Bien-être du médecin et santé du patient : pour la durabilité de la médecine de famille

Senn, Nicolas; Perdrix, Jean; Ronga, Alexandre; Cohidon, Christine

doi:10.53738/revmed.2019.15.650.0951

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…GPs are paid for the types of medical acts they perform and the lengths of time these take-a fee-and time-for-services basis. This includes a part funding their medical assistants, who are GPs' employees [26]. In 2015, regional public health authorities mandated an academic department of family medicine (DFM) to develop a project to improve PC coordination and, more generally, create new, interprofessional, PC teams.…”

Section: Introductionmentioning

confidence: 99%

General Practitioner’s Experience of Public-Private Partnerships to Develop Team-Based Care: A Qualitative Study

Schütz Leuthold,

El-Hakmaoui,

Senn

et al. 2023

Int J Public Health

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Objectives: A tripartite public–private partnership was established between GPs’ practices, public health authorities and a university department of family medicine, to develop multidisciplinary teams and integrate nurses into GPs’ practices. The present paper describes the points of view of the GPs involved in this collaboration.Methods: We conducted a qualitative study, with data coming from eight interviews with GPs, one from each practice. We also used the facilitator’s project diary to complete the discussion.Results: The principal issue discussed was the financial aspects of the collaboration. GPs are generally satisfied, but time spent coordinating with nurses and transferring activities made them fear financial losses. Secondly, the partnership with public health authorities was well appreciated, but not clear enough. Some aspects of the partnership, such as referring patient to the nurse should have been better defined et controlled. The last aspect was the academic support. It allowed reducing GPs’ workload in training nurses and supporting the project implementation within the GPs’ practice.Conclusion: GPs have a positive point of view of such public-private partnership and saw an opportunity to be involved in developing public health policies.

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Section: Introductionmentioning

confidence: 99%

General Practitioner’s Experience of Public-Private Partnerships to Develop Team-Based Care: A Qualitative Study

Schütz Leuthold,

El-Hakmaoui,

Senn

et al. 2023

Int J Public Health

View full text Add to dashboard Cite

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“…General Practitioners (GP) in private practices play a key role in the Swiss system with predominantly a single provider model. 26 In Switzerland, GP are not forced to adopt electronic medical records. 27 The uptake of electronic medical records has been slow in Switzerland, with a little more than half of the PC practices reporting using electronic medical records.…”

Section: Introductionmentioning

confidence: 99%

“…27 The uptake of electronic medical records has been slow in Switzerland, with a little more than half of the PC practices reporting using electronic medical records. 26 The multiple stakeholders involved, the important autonomy of the different cantons (ie, states) and the lack of financial incentives for implementation are among potential explanations for the slow intake of electronic records. 27 In addition no performance measure related to screening for unhealthy alcohol use exists.…”

Section: Introductionmentioning

confidence: 99%

Electronic Screening and Brief Intervention for Unhealthy Alcohol use in Primary Care Waiting Rooms – a Pilot Project

et al. 2020

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Background: In primary care, electronic self-administered screening and brief interventions for unhealthy alcohol may overcome some of the implementation barriers of face-to-face intervention. We developed an anonymous electronic self-administered screening brief intervention device for unhealthy alcohol use and assessed its feasibility and acceptability in primary care practice waiting rooms. Two modes of delivery were compared: with or without the presence of a research assistant (RA) to make patients aware of the device's presence and help users. Using the device was optional. Methods: The devices were placed in 10 participating primary care practices waiting rooms for 6 weeks, and were accessible on a voluntary basis. Number of appointments by each practice during the course of the study was recorded. Access to the electronic brief intervention was voluntary among those who screened positive. Screening and brief intervention rates and characteristics of users were compared across the modes of delivery. Results: During the study, there were 7270 appointments and 1511 individuals used the device (20.8%). Mean age of users was 45.3 (19.5), and 57.9% screened positive for unhealthy alcohol use. Of them, 53.8% accessed the brief intervention content. The presence of the RA had a major impact on the device's usage (59.6% vs 17.4% when absent). When the RA was present, participants were less likely to screen positive (49.4% vs 60.7%, P = 0.0003) but more likely to access the intervention (62.7% vs 51.4%, P = 0.009). Results from the satisfaction survey indicated that users found the device easy to use (93.5%), questions useful (89–95%) and 77.2% reported that their friends would be willing to use it. Conclusions: This pilot project indicates that the implementation of an electronic screening and brief intervention device for unhealthy alcohol is feasible and acceptable in primary care practices but that, without human support, its use is rather limited.

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Bien-être du médecin et santé du patient : pour la durabilité de la médecine de famille

Cited by 2 publications

References 4 publications

General Practitioner’s Experience of Public-Private Partnerships to Develop Team-Based Care: A Qualitative Study

General Practitioner’s Experience of Public-Private Partnerships to Develop Team-Based Care: A Qualitative Study

Electronic Screening and Brief Intervention for Unhealthy Alcohol use in Primary Care Waiting Rooms – a Pilot Project

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