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Master Thesis

Analyse des perceptions des médecins généralistes vis-à-vis du développement des Communautés Professionnelles Territoriales de Santé

Abstract : The organization of primary care in France has been the subject of reforms for more than 20 years to develop a non-hierarchical model responding to the demands of acute care, towards a system organized around the needs of a population of a territory. Thus, the development of the Territorial Professional Health Communities is left to the initiative of the health professionals of the territory, but must nevertheless respond to missions set by the authorities such as the continuity and improvement of the quality of care and the organization of the city-hospital link. We therefore wanted to understand the perceptions of general practitioners in order to understand their motivations and their concerns to participate in their development. A qualitative study by “focus groups” was thus carried out including 59 participants. The analysis of their emotions, fears, creative ideas and hopes made it possible to distinguish reluctance to set up these missions, such as the fear of the passage from an individual to population-based rationality, of a sectorization of general medicine, an increase in unscheduled care, a balance of power with the hospital, and the loss of the status of primary care referent through the delegation of tasks. But also issues, such as the improvement of multi-professional work, the possibility of managing the territorial medical demography, of developing healthcare projects adapted to local needs, of using all the skills of the territory, of developing innovative coordination tools, improve the course of care and protocolize in general medicine for a real recognition of primary care.
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https://dumas.ccsd.cnrs.fr/dumas-03392271
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Submitted on : Thursday, December 9, 2021 - 5:22:22 PM
Last modification on : Sunday, December 12, 2021 - 3:18:41 AM

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  • HAL Id : dumas-03392271, version 1

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Souha Nassif. Analyse des perceptions des médecins généralistes vis-à-vis du développement des Communautés Professionnelles Territoriales de Santé. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03392271⟩

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