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Master Thesis

Évolution du nombre d’interventions par les médecins généralistes lors de périodes de permanence des soins après regroupement des secteurs de garde en Dordogne depuis 2019

Abstract : Introduction: the permanence of ambulatory care aims to meet the needs of care not scheduled during the hours when medical offices are closed. In Dordogne, on may 6th the regional agency of health of Dordogne voted a decree leading to a change of the numbers of medicals areas, reducing from 28 to 21 of them. As a result this decree led to the creation of bigger areas which can be considered as too large as they involve distances of 30km. We wanted to make a analysis of the consequences of this decree on the effection of the on-call doctors during the time of permanence of ambulatory care. Materials and methods: this is a transversal epidemiological descriptive monocentric study carried out within the reception and call regulation center de Dordogne. The main judgment criterion compares the proportion of interventions of on-call doctors to all the files created at the same period, concerning the permanence of ambulatory care. All these results are then processed and analyzed using the eRM®d’EXOS software based on the datas keep by SAMU 24. Results: this study was able to show that there is a significant decrease in the numbers of interventions of on-call doctors in 2019 compared to 2018 despite an increase of the total numbers of medical regulation files in 2019. Conclusion: the new sectorisation started by the decree on may 6th 2019 doesn’t seem to improve the situation concerning the lack of on-call doctors. However the ARS and the CODAMUP-TS are about to initiate others decrees leading to a reduction of the numbers of on-call sectors.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03474578
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Submitted on : Friday, December 10, 2021 - 11:44:30 AM
Last modification on : Sunday, December 12, 2021 - 3:54:41 AM

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Med_generale_2021_Dussueil.pdf
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  • HAL Id : dumas-03474578, version 1

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Marion Dussueil. Évolution du nombre d’interventions par les médecins généralistes lors de périodes de permanence des soins après regroupement des secteurs de garde en Dordogne depuis 2019. Médecine humaine et pathologie. 2021. ⟨dumas-03474578⟩

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