Mismatch between registration possibilities and patients' local health needs, a simulated patient survey in the Paris metropolitan area

  • 0Department of General Practice, Département de Médecine Générale, University of Paris-Saclay, Bureau 326, 63 Rue Gabriel PÉRI, Gyf-sur-Yvette, France. raphaelle.delpech@universite-paris-saclay.fr.

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Summary

This summary is machine-generated.

Finding a general practitioner (GP) is harder in deprived areas. Policies are needed to encourage GPs to practice in underserved regions, especially for patients with chronic diseases.

Area Of Science

  • Primary Care Medicine
  • Health Services Research
  • Sociology of Health

Background

  • Access to general practitioners (GPs) is crucial for primary care.
  • Understanding factors influencing GP patient registration is key to addressing healthcare access disparities.

Purpose Of The Study

  • To investigate the association between GP characteristics and their practice locations.
  • To examine factors related to GP patient registration for ongoing care, including office visits and house calls.

Main Methods

  • A simulated patient survey was conducted in the Paris metropolitan region.
  • 8171 physicians were contacted to assess their willingness to register new patients.

Main Results

  • Nearly 50% of GPs accepted new patients for office visits, while 18.7% accepted for house calls.
  • Male GPs in solo practices, without secretaries, and not practicing alternative medicine were more likely to accept new patients.
  • GPs in less deprived areas with fewer individuals having costly chronic diseases were more likely to register new patients.

Conclusions

  • Significant challenges exist in finding GPs in deprived areas and those with high chronic disease prevalence.
  • Policy interventions are necessary to facilitate GP settlement in underserved regions to improve primary care access.

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