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Ursachen des Hausärztemangels: ein Vergleich zwischen Frankreich und der Schweiz


Cerny, Thomas; Rosemann, Thomas; Tandjung, Ryan; Chmiel, Corinne (2016). Ursachen des Hausärztemangels: ein Vergleich zwischen Frankreich und der Schweiz. Praxis, 105(11):619-636.

Abstract

BACKGROUND AND OBJECTIVES Both France and Switzerland face a general practitioner (GP) shortage. What differences or parallels exist between the two countries with regard to the causes for this shortage? What conclusions might be drawn from a systematic comparison?
METHODS Literature review with qualitative and semi-quantitative content analysis.
RESULTS Parallels exist in the comparing categories work contents, working structure, income and social status, medical school formation, private life, psychological motives. Differences are found in the categories biography and social selection, medical socialisation, residency. In Switzerland, residency is not uniformly structured, rarely institutionally organised and contains only few elements specific to general medicine. In France, medical socialisation not only exalts the specialists, but also strongly devaluates the GPs.
CONCLUSIONS By systematic analysis and comparison of both countries' pertinent literature, France and Switzerland can deepen their understanding of GP shortage. This paper identifies possible fields of action from medical school through residency up to workplace conditions that are pivotal in addressing the shortage of GPs.

Abstract

BACKGROUND AND OBJECTIVES Both France and Switzerland face a general practitioner (GP) shortage. What differences or parallels exist between the two countries with regard to the causes for this shortage? What conclusions might be drawn from a systematic comparison?
METHODS Literature review with qualitative and semi-quantitative content analysis.
RESULTS Parallels exist in the comparing categories work contents, working structure, income and social status, medical school formation, private life, psychological motives. Differences are found in the categories biography and social selection, medical socialisation, residency. In Switzerland, residency is not uniformly structured, rarely institutionally organised and contains only few elements specific to general medicine. In France, medical socialisation not only exalts the specialists, but also strongly devaluates the GPs.
CONCLUSIONS By systematic analysis and comparison of both countries' pertinent literature, France and Switzerland can deepen their understanding of GP shortage. This paper identifies possible fields of action from medical school through residency up to workplace conditions that are pivotal in addressing the shortage of GPs.

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Additional indexing

Other titles:Reasons for General Practitioner Shortage – a Comparison Between France and Switzerland
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Institute of General Practice
Dewey Decimal Classification:610 Medicine & health
Language:German
Date:25 May 2016
Deposited On:26 Jan 2017 11:53
Last Modified:26 May 2017 00:00
Publisher:Hogrefe Verlag
ISSN:1661-8157
Publisher DOI:https://doi.org/10.1024/1661-8157/a002362
PubMed ID:27223415

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