Skip to Main content Skip to Navigation
Master Thesis

Impact de la spécialisation de la médecine générale sur la perception du système de santé français

Abstract : Introduction: in 2004, general practice acquired the academic status of medical specialty with the creation of the Diplôme d’Etudes Spécialisées (DES). What was the impact of this recognition on the organisation of the French healthcare system? Method: a qualitative study was carried out in 2017 with thirteen semi-structured interviews with patients ; a focus group consisting of six general practitioners and four interviews with a representative of regional Health Agency and Medical Council, a consultant for Health strategy and a mayor. Content analysis was carried out using open coding with Nvivo software. Results: 70% of the patients did not know that general practice was a specialty. This status did not alter their opinion of the profession, with general practitioners maintaining a privileged position in their healthcare programme. The general practitioners thought the DES failed to spark any societal recognition or any concrete reorganisation of their practice, although the specific university education was appreciated. The institutional members regarded the title as an insufficient recognition of the general practitioner status; one with little impact on the organisation of primary healthcare. The opening of university training on outpatient care remained positive. Discussion: this study confirms the low impact of the DES experienced by general practitioners in the practice of primary heathcare. It provides additional information about the lack of perceived changes by patients. Conclusion: more than a decade after its creation, the DES has changed the academic landscape progressively but it did not bring about any societal recognition or restructuring of the profession.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [56 references]  Display  Hide  Download
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, October 31, 2018 - 4:37:14 PM
Last modification on : Wednesday, November 14, 2018 - 1:15:34 AM
Long-term archiving on: : Friday, February 1, 2019 - 5:24:33 PM


Files produced by the author(s)


  • HAL Id : dumas-01910215, version 1



Lucie Virama-Latchoumy. Impact de la spécialisation de la médecine générale sur la perception du système de santé français. Médecine humaine et pathologie. 2018. ⟨dumas-01910215⟩



Record views


Files downloads