction were identified as an important determinant of GP retention and attraction to the profession. Research question: Which positive factors are the most relevant for the decision-makers in order to improve the recruitment of GPs in France? Method: Delphi method was chosen, with two round blinded, by Internet, inviting experts to valid, and eventually rephrase, the 31 relevant factors. A NG by mail followed the Delphi rounds to prioritize the items. The experts were GPs or not, union representatives of general practitioners or general medical students, health insurance representatives, from the Ministry of health, local elected, journalists specialized in care organization care and patients associations. Results: 29 experts initiated the procedure and 22 fully completed it. All categories of experts were represented in the final sample. The Delphi rounds kept thirty factors. The NG hierarchized: 1) to engage in General Medicine to take care of the patients; 2) coordination of care, Advocacy of the patient; 3) variety in activity; 4) have a patient-centred approach; 5) be involved in the organization of care; 6) to benefit from effective management of the practice ; 7) be a teacher and tutor in General Practice; 8) work with good collaborators. Conclusion: The results showed that to recruit GPs it is necessary to develop the coordination of care, the patient-centred approach, the teaching in General Practice and to pay attention to the organization of the profession.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01630734
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Maël Cam. Facteurs positifs de recrutement vers la médecine générale : recherche de consensus par la méthode Delphi puis hiérarchisation par groupe nominal par des experts non médecin généraliste. Sciences du Vivant [q-bio]. 2017. ⟨dumas-01630734⟩

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