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Background: Social determinants of health (SDH) impact the health status of individuals around the world. General practitioners (GPs) can take into account the social situation of patients in their care practice. To this end, the College of General Medicine (CGM) issued recommendations in 2022 to propose 100 methods of action., Objective: To assess the acceptability to GPs of the recommendations set out by the CGM to improve the consideration of the social situation of patients in consultations., Design: Quantitative, cross-sectional, descriptive study, using the Delphi method., Setting: The data were collected through the administration of a questionnaire to GPs practising in France., Participants: Participants were recruited by email from the academic network of Sorbonne University. The only criteria for inclusion were to be a GP from Sorbonne University and to complete the full questionnaire. 25 participants were included., Interventions: Proposals were grouped into 24 themes. Participants had to rate the acceptability of these themes by rating their degree of relevance and degree of applicability on a Likert scale., Primary Outcome: The primary outcome was the acceptability by GPs of proposals to take into account the SDH. Acceptability was defined as relevance with a median greater than or equal to 7 and applicability with a median greater than or equal to 7, in the absence of disagreements., Results: After 2 rounds, 12 themes were accepted: 5 addressed interventions at the individual level (eg, 'understanding the context of patients' lives and identifying social difficulties'), 4 addressed interventions at the organisational level (eg, 'communication actions aimed at vulnerable patient populations') and 3 addressed interventions at territorial level (municipality and national). Relevance was very good for all of them, with median responses ranging from 8 to 9 and with no disagreement. Applicability was more mixed, with 12 themes deemed applicable. Justifications were provided through participants' comments. Proposals were made to improve the applicability., Conclusion: This study explored how SDH could be taken into account through the perspective of GPs in the context of the CGM's recommendations. While all proposals were deemed relevant, some were not applicable. The findings emphasise the need for adaptations in the organisation of the practice, of care pathways and more generally, in the organisation of the health system. Those actions require the commitment of professionals and political actors., Competing Interests: Competing interests: GI is an active member of the CGM and was the leader of the working group that drew up the recommendations. The other authors have declared that no competing interests exist., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Objectives: The perspective of general practitioners' (GPs) on retirement and the factors influencing their attitude towards retirement have been previously investigated. However, while the number of GPs has been declining for many years in France, leading to the emergence of medical deserts, the impact on their patients remains to be explored. The aim of this study was to understand patients' perceptions of their GP's retirement., Design: A semistructured interview-based qualitative study was conducted, using Interpretative Phenomenological Analysis., Setting: Interviews were conducted in two general practices located in Essonne, Ile-de-France, France, between January and April 2014., Participants: Thirteen women and five men, aged 21-94 years, were included in this study. Exclusion criteria were the non-declaration of the physician as the declared doctor and being under 18 years of age., Results: The GP-patient relationship is a link that is built up over time, over the course of several consultations. Patients choose their GP based on qualities or skills they value. In this way, the physician chosen is unique for their patients; this choice reflects a certain loyalty to their physician. The interaction with the family sphere reinforces this relationship through the multiple links created during care. When a GP retires, this link is broken. Patients' reactions can range from indifference to real grief., Conclusion: This study confirms the importance of the link between the GPs and their patients and highlights the need to prepare patients for their GP's retirement., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)