Access to healthcare services in medical wastelands: the « first-aid line » as a tension absorber ? The case of the french fire departments

Accès aux soins en contexte de désertification médicale: un rôle tampon joué par la « chaîne de secours » ? Le cas des sapeurs-pompiers français

Marius Bertolucci (), Bruno Tiberghien (), Anaïs Saint Jonsson () and Nicolas Alfano ()
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Marius Bertolucci: CERGAM de Toulon - Centre d'Études et de Recherche en Gestion d'Aix-Marseille/Equipe de recherche de Toulon - CERGAM - Centre d'Études et de Recherche en Gestion d'Aix-Marseille - AMU - Aix Marseille Université - UTLN - Université de Toulon - IAE Toulon - Institut d'Administration des Entreprises (IAE) - Toulon - UTLN - Université de Toulon
Bruno Tiberghien: AMU IMPGT - Institut de management public et de gouvernance territoriale - AMU - Aix Marseille Université
Anaïs Saint Jonsson: CERGAM - Centre d'Études et de Recherche en Gestion d'Aix-Marseille - AMU - Aix Marseille Université - UTLN - Université de Toulon
Nicolas Alfano: CERGAM - Centre d'Études et de Recherche en Gestion d'Aix-Marseille - AMU - Aix Marseille Université - UTLN - Université de Toulon

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Abstract: This article, introducing the notion of « first-aid line » in the analysis of the « medical wasteland », is carried out through a double exploratory movement. On one hand, it shows how the first-aid line practitioners are forced to act as a tension absorber on a territorial scale when admittance to healthcare services is hindered by distance or poor geographical accessibility. On the other hand, it highlights the internal transformations these organizations implement when they are themselves faced with a lack of health professionals.

Keywords: Medical wasteland; healthcare accessibility; territorial disparities; medical emergency management; first-aid line; Désert médical; accès aux soins; inégalités territoriales; gestion du secours à personne; chaîne de secours (search for similar items in EconPapers)
Date: 2018
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Published in Gestion et management public [2012-..], 2018, 6/3 (1), pp.51. ⟨10.3917/gmp.063.0051⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01968661

DOI: 10.3917/gmp.063.0051

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