Biomedical subjects

D Lévy

Publications and source records attributed to D Lévy.

39 records · Page 3Linked to original sources

PubMedDate not supplied

[The foresight behavior of French general practitioners].

In France, "social insurance" is less comprehensive as concerns the independent workers that the salaried employees. Voluntary insurance is therefore a subject of crucial importance for physicians, the large majority of them being in private practice. In 1993, nearly 70% or 75% of French GP's are voluntarily insured against one risk or an other. The older generations have seemingly a lower providence level than the younger. As concerns the "vital" risks (death, disability) the insurance rate is higher among men. For the "minor" risks (e.g. income loss due to illness) women have a higher insurance rate. Effect of income appears for insurance against vital risks but it disappears when a certain income level is reached. Such a level does not exist as concerns the minor risks: the higher the income, the higher the insurance rate.

Adult↗

PubMedDate not supplied

[A decade of continuing medical education in France (1983-1993)].

Continuing education is not compulsory to medical doctors in France. However, nearly all of them make use of several means for knowledge and practice refreshment. Medical journals are the first rank, both for GP's and specialists. The two groups behave differently as concerns the other means. Medical specialists who, in France, can practice outwith or within hospitals, have their continuing education closely related to public hospitals. GP's prefer in general to base their own on means which are not related to hospitals: sessions organized by the profession, visitors from pharmaceutical firms... etc... There is a broad discrepancy between the use of an educational mean and its rating as first priority. However, as far as French GP's are concerned, medical journals and sessions organized by the profession are at the first rank both for utilization frequency and priority rating. Visitors from pharmaceutical firms are not rated at first priority--although they have a very high utilization frequency--but they obtain an interesting second rank rating. Age, sex and workload have each an effect on priority rating. In many cases, survey findings are not in line with conventional thinking on the matter.

Adult↗

PubMedDate not supplied

[Demand for and supply of health care: general practice in the miners' fund].

In France, the miners and their families are registered to a special sickness insurance fund. The fund has salaried GPs who are paid on a capitation basis, whereas more than 80 percent of the French population are insured to the "régime général" and are served by private practitioners paid on a fee-for-service basis. During seven weeks, the demand for care in the Miners' Fund was surveyed to assess its volume and variations according to the characteristics (age and sex) of the patients. As expected, the demand for care is higher as concerns the young children and the elderly. These variations have a specific pattern for each type of provided care (office visits, home visits, drug prescriptions, prescriptions of auxiliary care, prescriptions of diagnostic procedures...). Moreover, the demand for care varies according to the characteristics of GPs, age of patients being controlled. For instance, the referral ratio to specialists or hospitals varies according to age of GPs, to their having or not several offices, to their practising or not additional activities (MCH, visit to nursing homes...). It is noteworthy that in the French Miners' Fund, patients have little freedom to choose their GPs and GPs have no freedom to choose their patients, as in the "régime général".

Adolescent↗