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Master Thesis

Représentations du tiers payant généralisé par les médecins généralistes libéraux de La Réunion en 2020

Abstract : Introduction: In contrast to metropolitan France, third-party payment has been generalized for general medical consultations since 2002 in Reunion Island. The objective of this study was to explore the representations that liberal general practitioners from Reunion Island have of third-party payments system. Method: A qualitative study by semi-structured individual interviews and focus group with thematic analysis was carried out. Results: Fourteen general practitioners were interviewed from June 18 to August 31, 2020. They have heterogeneous representations of the generalized third-party payment system. Some seem satisfied with it, citing an efficient system, improving access to patient care, relieving emergency departments and separating consultation from payment for it. However, third-party payment system can also be associated with an increase in costs and administrative burdens for doctors, an inflation in the number of consultations, the devaluation of medicine and an increased dependence on health insurance companies. To remedy these problems, they propose the establishment of a single disbursing organism or financial aid. They propose the optimization of the efficiency and communication of complementary health insurance companies too. They advocate to informing, educating and controlling patients and doctors on the health costs. Discussion: The diversity of representations found in Reunion is similar to that of metropolitan doctors. A global study of patients, doctors and health insurance companies would make it possible to take stock of the 18 years of practice of third-party payment in Reunion.
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Master Thesis
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Submitted on : Thursday, May 27, 2021 - 9:15:52 AM
Last modification on : Tuesday, October 19, 2021 - 5:56:43 PM
Long-term archiving on: : Saturday, August 28, 2021 - 6:15:02 PM


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  • HAL Id : dumas-03238332, version 1


Simon Françoise. Représentations du tiers payant généralisé par les médecins généralistes libéraux de La Réunion en 2020. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03238332⟩



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