Facteurs favorisant l'utilisation de l'échographie dans les cabinets de médecine générale de Haute-Savoie, étude descriptive

Abstract : The offer of unscheduled care in France is facing an imbalance between ever stronger demand and limited offer. In this context, we need to reorganize our care systems and rethink our primary care. The aim of this study was to observe to what extent the identified factors were encouraging the use of ultrasonography within General practitioners’ (GPs) offices in Haute-Savoie. A cross-sectional descriptive observational study was carried out to compare the population of GPs using the ultrasound tool to the population of those not using it. A survey was distributed by e-mail to all GPs settled in Haute-Savoie (n = 683), and 87 responses were analysed. Non-responding GPs were contacted over the phone to determine their position on the use of ultrasonography. In total, 38 GPs were referenced as non-exclusive sonographers in Haute-Savoie. Among them, 65% (n = 25) participated in this study. According to this work, these GPs are more often men, practicing in offices away from hospitals, belonging to a cross professional outpatient care services corporations, operating in sectors with consultations without appointments and having a technical platform. The associates of these offices work more often in fee-sharing, hire employees, and are corresponding doctors of the emergency services and university supervisors involved in out-of-office medical activities. In the existing context of rethinking the organisation of primary care, the development of innovative structures designed around these characteristics could be one of the solutions to current problems.
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Master Thesis
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Submitted on : Friday, July 5, 2019 - 3:44:49 PM
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Valentin Droz Bartholet. Facteurs favorisant l'utilisation de l'échographie dans les cabinets de médecine générale de Haute-Savoie, étude descriptive. Médecine humaine et pathologie. 2019. ⟨dumas-02175266⟩

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