Résumé
Introduction . Corresponding SAMU doctors (MCS), ambulatory general practitioners agreed with SAMUs, represent a link in the response to urgent medical aid (AMU) within an acceptable time frame of less than thirty minutes thanks to an existing territorial network as close as possible to the isolated populations.
Objective. Describe the place of MCS-trained GPs in the response to AMU on French territory.
Method. An exploratory descriptive study was carried out using a database from the document "Diagnosis of access to urgent care" of December 31, 2019 produced by the Directorate of Research, Studies, Evaluation and Statistics ( DREES) and the General Directorate of Healthcare Supply (DGOS).
Results. The MCS was the closest AMU system for 3,058,872 French people (4.58% of the French population). 45.9% of them lived less than thirty minutes from an emergency service or SAMU. The MCS was the closest system for 14% of French municipalities whose combined surface area corresponded to 20.1% of French territory, with a mountainous and rural profile. They are installed in 46 departments and operate in 67. More than 1.3 million French people live more than thirty minutes from any AMU system.
Conclusion. The MCS system is a full-fledged response to the AMU. It can help promote access to urgent care within an acceptable time frame of thirty minutes for the region. "Real-life" cartographic modeling could define precise territorial MCS needs. MCS training could be offered to GPs in these territories and be integrated into the GP curriculum by relying on the presence of regional university branches, in areas where access to emergency care is difficult