Offre de soins et besoins territoriaux des médecins généralistes du 14ème arrondissement parisien

Abstract : The French health care system is undergoing major changes in its organization. The needs of the population are changing. We analyzed the treatment offer in liberal general medicine as well as the territorial needs. We conducted an exhaustive census of general practitioners in strict or mixed liberal activity in the 14th arrondissement. From December 2017 to May 2018, we carried out a transversal epidemiological study with quantitative analysis. The data was collected through interviews, with hetero-assessment questionnaires, and a qualitative illustrative supplement. The official sources counted 145 practitioners, our census amounted to only 87 eligible practitioners, of which we included 47, a density of 6.2 per 10,000 inhabitants. Most practitioners are grouped, but pluriprofessional practice is met with wariness, especially regarding the operating constraints. The most common issues relate to lack of coordination between professionals of the area, lack of time, administrative overload, and insufficient earnings. The reliance on liberal specialists is perfectible, especially concerning the fees and the delays for appointments. Psychiatry faces challenges in improving coordination between somatic and psychiatric follow-up. The link between city and hospital must continue to progress, by developing direct telephone numbers, but also by perfecting communication for the hospitalization of the patients. The new systems and the creation of CPTS should encourage initiatives but should also support government intervention to simplify and enhance the work of general practitioners.
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Master Thesis
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Sophie Bernard. Offre de soins et besoins territoriaux des médecins généralistes du 14ème arrondissement parisien. Médecine humaine et pathologie. 2018. ⟨dumas-02114697⟩

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