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Master Thesis

Quelles contraintes les patients des zones sous-médicalisées sont-ils prêts à accepter pour conserver un accès aux soins ? L’exemple du « Pôle Santé de Soule »

Abstract : Abstract: which constraints are patients from underserved areas willing to accept to keep an access to care ? The example of the « Pôle Santé de Soule ». Introduction : Soule, like many rural areas, is confronted with a decline in medical demography. The main challenge is to perpetuate the supply of health care by giving young general practitioners the desire to settle down ; while promising them a quality of life and exercise that meets their expectations. The Territorial Professional Health Communities (CPTS) are real innovations in terms of coordination and "working together". Objectives: determine the proportion of patients who declare themselves willing to change their habits in the health care system and to accept the constraints imposed by the establishment of a CPTS. Explore the perception of benefits and constraints for patients generated by the creation of CPTS. Method : Quantitative, descriptive, cross-sectional study conducted with patients in the general practices of Barcus and Tardets, through questionnaires proposed in the waiting room. Results: 413 questionnaires were selected (53 to Barcus, 360 to Tardets) between January and March 2018. According to the criteria studied, between 65 and 85% patients expressed support for the various changes proposed, in the 2 cities (secretariat, appointments, information sharing, interns, consultation with another doctor even in another city). These results must, however, be qualified because many responses were in ways in which the degree of opinion was more measured (rather agree or rather disagree). An old age constitutes in our study a factor of poor acceptance of constraints, mostly for consultations by appointment. The younger patients showed a greater propensity to change, accepting that calls be regulated by a secretary, even by a telesecretariat. They are also ready to wait until the next day in case of an emergency. The question of personal expression has been the subject of great comments about the future and organization of Soule’s health care, which opens up prospects for future work to be carried out on a qualitative model in order to know the feelings of the patients once the CPTS set up. Conclusion: this study showed a profound concern for patients about the future of care in their countryside ; they are ready to change their habits as long as they keep a physician in their village. The projects of grouping health professionals like the creation of the CPTS seem to have a promising future in Soule and could maintain the momentum created by the arrival of young family doctors.
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Agathe Beuscar. Quelles contraintes les patients des zones sous-médicalisées sont-ils prêts à accepter pour conserver un accès aux soins ? L’exemple du « Pôle Santé de Soule ». Médecine humaine et pathologie. 2019. ⟨dumas-02460109⟩

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