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Master Thesis

État des lieux et comparaison du ressenti des médecins généralistes lors de l'accompagnement en ville des patients en soins palliatifs selon l'organisation locale‎ : étude de trois secteurs géographiques en Savoie‎ : bassin chambérien, Tarentaise et Maurienne

Abstract : The development of Palliative home care allows to meet French people's wishes and to achieve important savings in medical care. In that therapy, general practitioners have a key role to play. The purpose of this study was to analyze the impact of local resources on the way general practitioners feel palliative home care management. The aim was to identify strengths and weaknesses experienced in the care in order to suggest improvements. An anonymous survey built upon five semi-directive interviews was sent in May 2013 to all 435 general practitioners working in Savoie. The rate of return without any reminder process after one month was 34%. Analyses of different local resources have not led to different conclusions; only home hospitalization was mentioned as a true satisfaction for practitioners. Lack of time, training, and financial compensation, problems linked to night work or during weekends and general ignorance of available resources were the main difficulties pointed out. The ways for improvements are to better training process of future practitioners, to set up in service medical training and to publish information leaflets on: how home hospitalization and home care work, what the role of non for profit patients' organizations is, and how to write early personal prescription. To enhance pain clinic accessibility, to set up a call center, to develop respite hospitalizations and psychological support of patients and household members could also lead to improvements.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00917040
Contributor : Jean-Hugues Morneau <>
Submitted on : Wednesday, December 11, 2013 - 11:03:55 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
Long-term archiving on: : Friday, March 14, 2014 - 10:35:44 AM

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  • HAL Id : dumas-00917040, version 1

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Anne Brenot-Domboué, Anne-Laure Marsande. État des lieux et comparaison du ressenti des médecins généralistes lors de l'accompagnement en ville des patients en soins palliatifs selon l'organisation locale‎ : étude de trois secteurs géographiques en Savoie‎ : bassin chambérien, Tarentaise et Maurienne. Médecine humaine et pathologie. 2013. ⟨dumas-00917040⟩

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