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Master Thesis

Élaboration d'un questionnaire auto-administré d’aide au recueil de données médicales chez les femmes enceintes : évaluation de la pertinence de l’outil par un échantillon de médecins généralistes réunionnais

Abstract : Background : In Reunion Island, the maternal death and infant mortality rates, are twice as high as the rates in France. Perinatal issues are therefore of great importance here and improving these local health indicators has become a regional priority. The local perinatal network "REPERE” recently launched a project, named SUPREME, aiming to develop strategies to improve the quality and security of healthcare provided by practitioners in Reunion Island. Objective : Our goal was to create a patient auto-questionnaire to help practitioners collect Medical data during pregnancy surveillance consultations and field test our tool with a group of general practitioners, of Reunion Island, in order to check for its suitability in the clinical environment. Methods : The questionnaire was developed upon French recommendations for good practice. It was submitted to a pre-test with a sample of patients and a focus group. The prototype obtained was then tested in current practice by a sample of local practitioners and their patients over a period of 10 weeks. We then collected opinions amongst the practitioners by means of a survey. Results : 34 general practitioners tested the auto-administered questionnaire and took part in the study. Amongst them, men and women were equally represented (17) and equally part, or not, of the REPERE network (16). 70.58% (25) are installed in doctor's practice of group, 67.65% (23) for more than 15 years, and 55.88% (19) practitioners settled in rural areas. 85.30% (or 29) practising in the West and the South of the island. 58.82% (or 20) are over the age of 50 years old. 85.29% (19) of them followed less than 20 pregnancies a year and 67,66% (21) and followed them until the third quarter. This questionnaire was judged for 91.18 % (31) of the practitioners to be easy or very easy to use, and 76.48 % of them claimed it to be useful (27). For 79.42% of them, it allows to collect more information (27), and for 61.77% of them, it permitted a higher level of participation of their patient during the consultation (21). Its length was considered suitable for 76.48% of the doctors (26). 85.24% of the practitioners (30) agreed to use this tool in their daily practice during pregnancy follow-ups, but 58.82% (20) mentioned that they would not use it for all patients. Amongst the 79 patients questioned, 89.87% of them (71) considered the questionnaire easy to fill out, and 67.09% of them (53) found that it stimulated reflection on their pregnancy. Conclusion : Our auto-questionnaire, administered to pregnant women was judged to be a useful and relevant tool to improve the quality of pregnancy follow-up consultations in Reunion Island. Additional adjustments and testing is necessary to determine it's power to improve pregnancy risk assessment.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01101594
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Submitted on : Friday, January 9, 2015 - 10:07:57 AM
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Ornella Pothin. Élaboration d'un questionnaire auto-administré d’aide au recueil de données médicales chez les femmes enceintes : évaluation de la pertinence de l’outil par un échantillon de médecins généralistes réunionnais. Médecine humaine et pathologie. 2014. ⟨dumas-01101594⟩

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