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Master Thesis

Relation Hôpital-Ville : satisfaction et attentes des médecins généralistes envers le Pôle de gériatrie du Centre Hospitalier de Pau

Abstract : Introduction: a good relationship between hospital and primary care contributes to the efficiency of the health system. Nowadays, this issue becomes imperative: the scarcity of the supply of primacy care is confronted with an increase in demand, caused by the aging of the population. Improving links between general practitioners and hospital is therefore crucial, in particular for the elderly frail patients. Objectives: measuring the satisfaction rate of liberal general practitioners based in the Pau Hospital area regarding the Geriatric Center. Assessing their expectations in order to determine areas of improvement in their relationship with the geriatricians. Methods: we carried out an epidemiologic descriptive quantitative transverse survey by online questionnaire and send by postal mail. Three horizons are examined: communication between general practitioners and hospital geriatricians, continuity of care of the elderly patients and global point of view on the Geriatric Center. Results: on the 224 liberal general practitioners concerned, 131 questionnaires have been returned. The participation rate is 61,8%. The global satisfaction rate is 75,8 on 100. Seventy four percents declare themselves as satisfied or very satisfied. Communication with the Geriatric Center is evaluated at 69,3 on 100, continuity of care at 68,6 on 100. The general practitioners of Pau appreciate the quality of their relationship with the geriatricians but are disappointed by its shape : they deplore the waiting delay, the lack of availability and the difficulties of accessibility of the geriatric care. Conclusion: although general practitioners are globally satisfied of their relationship with the Geriatric Center, several ways of improvement are pointed out. For example, setting up direct phone lines to reach a geriatrician, creating a dedicated on-call time, standardizing the discharge summary, implementing secure messaging and communication campaigns, nominating a referring agent in the hospital departments, improving discharge coordination.
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Master Thesis
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Submitted on : Monday, May 28, 2018 - 2:27:53 PM
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Lacharme Marie. Relation Hôpital-Ville : satisfaction et attentes des médecins généralistes envers le Pôle de gériatrie du Centre Hospitalier de Pau. Médecine humaine et pathologie. 2018. ⟨dumas-01801456⟩



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