Article Green Open Access 2016

Reasons for general practitioner shortage - A comparison between France and Switzerland; Ursachen des Hausärztemangels - Ein Vergleich zwischen Frankreich und der Schweiz

Praxis
Journal · Vol. 105 · Issue 11 · pp. 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. © 2016 Hogrefe.

Keywords

Author Keywords

Switzerland Family Medicine France General practitioner shortage Systematic comparison

Index Keywords

human medical education Humans Internship and Residency Decision making workplace qualitative research education general practice general practitioner General Practitioners Career choice Literature human experiment medical school comparative study Switzerland Content analysis Social psychology cultural factor France social status professionalism family medicine health care planning Medically Underserved Area Physician-Patient Relations doctor patient relation supply and distribution Cross-Cultural Comparison Social Values
Author Affiliations
Wissenschaftliche Mitarbeiterin, UniversitatsSpital Zurich, Zurich, ZH, Switzerland
Funding & Acknowledgements
No funding information
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