How to increase the supply of primary care services in underserved areas ? The impact of the location of multidisciplinary primary care teams on the density of physiotherapist in France

Yoann Galharret (), Yann Videau () and Julien Mousquès ()
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Yoann Galharret: ERUDITE - Equipe de Recherche sur l’Utilisation des Données Individuelles en lien avec la Théorie Economique - UPEC UP12 - Université Paris-Est Créteil Val-de-Marne - Paris 12 - Université Gustave Eiffel, IRDES - Institut de Recherche et Documentation en Economie de la Santé - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres
Yann Videau: ERUDITE - Equipe de Recherche sur l’Utilisation des Données Individuelles en lien avec la Théorie Economique - UPEC UP12 - Université Paris-Est Créteil Val-de-Marne - Paris 12 - Université Gustave Eiffel
Julien Mousquès: UR - Université de Rennes, EHESP - École des Hautes Études en Santé Publique, ARENES - Arènes: politique, santé publique, environnement, médias - UR - Université de Rennes - Institut d'Études Politiques [IEP] - Rennes - EHESP - École des Hautes Études en Santé Publique - UR2 - Université de Rennes 2 - CNRS - Centre National de la Recherche Scientifique, RSMS - Recherche sur les services et le management en santé - UR - Université de Rennes - EHESP - École des Hautes Études en Santé Publique - INSERM - Institut National de la Santé et de la Recherche Médicale - CNRS - Centre National de la Recherche Scientifique, SHS - Département des sciences humaines et sociales - EHESP - École des Hautes Études en Santé Publique, IRDES - Institut de Recherche et Documentation en Economie de la Santé - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres

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Abstract: France faces both a huge shortage of General Practitioners (GPs) and a geographical imbalance in the distribution of primary healthcare professionals. This study analyses whether establishing Multidisciplinary Primary Care Teams (MPCTs) in areas with limited access to primary care increases the density of physiotherapists (PTs) by attracting and retaining PTs. Our contribution expands the literature on the determinants of primary health care providers' geographical distribution. Utilising a panel data from 2012 to 2022 with a staggered difference-in-differences (DiD) estimation strategy, we compare the evolution of self-employed PTs density in HLAs that experienced the opening of MPCTs to similar areas without MPCTs. The findings indicate that the establishment of MPCTs in the most underserved HLAs, eligible to financial incentives targeting the attraction and retention of PTs, results in an increase in PTs density by more than five PTs per 100,000 inhabitants. This finding suggests that, in primary care, the promotion of multidisciplinary team practices like French MPCTs, in combination with financial incentives to attract and retain health professionals, improves healthcare workers density in areas with limited access to primary care services.

Keywords: Primary Care Teams; Geographical Location; Physiotherapists; France (search for similar items in EconPapers)
Date: 2025-06
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Published in Annals of Economics and Statistics, 2025, 158, pp.125-158. ⟨10.2307/48845131⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-05595264

DOI: 10.2307/48845131

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