[Reasons for General Practitioner Shortage – a Comparison Between France and Switzerland]

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.

Keywords: Allgemeinmedizin; France; Frankreich; Hausärztemangel; Schweiz; Suisse; Switzerland; comparaison systématique; family medicine; general practitioner shortage; médecine de famille; pénurie de médecins généralistes; systematic comparison; systematischer Vergleich.