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Master Thesis

Consultation préventive à domicile pour le patient âgé‎ : étude de reproductibilité et de faisabilité d'un outil d'évaluation des risques à domicile, la grille EVALADOM, réalisée auprès de 20 médecins généralistes

Abstract : Nowadays, the home Accidents are associated with serious morbidity and mortality among elderly people. It places the prevention of Home Accident like a major preoccupation for the public health system. It was useful to give to the general practitioners, first actor of the health care system, a guide which describes the environmental risks at home for the elderly people. The EVALADOM assessment as e home accidents screening tool was created from this perspective. The objective of this work was to complete the validation of this tool. In first place, this study describes the evaluation of the reproducibility of the EVALADOM assessment, with an evaluation of the intra-rater and inter-rater reliability. In second place, this paper determines the feasibility, utility and acceptability of this procedure. 20 general practitioners participate in this work. 39 patients age 75 and older were included. 117 EVALADOM assessments were analysed. The intra-rater reliability was verified but agreement between raters depends of the risks. A guide for the use of the tool could limit this variability. The main limit of this work is the small size of the sample. EVALADOM contribute to the medical knowledge and to the life style for more of half patient. After the evaluation, 1/3 of persons have benefit of prescriptions and ¾ of recommendations. According to the doctors, the EVALADOM assessment is useful in current practice (70%) but its application is limited by the time (60%), the absence of financial gratitude (60%) and the difficulty to change the place of residence (80%). A study of more large scale with formation of the user is necessary to assert the inter-raters reliability and its prognostic benefit has to be proved.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00650250
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Submitted on : Friday, October 18, 2013 - 6:13:58 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
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  • HAL Id : dumas-00650250, version 1

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Félicie Lamouroux. Consultation préventive à domicile pour le patient âgé‎ : étude de reproductibilité et de faisabilité d'un outil d'évaluation des risques à domicile, la grille EVALADOM, réalisée auprès de 20 médecins généralistes. Médecine humaine et pathologie. 2011. ⟨dumas-00650250⟩

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