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Master Thesis

Évaluation de l'impact de Fiches d'Information Patient (FIP) sur le comportement des patients face à des pathologies courantes en médecine générale‎ : étude randomisée et contrôlée

Abstract : 1/ Background : communication is an important part of the relation between the patient and the practitioner. Written information can be a usefull tool as it leads patients to deal better with their illness. 125 Patient Information Leaflets (PIL) have been created in 2007. In 2008, the EDIMAP study valided these PIL regarding patients 'satisfaction and comprehension. The main outcome of this study was to evaluate their utility in primary care by testing their impact on patient's behavior. The assessment endpoint was a modification of behavior 'score. 2/ Material & Method : A randomised, multicentric, prospective and comparative trial was realized in cluster between november 2009 and january 2011 in France. 4 PIL were chosen : the adults and children's gatroenteritis ones and the adults and children's pharyngitis ones. 30 general practitioners were found by coaptation and asked to participate. Intervention : inclusions were made during a consultation for one of the 4 pathologies : an inclusion fax was sent to the "Centre d'Investigation Clinique" of Grenoble ; an information letter was given to the patient and then the patient was given either a PIF with the oral information or the oral information only. Questions were asked by phone 10 to 15 days after the consultation ; data collection and calculation of two scores : a comprehension 'score and a modification of behavior 's one. 3/ Results : 24 general practitioners included 400 patients out of wich 12 were lost during the study (3%). The behavior was more adapted in the groupe with the PIL (modification of behavior's score of 1,1 on average versus 1,8 in the control group, p<0,01). These results show that the PIL had a significative impact on patient's behavior and also on their closes. There were less consultations of these closes for the same symptoms. 4/ Conclusion : this study illustrates the interest of the utilisation of PIL in primary care. They could be a tool for general practitioners as they are supporting by an oral information at the point of delivery.
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Master Thesis
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Submitted on : Monday, September 5, 2011 - 4:37:34 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:03 AM
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  • HAL Id : dumas-00619171, version 1

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Eva Jeannet, Lucile Cozon-Rein. Évaluation de l'impact de Fiches d'Information Patient (FIP) sur le comportement des patients face à des pathologies courantes en médecine générale‎ : étude randomisée et contrôlée. Médecine humaine et pathologie. 2011. ⟨dumas-00619171⟩

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