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Master Thesis

Relation entre le nombre d’appels au centre de réception et de régulation des appels de Bordeaux et la densité médicale

Abstract : Introduction: the number of phone calls to the emergency medical services has been increasing for years, whereas, at the same time, the number of doctors is decreasing and areas of low medical density are emerging, commonly known as “medical deserts” in France. The objective of this study was to find a link between the number of phone calls to Gironde’s emergency medical services and medical density. Method: this is a retrospective study, describing the phone calls to emergency medical services in Gironde, compared to the medical density recovered in Open Source files. Results: between January 1, 2014 and December 31, 2018, 1,047,525 files were recorded on the Bordeaux’s emergency medical services. Multivariate analysis found a standardized coefficient of call (compared to high medical density) at 2.81 (CI95% [2.52; 3.10]) for zero medical densities, 2.30 for very low medical densities (CI95%[2.01;2.60] 1.36 for low densities (CI95%[2.01;2.60], 0.84 for average medical densities (CI95%[0.51;1.17] and -0.30 (CI95%[-0.74;0.12]) for very high densities. Discussion : several hypotheses are put forward to explain these results : patients in areas of low medical density call more for lack of a nearby medical contact person, or the patients are more well-informed, and more used to calling the regulation during office closing hours. Whereas in urban areas, with higher medical density, patients go directly to the emergency services nearby. Conclusion: the lower the medical density, the more patients call emergency medical services in Gironde.
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Master Thesis
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Nicolas Gavoille. Relation entre le nombre d’appels au centre de réception et de régulation des appels de Bordeaux et la densité médicale. Médecine humaine et pathologie. 2019. ⟨dumas-02517938⟩



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