Offre de soins libérale en médecine générale, caractéristique et besoins d’organisation du cabinets des médecins généralistes du 14eme arrondissement parisien

Abstract : The organisation of ambulatory care is changing to cope with an medical demographic and an ageing population. This “ambulatory shift” is accompanied by an evolution in medical practices and exercise methods. Taking into account the general practitioner’s needs is crucial for the success of this transformation. We have analyzed the liberal care offer of general practitioners in the 14th arrondissement of Paris and their needs in terms of the organization of the medical practice. We carried out a cross-sectional observational study with quantitative analysis by hetero-questionnaire and illustrative qualitative supplement during interviews conducted between December 2017 and May 2018. Out of 145 GPs registered, 87 were eligible and 47 were included. The supply of general practitioner care was overestimated by official figures: the density of general practitioners was 6.2/10,000 inhabitants. Group exercise is the rule without any real multi-professionality. Young doctors are women, settling in groups, with a practice in gynaecology and pediatrics and are university internship supervisors. Computerization is becoming more widespread, but communication and coordination of care remains inadequate. The main needs of general practitioners are the lack of medical time with a perceived overload of work, particularly with regard to home visits. The simplification of administrative tasks, access to a trained secretary and the development of efficient digital tools are required by physicians. The success of the "ambulatory shift" must be based on simplifying and enhancing the work of general practitioners to enable them to invest in increasingly complex and transversal care.
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Master Thesis
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Raphaël Pecqueur. Offre de soins libérale en médecine générale, caractéristique et besoins d’organisation du cabinets des médecins généralistes du 14eme arrondissement parisien. Médecine humaine et pathologie. 2018. ⟨dumas-02160207⟩

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