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Master Thesis

Influence des mesures incitatives à l’installation des médecins généralistes dans les landes : étude observationnelle auprès des médecins installés et collaborateurs depuis 5 ans

Abstract : Background and purpose: medical desertification and its impact on access to healthcare for the population, particularly in rural areas, is one the major issue in our public health policy. Since the 2000s, local, regional and national policies have proposed financial and structural incentives measures to compensate for the lack of general practitioners in our under-resourced territories. Our main objective was to determine the proportion of installations and collaboration, between 2014 and 2018, that have benefited from these incentives in the department 1 of “Landes”. The secondary objectives were, one the one hand, to determine the level of knowledge and influence of these public aids in the choice of installation and, in the other hand, to specify determining factors and procedures of the installation. Methods: it was a transversal descriptive study with 63 general practitioners. Participants had completed a questionnaire, online or on a paper version. The questions were related to personal training information, installations procedures and, finally, existing incentive measures. Results: the response rate was 86% (n=54). We distinguished two groups. The one of non-beneficiaries, whichconcerned doctors installed in attractive area in the southern part of the department of “Landes”. We noticed, for them, an unknowledge and disinterest towards existing incentive measures. The second group, beneficiaries, had all been aware of the incentive measures before their installation and have all benefited from a ZRR aids 2. They settled in an under-resourced area of the department and had considered the incentive measures as an important factor in their decision of installation. The common factors for all the respondents were the influence of their training and replacement location as well as the attractiveness of group practice. Conclusion: incentive measures are relevant for the recruitment of young general practitioners in medical deserts but they are not decisive by their own. To attract doctors in these areas, it could be interesting to increase the attractiveness of the territory, to promote training and replacement as well as to review and to upgrade the numerous, and often unknown, incentive measures.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02519309
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Ambre Hebert. Influence des mesures incitatives à l’installation des médecins généralistes dans les landes : étude observationnelle auprès des médecins installés et collaborateurs depuis 5 ans. Médecine humaine et pathologie. 2019. ⟨dumas-02519309⟩

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