Journal
SOCIAL SCIENCE & MEDICINE
Volume 287, Issue -, Pages -Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.socscimed.2021.114358
Keywords
France; General practitioners; Geographical inequalities; Medically underserved areas; Primary care teams
Funding
- GIP-IRDES
- National Health Insurance
- French Ministry of Health
- Mutual Agricultural Fund
- National Solidarity Fund for Autonomy
Ask authors/readers for more resources
The study investigates the impact of Primary Care Teams (PCTs) on attracting and retaining General Practitioners (GPs), particularly in underserved areas. Results show that PCT settlements are effective in attracting young GPs, with the effects varying based on the living area clusters. The findings highlight the need for specific policies to address geographical inequalities of GPs and suggest new measures to attract and retain GPs in rural fringes in France.
The geographical imbalances of General Practitioners (GPs) may affect their accessibility for populations, especially in medically underserved areas. We investigate the effect of the dramatic and recent diffusion of Primary Care Teams (PCTs), especially in medically underserved areas, in order to attract and retain GPs through an improvement of their working conditions. We analyze the evolution of GPs and young GPs density between 2004 and 2017 according to a spatial taxonomy of French living areas in 6 clusters. Based on a quasiexperimental design comparing living areas, depending on the clusters, with PCTs (treated) and without PCTs (control), we used difference-in-differences models to estimate the impact of PCT new settlements on the evolution of both attraction and retention of GPs. Our results show that PCT settlements are efficient to attract young GPs and that the magnitude of the effects depends on the living area clusters. Results call for specific policies to address geographical inequalities of GPs that consider the type of place and also, in France, for new measures to attract and retain GPs in rural fringes.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available