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Master Thesis

Représentations des médecins généralistes sur les inégalités sociales de santé‎ : étude qualitative réalisée chez quinze médecins généralistes de la région avignonnaise

Abstract : Background: France is one of the European countries where social inequalities in health (SIH) are the most marked. Their reduction is dependent on public policies about social determinants and on the place given to primary health care in the national health system. How general practitioners (GP) determine the social insecurity of their patients and include SIH in their practice? Method: a qualitative study with thematic analysis of fifteen interviews of GPs from the Avignon area, parallel to a quantitative study. Results: GPs assume they don't take into account SIH sufficiently, despite the consequences on their practice. They aren't familiar with the concept of social insecurity, although it's a daily reality. They regret a lack of theoretical training. All but two mention a multi-factorial problematic. They understand they can reduce SIH through doctor-patient relationship and half of them through collaborative practice. Discussion: cross-analysis of the qualitative and quantitative studies shows a gradient of knowledge among GPs: the more experienced can better determine the social insecurity of patients. They identify the pathologies responsible for a higher mortality, which require preventive care. GPs' interest in SIH is the result of a personal choice, reflecting the inadequacy of the national health system to provide them with the means for an efficient care of the patients. Conclusion: GPs' representations on SIH are dependent on their appropriation of the bio-psycho-social model. They have this knowledge through their own experience.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00747831
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Submitted on : Friday, November 2, 2012 - 11:28:54 AM
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  • HAL Id : dumas-00747831, version 1

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Christine Lemaire Lesoin. Représentations des médecins généralistes sur les inégalités sociales de santé‎ : étude qualitative réalisée chez quinze médecins généralistes de la région avignonnaise. Médecine humaine et pathologie. 2012. ⟨dumas-00747831⟩

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