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Master Thesis

Analyse des modalités organisationnelles des dispositifs Médecin correspondant du SAMU de France en 2020 : une enquête descriptive déclarative nationale et perspectives d'évolution

Abstract : Background: The french corresponding physicians for emergency medical services networks (so-called « MCS » for « médecin correspondant du samu » or PRIME general practitioner) are present in some remote areas of hospitals. These primary care physicians provide earlier medicalization in the event of vital or therapeutic emergencies. However, the precise organizations of their networks, efficient in promoting equality of urgent care, are unknown. Objectives: Describe the organizational modalities in 2020 of the various networks of MCS in France and identify the prospects for optimizing in terms of organization of trainings, MCS's medical equipments, trigger, remuneration and evaluation of interventions. Methods: A national descriptive practice online survey was carried out among the referents of the 35 MCS identified networks. Results: 27 networks participate to the study (77 %). The number of networks has increased since the creation of this concept, within specific territories. This one was considered relevant, but fragile, therefore requiring consolidating some bases such as the workforces, the collaborations and the coordination. The MCS's training was presented as fundamental, diversified and of quality but its frequency would remain to regularize. Their medical equipment, also essential, resulted from predefined supply circuits which also need to be consolidated and to harmonize, and functional lists to be stratified, to promote updated and secure equipment. The visibility choices of MCS, for the emergency medical call regulation centers when the intervention was triggered, differed, sometimes with a lack of recognition, which source of lack of solicitations. The use of packages appeared to be simple and rewarding and transparency of payment chain was proposed. Finally, the activity evaluation items, mostly collected, would benefit from being stratified for more relevance in analysis and feedback of these data. Conclusions: The experiences are diverse and the axes of optimization identified tend to favor harmonization and support for each item of organization by different ways, whose scope will be defined : computerization, pooling, human resources. This survey underlines the need to update a common reference system involving the various actors and could serve as a support for its drafting.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03463864
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Thursday, December 2, 2021 - 4:55:04 PM
Last modification on : Saturday, December 4, 2021 - 3:36:51 AM

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Pauline Ollivier. Analyse des modalités organisationnelles des dispositifs Médecin correspondant du SAMU de France en 2020 : une enquête descriptive déclarative nationale et perspectives d'évolution. Médecine humaine et pathologie. 2021. ⟨dumas-03463864⟩

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