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Master Thesis

Les infiltrations de corticoïdes en cabinet de médecine générale‎ : pratiques, réticences et souhaits : analyse qualitative par entretiens semi-dirigés

Abstract : BACKGROUND: Musculoskeletal disorders are daily encountered in outpatient medicine. Their frequency is likely to increase due to the aging population and the increase in musculoskeletal disorders. Therefore, it is important to know the basics corticosteroid injections' practice by General Practitioner (GP), first health care provider. OBJECTIVE: To understand the experiences, the feelings of GPs, to better understand their practices, reluctances and desires on corticosteroid injections performed in the office. METHODS: A qualitative research was conducted by 14 individual semi-structured interviews with GPs from Savoy. The sample was varied. A thematic analysis of verbatim triangulation was conducted by researchers after full retranscription of the interviews. RESULTS: Analysis of the results led to six themes. The practice was detailed with the choice of infiltrated diseases, aseptic techniques and the feelings of doctors. Non-practitioners expressed their reservations as the lack of scientific evidence, the lack of resources, the lack of training, the low cost of infiltrations. We were able to identify barriers to the practice as new technologies, high cost, lack of practical, difficulties for asepsis in the office, the difficulty of managing comorbidities and limitations of the doctor himself. The doctors detailed the training received and an "ideal" one to help them to practice. Complications led to a change in behavior. Doctors have expressed their thoughts on the practice of their colleagues and the relationships between doctors and patients. CONCLUSION: This study allowed us to see the foundations of the practice of infiltration in general practice. It is important to adapt the training of general practitioners, review the cost to infiltration before other medical and surgical specialties are overwhelmed.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00873184
Contributor : Jean-Hugues Morneau <>
Submitted on : Tuesday, October 15, 2013 - 11:49:38 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Thursday, January 16, 2014 - 5:51:01 AM

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  • HAL Id : dumas-00873184, version 1

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Stéphanie Laporte, Caroline Lebel. Les infiltrations de corticoïdes en cabinet de médecine générale‎ : pratiques, réticences et souhaits : analyse qualitative par entretiens semi-dirigés. Médecine humaine et pathologie. 2013. ⟨dumas-00873184⟩

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