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Master Thesis

Impact du travail administratif pendant les consultations de médecine générale : confrontation entre ressenti et réalité

Abstract : Introduction : liberal general practitioning is in crisis and will have to support an ever-increasing demand of care. Administrative tasks are one of the reasons that may explain this disaffection, as the new generation of doctors seems to be looking for more comfort at work. Practitioners estimate the share of administrative work in their day to be between 22% and 33%, and an earlier thesis only estimated this time to be around 15% during consultations. Method : this is a prospective multicenter observational study based on a panel of 10 general practitioners randomly observed. The collection took place over a typical day or half-day of consultation, with the timing of administrative tasks defined by a consensus. At the end of the observation, the doctors had to estimate the time used for these tasks. The results were then compared, and the doctors were free to react. Results : 138 consultations were observed among ten physicians. The average consultation time was 15 min 03 sec, of which 21.35% dedicated to administrative tasks. Writing electronic treatment bills proved to be the most time-consuming (1 h 11 min 10 sec in total) due to the repetition of its execution. Taking an appointment for the patient was the longest task, with 3 min 24 sec, but was only performed twice. Doctors greatly overestimated the time devoted to secretarial tasks, particularly because of phone interruptions. They had a reliable estimate of the time related to their compensation and tended to underestimate the time spent on editorial and/or sick leave and work-related accident form redaction. Discussion : participation was based on volunteering, the doctors interviewed were more likely aware of the issue of optimizing their time. The overestimation of secretarial tasks shows the importance of their reduction. Ways of improvement should be considered such as delegating these tasks to a secretary or a medical assistant. A better understanding of both software and hardware seems to be necessary with more frequent and personalized trainings. Finally, carrying out repeated audits might be the basis for a better use of the general practitioner work tool. Conclusion : the appeal of general medicine and the optimization of the general practitioner’s time goes through the reduction of administrative tasks thanks to many existing and to be developed tools.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03202028
Contributor : Bibliothèque Universitaire de Médecine Nice Connect in order to contact the contributor
Submitted on : Monday, April 19, 2021 - 2:43:36 PM
Last modification on : Friday, September 10, 2021 - 3:16:12 AM

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  • HAL Id : dumas-03202028, version 1

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Romain Mouronval. Impact du travail administratif pendant les consultations de médecine générale : confrontation entre ressenti et réalité. Médecine humaine et pathologie. 2021. ⟨dumas-03202028⟩

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