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Master Thesis

Barrières à l'utilisation des outils de diagnostic de la dépression en médecine de famille : étude qualitative par entretiens individuels semi-directifs auprès de médecins généralistes du Nord-Finistère

Abstract : Introduction: Depression is a frequent pathology with severe consequences on a humane and social plane. Its diagnosis, based on international diagnostic criteria, could be improved by the use of diagnostic tools. These diagnostic tools are still under-used in general practice. The objective of the study was to assess the limitations of these tools, so they can be considered when used in general medicine. Methods: Qualitative study by semi-directive interviews of a reasoned sample of general practitioners. Transcripts were coded by an independent double linear encoding until saturation. An inductive analysis was used on the linear encoding. A consensual axial and systematic encoding was obtained. It was organised according to a heuristic scheme. Results: Saturation was obtained in 9 interviews. 65 axial codes were obtained. Three themes were found. The tools were unknown (lack of training). They were judged useless in practice. They were considered maladjusted in their indications and shape. Discussion: These barriers, explained by specificities of practice within general medicine, showed two main axes for the improvement of the use of one tool. The first one would be to promote this tool in medical studies and to the patients. The second would be to give a particular attention to the ergonomics of the tool: clear, rapid in its use, accessible in general medicine practice, flexible, its objectives should be broad and well defined. Conclusion: The promotion of a new diagnostic tool for depression should be adapted to the general medicine practice.
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Master Thesis
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Submitted on : Wednesday, July 23, 2014 - 2:44:19 PM
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Marie-Laure Morvan. Barrières à l'utilisation des outils de diagnostic de la dépression en médecine de famille : étude qualitative par entretiens individuels semi-directifs auprès de médecins généralistes du Nord-Finistère. Médecine humaine et pathologie. 2014. ⟨dumas-01044399⟩

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