Evaluation of the impact of primary care team on general practitioner density between 2004 and 2017 in France underserved areas

Authors: Guillaume Chevillard*, , Julien Mousques, IRDES
Topics: Medical and Health Geography, Rural Geography, Europe
Keywords: General practitioners, health care accessibility, primary care team (PCT), underserved areas.
Session Type: Paper
Day: 4/5/2019
Start / End Time: 9:55 AM / 11:35 AM
Room: Truman, Marriott, Mezzanine Level
Presentation File: No File Uploaded


Presentation’s purpose:
In France, such as in other OCDE countries, primary care organization is characterized by geographical imbalances. This leads, by other things, to underserved areas and difficulties to access primary care for population living there and questions especially spatial cohesion of many countries.
Since 2005, the government implements several measures to attract and retain general practitioners (GPs) in underserved areas, like new organizational structure such as the primary care team (PCT) or financial incentives. This study analyzes areas in which are located PCTs or other measures, and the evolution of density of GPs in these areas between 2004 and 2017.
Methods: First, we establish a typology of French territories according to the characteristics of their population, healthcare supply, and spatial attractiveness. It is used to define “case” and “control” areas with comparable trends. In the second part, we analyze the evolution of density of GPs in the areas with measures to attract and retain GPs (case) comparing to similar areas without PCTs (control). One method used is the difference in differences.
Results: Result shows that PCTs are mainly located in rural remote areas and suburban areas, more vulnerable in terms of health care accessibility. We also observe a better evolution of GPs density in case areas than in and control ones, particularly in suburban areas.

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