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Master Thesis

Enquête sur l’activité de soins primaires réalisée par les médecins généralistes de la région Auvergne-Rhône-Alpes dans les communes où s’est implantée une Maison de Santé Pluriprofessionnelle

Abstract : French region Auvergne-Rhône-Alpes has the most concentrated multidisciplinary health centers in operation since the wave of last decade. This longitudinal descriptive investigation is based on reimbursement data from the national health insurance fund for the period 2009-2018. It reports how primary health care activities evolved in Auvergne-Rhône-Alpes municipalities and analyses the impact of a multidisciplinary health center establishement for 144 of them. The main outcome was the evolution rate of primary health care activities expressed in acts per year and per resident. It decreased on average by 8.28% in the Auvergne-Rhône-Alpes region between 2009 and 2018. Among the 144 municipalities of this region that saw the establishment of a multidisciplinary health center from 2009 to 2017, 92 of them succeeded in stabilizing or even increasing primary healthcare activity in their territory. For the other 52, the establishment of a multidisciplinary healthcare center did not help to reduce the general trend of decline. These results have to be interpreted considering the anteriority of evolution and the size of the studied municipalities. However, we can’t summarize the contribution of a multidisciplinary healthcare center to the activity it generates for its territory. Building new primary healthcare indicators to measure this contribution remains the challenge of the coming years.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02904396
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Submitted on : Wednesday, July 22, 2020 - 10:11:35 AM
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Fabien Malgouires. Enquête sur l’activité de soins primaires réalisée par les médecins généralistes de la région Auvergne-Rhône-Alpes dans les communes où s’est implantée une Maison de Santé Pluriprofessionnelle. Médecine humaine et pathologie. 2020. ⟨dumas-02904396⟩

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