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Master Thesis

Analyse du vécu et des stratégies mises en place par les médecins généralistes et les pédiatres suite à l'interdiction des antitussifs chez les enfants de moins de deux ans

Abstract : Cough syrups were often prescribed to infants with minor breathing illnesses. Their ban for children below two years old, in 2010, lead to a change in physicians' prescription habits. The objectives of this study are to analyze how this ban was experienced by the physicians, and to study the strategies and alternate measures they implemented following this cough medicines ban. A qualitative study was conducted thanks to semi guided phone interviews with fourteen general practitioners and private paediatricians in France. The ban was accepted even though criticism remains. A diffusion of recommendations and the information of the parents are the drivers of this change. Strategies have been developed to cope with the parents' pressure. Recommendations are enforced although prescription of non recommended medicines was observed. Nasopharyngeal deobstructive treatments are often preferred but obstacles remain. Obstacles to the acceptance of recommendations and the physicians' adaptation remain. Strategies developed by physicians are based on reassuring and informing the parents as well as organizing nursing. Prescription replacement by other medicines can be explained by the physicians' tendency to prescribe. Non-medicinal measures can favor the acceptance of the cough medicines non-prescription and a demonstration of nasopharyngeal deobstructive treatments should be promoted. This study emphasizes the essential role of the parents' information in the acceptance of antitussive non-prescription. This work also opens up on the obstacles for the physicians' adaptation, the role of non-medicinal therapies and on means to promote nasopharyngeal deobstructive treatments.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00864142
Contributor : Jean-Hugues Morneau <>
Submitted on : Friday, September 20, 2013 - 2:07:58 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Saturday, December 21, 2013 - 4:29:12 AM

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  • HAL Id : dumas-00864142, version 1

Citation

Benjamin Brisson, Gaël Cambon. Analyse du vécu et des stratégies mises en place par les médecins généralistes et les pédiatres suite à l'interdiction des antitussifs chez les enfants de moins de deux ans. Médecine humaine et pathologie. 2013. ⟨dumas-00864142⟩

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