Intentions d'installation des internes angevins de médecine générale en 2012

Abstract

Medical demography and the geographical distribution of general practitioners (GPs) in the Pays de la Loire Region constitute a challenge to equitable primary care access. The objective of this study was to describe the career projects of Angers general practice residents in 2012 and to assess their knowledge of installation aids and their impact on practice choices. A questionnaire-based declarative study was conducted in April 2012. 204 out of 243 residents (84%) returned the questionnaire. Women represented 62% of responding residents. 56% of residents expressed their desire for predominantly outpatient general practice. A significant determinant in the choice of this type of practice was the voluntary choice of general practice during residency. Group practice was predominantly considered (86%), in semirural areas (60%). The administrative formalities to set up a general practice and the available aids were underestimated by 82% and 83% of residents, respectively. 91% of residents wanted to receive more information about administrative formalities and 82% considered that these aids could encourage their decision in favour of general practice. Anjou general practice residents appeared to be very attracted by outpatient general practice. This study shows that strategy of early contact with general practice in medical training should be continued. Information concerning the administrative formalities and aids available must be provided during medical training.