Mission RESPIRE (EHESP-CNAMTS-IRDES - EA MOS 7348 EHESP), 20 avenue George Sand, 93210 la Plaine, Saint Denis, France.
Social and Human Sciences Department, École des hautes études en santé publique, 15 Avenue du Professeur Léon Bernard, 35043Rennes, France.
Prim Health Care Res Dev. 2020 Dec 14;21:e61. doi: 10.1017/S1463423620000559.
In this paper, we report on a study investigating the involvement of primary care providers in French local health contracts.
Worldwide actions are carried out to improve collaboration between primary care and public health to strengthen primary healthcare and consequently community health. In France, the local health contract is an instrument mobilising local stakeholders from different sectors to join in their actions to improve the health of the population.
We developed an instrument to analyse the frequency and nature of involvement of primary care providers in 428 action plans extracted from a sample of 17 contracts (one per French region). The number of primary care actions were counted, and thematic analyses were conducted to identify the nature and level of involvement of the professionals.
Primary care providers were involved in 20.1% (n = 86) of the action plans and were mostly described as a target of the action rather than leaders or partners. Within those action plans, 76.7% (n = 66) of these action plans aimed to improve access to care for local communities; an issue that appears as the main driver of collaboration between public health and primary care actors.
本文报告了一项研究，调查初级保健提供者在法国地方卫生合同中的参与情况。
全球范围内正在采取行动，以改善初级保健和公共卫生之间的合作，加强初级卫生保健，进而加强社区卫生。在法国，地方卫生合同是一种动员不同部门的地方利益攸关方参与行动的工具，以改善人口健康。
我们开发了一种工具，用于分析从 17 份合同（每个法国地区一份）中抽取的 428 项行动计划中初级保健提供者的参与频率和性质。计算了初级保健行动的数量，并进行了主题分析，以确定专业人员的参与性质和程度。
初级保健提供者参与了 20.1%（n=86）的行动计划，主要被描述为行动的目标，而不是领导者或合作伙伴。在这些行动计划中，76.7%（n=66）的行动计划旨在改善当地社区的医疗保健获取机会；这一问题似乎是公共卫生和初级保健行为者之间合作的主要驱动力。
