How French general practitioners adapt their care to patients with social difficulties?

Family Medicine and Community Health
Annie De OliveiraGladys Ibanez

Abstract

Several studies have shown the role of the primary care system in access to care and in reducing social inequalities in health. The objective of this study was to describe the practices of general practitioners (GPs) in taking into account the social environment of their patient, and the ways they adapted to social difficulties. Qualitative study comprising interviews and focus groups. French primary care settings. Twenty semistructured interviews and two focus groups were conducted with 33 GPs. Sessions were audio recorded, transcribed verbatim and analysed using thematic analysis. The reporting of findings was guided by consolidated criteria for reporting qualitative research. This study identified adaptations at three levels: in the individual management of patients (alert system, full involvement in prevention, better communication, prioritised additional examinations, financial facilities, help in administrative tasks), in the collective management of patients in an office (consultation without appointment, pay-for-performance indicators, medical staffs, multidisciplinary protocols, medical practice in group, medical student), and in the community management (patients description, cooperation with associations, public heal...Continue Reading

References

Nov 11, 2008·Lancet·Michael MarmotUNKNOWN Commission on Social Determinants of Health
Jun 13, 2009·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Janet Brandling, William House
Jul 15, 2009·Annals of Family Medicine·Kurt C Stange, Robert L Ferrer
Apr 17, 2016·Annals of Epidemiology·Michael Marmot, Ruth Bell
Aug 10, 2016·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Anne Andermann, UNKNOWN CLEAR Collaboration
Oct 10, 2012·Journal of Comorbidity·Alexis K SchainkWalter P Wodchis
Dec 14, 2018·Santé publique : revue multidisciplinaire pour la recherche et l'action·Sami EllouzeAndré Soares
Dec 29, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Kerryn HuskSheena Asthana
Dec 29, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Luke N AllenEleanor Turner-Moss
Mar 12, 2019·La Presse médicale·François Lemaire

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