Les professionnels de santé assurant le suivi gynécologique en France : différents profils d’activité.

IF 0.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Thomas Karnycheff, Guillaume Chevillard, Sandrine Voillequin, Quitterie Roquebert
{"title":"Les professionnels de santé assurant le suivi gynécologique en France : différents profils d’activité.","authors":"Thomas Karnycheff, Guillaume Chevillard, Sandrine Voillequin, Quitterie Roquebert","doi":"10.3917/spub.252.0127","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>In France, gynecological care is provided by three types of health professionals: gynecologists, primary care physicians, and midwives. The objective of this study was to describe the gynecological care provided by these different health professionals at the national level.</p><p><strong>Methods: </strong>A descriptive and analytical study of indicators of gynecological care (cervical and vaginal swabs, contraception procedures, and initial contraception and preventive consultations) by gynecologists, primary care physicians, and midwives in private practice in 2022, using data from the French National Health Data System (SNDS) to establish profiles of health professionals using multivariate analysis (principal component analysis and hierarchical clustering).</p><p><strong>Results: </strong>Three gynecologist profiles, five primary care physician profiles, and four midwife profiles were identified based on the intensity of their gynecological care activity and their specialization in certain types of procedures. Professionals with significant gynecological care activity often have a particular focus on private practice, are more frequently female, and belong to younger age groups. The geographical distribution of professionals with significant gynecological care activity varies according to the profession.</p><p><strong>Conclusion: </strong>We demonstrate significant heterogeneity in gynecological care, both between different types of professionals and within the same profession. Understanding gynecological care provision and its dynamics thus requires us to take into account the variety of actors at both the inter- and intra-professional levels.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 2","pages":"127-144"},"PeriodicalIF":0.3000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sante Publique","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3917/spub.252.0127","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: In France, gynecological care is provided by three types of health professionals: gynecologists, primary care physicians, and midwives. The objective of this study was to describe the gynecological care provided by these different health professionals at the national level.

Methods: A descriptive and analytical study of indicators of gynecological care (cervical and vaginal swabs, contraception procedures, and initial contraception and preventive consultations) by gynecologists, primary care physicians, and midwives in private practice in 2022, using data from the French National Health Data System (SNDS) to establish profiles of health professionals using multivariate analysis (principal component analysis and hierarchical clustering).

Results: Three gynecologist profiles, five primary care physician profiles, and four midwife profiles were identified based on the intensity of their gynecological care activity and their specialization in certain types of procedures. Professionals with significant gynecological care activity often have a particular focus on private practice, are more frequently female, and belong to younger age groups. The geographical distribution of professionals with significant gynecological care activity varies according to the profession.

Conclusion: We demonstrate significant heterogeneity in gynecological care, both between different types of professionals and within the same profession. Understanding gynecological care provision and its dynamics thus requires us to take into account the variety of actors at both the inter- and intra-professional levels.

在法国从事妇科监测的保健专业人员:不同的活动概况。
简介:在法国,妇科护理由三种保健专业人员提供:妇科医生、初级保健医生和助产士。本研究的目的是描述这些不同的卫生专业人员在国家一级提供的妇科护理。方法:对2022年私人诊所妇科医生、初级保健医生和助产士的妇科护理指标(宫颈和阴道取样、避孕程序、初始避孕和预防性咨询)进行描述性和分析性研究,使用法国国家卫生数据系统(SNDS)的数据,利用多变量分析(主成分分析和分层聚类)建立卫生专业人员的概况。结果:3名妇科医生、5名初级保健医生和4名助产士的资料是根据他们的妇科护理活动的强度和他们在某些类型的程序的专业化来确定的。具有重要妇科护理活动的专业人员通常特别关注私人执业,通常是女性,并且属于较年轻的年龄组。具有显著妇科护理活动的专业人员的地理分布因专业而异。结论:我们证明了妇科护理的显著异质性,无论是在不同类型的专业之间还是在同一专业内。因此,了解妇科护理提供及其动态需要我们考虑到专业间和专业内水平的各种行为者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Sante Publique
Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
0.40
自引率
33.30%
发文量
252
审稿时长
>12 weeks
期刊介绍: La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs, professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de soins, des sciences sociales et de l’action sociale. Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé, organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille sanitaire, déterminants de la consommation de soins, organisation et économie des différents secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique d’activités de soins ou de prévention et de programmes de santé, planification des ressources, politiques de régulation et de financement, etc
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信