Monitoring the compliance of sentinel general practitioners in public health surveillance : Which GPs persevere ?
This study was undertaken to develop a novel approach to measure compliance of general practitioners (GPs) in sentinel public health surveillance.
More specifically, its purpose was to determine the characteristics in the SGP's profile which can be objectively associated with perseverance.
Since 1984, the French sentinel network has collected weekly data on eight communicable diseases, involving volunteer SGPs.
In this study, compliance'was defined as the length of time during which a SGP complies with a given theoretical surveillance protocol.
This left-censored variable was computed from individual SGP's connection time series.
Kaplan-Meier method was used to estimate the compliances survival distribution for all the SGPs (1824 SGPs who have been part of the network, at one point or another, since 1984).
Using Cox regression model, a prospective survey on the 376 most recent recruits allowed us to select the characteristics associated with a longer compliance.
Sensitivity analyses were carried out using the bootstrap method.
According to the maximum number of silences allowed by the given theoretical protocol, median compliances varied between 11.7 (95% Cl : 11.1-12.3) and 38.8 (95% Cl : 35.7-40.7) months.
In multivariate analyses, we observed long compliances for SGPs whose main motivation for being involved in the network was an interest in epidemiology and SGPs with ¾5 or =20 years seniority. (...)
Mots-clés Pascal : Surveillance sanitaire, Médecin généraliste, Comportement, Attitude, Homme, France, Europe, Personnel sanitaire
Mots-clés Pascal anglais : Sanitary surveillance, General practitioner, Behavior, Attitude, Human, France, Europe, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0244942
Code Inist : 002B30A05. Création : 11/06/1997.