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Master Thesis

Attitudes des généralistes en matière de prise en charge des personnes âgées dépendantes à domicile : quelle est la place du réseau de gériatrie de l’Essonne « Hippocampes » ? Une enquête qualitative auprès de généralistes essonniens

Abstract : Introduction: GPs encounter difficulties with their elderly dependent patients treated at home. Geriatric networks offer support to patients and doctors in order to facilitate home care and liaison with the hospital.
Objective: To understand the daily difficulties of GP’s, their relationship to the different actors, and to know the position of the geriatric network of the Essonne “Hippocampes”, in an attempt to improve their services.
Methods: This was a qualitative study. 21 comprehensive interviews were carried out with GPs in the department of Essonne (18 selected in the network file and 3 outside of it). The interviews were analyzed first using cross-disciplinary themes, then individually with a sociological method.
Results: The principal difficulties encountered were the absence of family environment, limited financial ressources, objecting patients, hospitalization of patients in a general hospital.
Most GPs were unfamiliar with how the networks functioned and few referred patients. They were involved little, particularly in assessment visits at home, which were conducted in ways unsuitable to them. Information and psychological support of patients and their families were useful to them.
Conclusion: Essonne’s geriatric network seems out of phase with the informal network created by each GP, which seems to function well for those used to managing elderly patients. Those having few geriatric patients encounter difficulties especially in the social field, for which they currently have no specific correspondant.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01131916
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Submitted on : Monday, March 16, 2015 - 1:33:33 PM
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  • HAL Id : dumas-01131916, version 1

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Éva Germain. Attitudes des généralistes en matière de prise en charge des personnes âgées dépendantes à domicile : quelle est la place du réseau de gériatrie de l’Essonne « Hippocampes » ? Une enquête qualitative auprès de généralistes essonniens. Médecine humaine et pathologie. 2014. ⟨dumas-01131916⟩

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