ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2011
Measuring preventive procedures by French GPs: an observational survey.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 5 citations in OpenAlex.
- Variability in screening prevention activities in primary care in Spain: a multilevel analysis.BMC public health · 2015Article
- Tackling the alcohol issue in France.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Observational
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Authors and funding
6 authors at 3 institutions in 3 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevention has become a legal obligation for French GPs, since a law was passed in March 2002.
aimMeasurement and analysis of preventive procedures performed by French GPs. DESIGN OF STUDY: Observational survey. Setting GP surgeries in Puy-de-Dôme, France.
methodDoctors completed a questionnaire about their socioprofessional characteristics, and a researcher completed another questionnaire about preventive procedures performed on the last 15 patients seen by each GP. Twenty preventive services were evaluated and, for each service, medical records, targets, and objectives were defined according to the national preventive care guidelines. The gap between guidelines and practice was explained by doctor characteristics. Statistical analyses were performed using χ² and logistic regression.
resultsRepresentative samples of 179 doctors and 2453 medical records were randomised. Four preventive services were performed in more than 75% of cases, and the gap was explained by the salaried job the doctors had. Ten preventive services were performed in 25% to 75% of cases and the gap was explained by the medical software used. The six remaining services were performed in less than 25% of cases and no explanatory variable was identified.
conclusionSixteen preventive procedures were insufficiently performed. The more a preventive service is performed the more the gap will be explained by GPs' socioprofessional characteristics. The gap for a preventive procedure performed in 25% to 75% of cases was mainly explained by management of the medical records. A nationwide policy to improve prevention performance in general practice seems to be essential.
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