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Master Thesis

La multimorbidité : les différences entre la théorie et le vécu des médecins généralistes

Abstract : Introduction: The World Health Organization has defined multimorbidity as the association of two or more chronic conditions for the same patient. The European General Practice Research Network (EGPRN) propose a new definition after a systematic review of relevant literature. The new definition included 11 themes and their subthemes. The purpose of this study is to compare the criteria of multimorbidity of the new definition to the criteria recognized by the general practioners (GP). Method: 6 research qualitative studies following an inductive and open approach of GPs’ semi-structures interviews and focus groups were conducted. Secondary triangulation analysis was done in two separated research studies. This study is a secondary study analyzing all the data’s. An opening, axial and thematic coding was done in order to identify the criteria of mulimorbidity of GP. Those criteria’s were compared to the criteria’s of the definition proposed by the EGPRN. Results: 36 interviews and 8 focus groups conducted to 6895 codes. All the themes proposed by the EGPRN’s definition were identified. The sex was not identified as a risk factor for the multimorbidity. Two new themes regarding the GP were identified: GP- expertise and GP - patient relationship. Discussions: The 11 themes identified by the EGPRN were confirmed by the GPs. Two new themes are placing the GP as an expert of the multimorbidity management. There were no evaluation scale or detecting tools identified by the GPs. New research regarding this subject’s wood be useful for a better management of multimorbidity.
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Submitted on : Monday, February 9, 2015 - 10:15:48 AM
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Tudor Daraban. La multimorbidité : les différences entre la théorie et le vécu des médecins généralistes. Médecine humaine et pathologie. 2014. ⟨dumas-01114291⟩

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