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Master Thesis

Les déterminants du parcours professionnel des médecins généralistes : une revue systématique de la littérature anglophone

Abstract : Many countries experience difficulties in accessing primary care, which are exacerbated in rural or in low socio-economic areas. Policies that aim to organize primary care could be built on the basis of the determinants of the professional career of general practitioners. A review of the literature looking at the determinants of practice setup in France was carried out before. The main objective of this literature review was to identify the determinants of the professional career of general practitioners in English-speaking foreign literature. The secondary objectives were to describe the modalities of practice of general practitioners and to identify the most relevant modifiable career determinants. Method: A systematic review of the literature was conducted by querying the PubMed and EMBASE databases targeting quantitative studies concerning Canada, United Kingdom, Australia, Spain, Belgium, Germany and Switzerland. Results: The queries found 3,681 results and 44 articles were included. The main determinants of the professional career found were those favoring the rural installation and retention: being a man, the rural origin of the general practitioners, a rural location of the placements they carried out during their training, their participation in courses oriented towards rural medicine, the opinion and origin of their spouses, a moderate workload, fee-for-service, the possibility of performing medical procedures or also having an activity in the hospital. Conclusion: Our study allowed us to identify the determinants of the professional career of general practitioners. The setup and retention in rural areas could be improved by increasing the proportion of students from rural origins, establishing rural curriculum in universities and campuses; improving working conditions and infrastructure in rural areas as well as making it easier for the spouse of the general practitioner to find work.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02971660
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Submitted on : Thursday, October 22, 2020 - 10:31:31 AM
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  • HAL Id : dumas-02971660, version 2

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Pierre-Marie Jacquet, Clément Wallerich, Matthieu Pr, Emmanuel Lefebvre. Les déterminants du parcours professionnel des médecins généralistes : une revue systématique de la littérature anglophone. Médecine humaine et pathologie. 2020. ⟨dumas-02971660v2⟩

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