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Master Thesis

Motivations des médecins généralistes à la signature d’un contrat de praticien territorial de médecine générale (PTMG) en Nouvelle-Aquitaine entre 2017 et 2019

Abstract : Introduction: the GMTP contract was created in 2013 to encourage the set-up of general practitioner in poorly endowed regions. The main drivers of its signature were the financial security and the maternity allowance that it provided. However, in 2017, the supplementary maternity advantage (SMA) came into effect for every settled physician, without the possibility of overlapping them up. Did the signatories’ motives change since? Aim: the main purpose of the study was to collect the motivations of the general practitioners working in Nouvelle-Aquitaine who signed the contract since 2017. Secondarily, we explored the signatories’ knowledge of the non-possibility to cumulate the maternity allowance provided by the contract with the SMA. Finally, we reported the potential propositions of improvements of the contract they suggested. Method: a qualitative study was conducted by semi-directed interviews with axial coding then thematic content analysis in an inductive analytic approach. Results: ten interviews were conducted between June 20TH and September 24TH 2019. The GMTP contract signatories were globally aware of the advantages of the contract. The main drivers for its signature were the few restrictions for a guaranteed income and an improved social protection. The perceived benefits provided a sense of security at the installation. The signatories didn’t know well the SMA and only two of them knew that it was impossible to cumulate it with the maternity allowance of the contract. Increasing the maternity supplement or even allocating a budget to purchase the hardware were some of the improvments suggestions. Conclusion: the signatories’ motives were notably similar, but the maternity protection of the GMTP contract made obsolete by the implementation of the SMA tend to lower the attractiveness of the contract which signatories’ number decreased since 2017. A revision of the contract seems indispensable.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02879389
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Philippe Gabarre. Motivations des médecins généralistes à la signature d’un contrat de praticien territorial de médecine générale (PTMG) en Nouvelle-Aquitaine entre 2017 et 2019. Médecine humaine et pathologie. 2020. ⟨dumas-02879389⟩

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