État des lieux de l'offre de soins primaires en médecine générale sur le territoire de Val de Garonne Agglomération et projection future

Abstract : Introduction: on the territory of Val de Garonne agglomeration medical demography is alarming and acces to health primary care could get complicated in the coming years. This study intented to draw up an inventary of provision of present general medicine health care on the territory of Val de Garonne agglomeration and future projection. Materiel and method: it was a descriptive crossectional study based on the questionnaire sent to general practioners of the territory. Data were collected between 28/03/2017 et 04/12/2017. Socio-demographic variables, the type of installation and the envisaged time frame of retirement were analysed. Results: 20 out of 36 include doctors had responded. The average age was 55,3 years. They worked predominantly in group and had a faster rythm of work than the average. An important part of doctors : 30% (7 out of 20) planned to retire in the next five years. Doctors aged over 45 years made more visits than their younger siblings. Doctors who planned to retire in the next five years worked less hours and days per week but they saw as many patients in consultations and visits. There was no significant difference in the hours and days worked per week as well as the number of consultation between women and men. Women made less visits than men. Doctors installed in groups worked significantly fewer days per week without significant difference concerning the number of consultations and visits per week. Conclusion: the deficit of generalist doctors will grow over the next few years becaus e of the large number pf retirements of doctors who maintain a high work activity.Actio is still needed to limit the impact.Multidisciplanary health houses could be one of the solutions to encourage.
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Master Thesis
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Leïla Bouras-Chatta. État des lieux de l'offre de soins primaires en médecine générale sur le territoire de Val de Garonne Agglomération et projection future. Médecine humaine et pathologie. 2018. ⟨dumas-01972467⟩

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