[The general practitioners in front of reforms: the reactions of the sample group of liberal physicians of the region PACA].
The general practitioners in front of reforms: the reactions of the sample group of liberal physicians of the region PACA This article intends to analyse the opinion of general practioners (GPs) about the two laws of July 2004, relating to the health insurance reform and to public health planning. We used a panel data sample of 528 GPs practising in Provence Alpes Côte d'Azur in order to analyse the determinants of physicians' adherence to the reform, using multinomial logistic regression models. The results show that GPs do not seem to be fully convinced by this reform (45% agree with it, whereas 48% don't): this mistrustful opinion is more marked for young physicians and appears little correlated with their practices. 75% of the GPs are favourable to the Personal Medical File (Dossier Médical Personnel in french) and 76% estimate that they should draw a better attention to the public health dimension of their practice. Two barriers concerning GPs' adherence to the << preferred doctor >> reform (réforme du << médecin traitant >>) seem relevant: the burden of administrative tasks and the disadvantage of young physicians who have not already fixed their own clientele.
Videau
Yann
Y
Observatoire Régional de la Santé, PACA, Inserm UMR 379, 13006 Marseille, France.
Ventelou
Bruno
B
Combes
Jean-Baptiste
JB
Verger
Pierre
P
Paraponaris
Alain
A
D000328:Adult; D000368:Aged; D001294:Attitude to Health; D005194:Family Practice / Q000639:trends*; D005260:Female; D005602:France; D018166:Health Care Reform; D006801:Humans; D008297:Male; D008875:Middle Aged; D010821:Physicians, Family