Répartition géographique des médecins de famille : quelles solutions à un problème complexe ? (notice n° 1002916)
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fixed length control field | 03802cam a2200313 4500500 |
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control field | 20250125134522.0 |
041 ## - LANGUAGE CODE | |
Language code of text/sound track or separate title | fre |
042 ## - AUTHENTICATION CODE | |
Authentication code | dc |
100 10 - MAIN ENTRY--PERSONAL NAME | |
Personal name | Touati, Nassera |
Relator term | author |
245 00 - TITLE STATEMENT | |
Title | Répartition géographique des médecins de famille : quelles solutions à un problème complexe ? |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Date of publication, distribution, etc. | 2013.<br/> |
500 ## - GENERAL NOTE | |
General note | 7 |
520 ## - SUMMARY, ETC. | |
Summary, etc. | Objectif : dans cet article, nous nous intéressons à la question de la répartition géographique des médecins omnipraticiens, en focalisant sur les enjeux d’attraction. Méthodes : l’analyse repose sur une approche configurationnelle. Définie simplement, cette approche stipule que les impacts d’une intervention sont liés d’une part, à la cohérence interne entre les caractéristiques d’une intervention et d’autre part, à la cohérence qui existe entre cette intervention et son contexte. Une étude de cas longitudinale a été menée, correspondant à l’expérience du Québec sur 35 ans. Résultats : les mesures mobilisées ont surtout porté sur la formation, les incitatifs (positifs et négatifs), le support, et depuis 2004 une certaine forme de coercition. Notons que la sélection des candidatures à l’entrée en médecine en fonction de certaines variables individuelles susceptibles d’influencer le lieu de pratique, a été peu mise en œuvre. La combinaison des mesures gagne en efficacité à travers le temps : ces gains en efficacité sont interprétés en se référant à la cohérence interne des mesures et à la cohérence par rapport à l’environnement externe. Conclusion : les interventions favorables à une répartition équitable des effectifs ne sauraient se limiter à l’activation d’un levier donné et doivent être pensées comme des interventions complexes. |
520 ## - SUMMARY, ETC. | |
Summary, etc. | Geographical distribution of family physicians: which solutions for a complex problem? Aim: This article examines the geographical distribution of family physicians, focusing on attraction issues. Methods: This analysis is based on a configurational approach. In simple terms, this approach stipulates that the impacts of an intervention are related, on the one hand, to the internal consistency between the characteristics of an intervention and, on the other hand, the consistency between this intervention and its context. A longitudinal case study was performed, corresponding to the Quebec experience over a 35-year period. Results: The measures implemented essentially consisted of training, incentives (positive and negative), support, and, since 2004, a certain degree of coercion. Note that selection of applicants for medicine training programmes according to certain individual variables likely to have an impact on the subsequent site of practice, were only rarely used. An improvement of the efficacy of the combination of measures was observed over time: this improvement can be interpreted in terms of the consistency between the characteristics of the intervention and the consistency between the intervention and its context. Conclusion: Interventions designed to promote a more balanced distribution of healthcare professionals cannot be limited to activation of a single lever, but must be considered in the context of complex interventions. |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | médecins de famille |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | ressources en santé |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | attraction |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | Québec |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | complexité |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | physicians |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | Quebec |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | attraction |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | complexity |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | health resources |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | family |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Turgeon, Jean |
Relator term | author |
786 0# - DATA SOURCE ENTRY | |
Note | Santé Publique | 25 | 4 | 2013-09-17 | p. 465-473 | 0995-3914 |
856 41 - ELECTRONIC LOCATION AND ACCESS | |
Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-sante-publique-2013-4-page-465?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-sante-publique-2013-4-page-465?lang=fr&redirect-ssocas=7080</a> |
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