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Master Thesis

Évaluation de l’accès à l’IVG en médecine de ville par la méthode du patient standardisé

Abstract : Introduction: 40 years after the passage of the Veil Law, abortion is still in 2015 a topical issue. At national and regional levels, recommandations have been made to promote access to abortion. 10 years after the introduction of medical abortion outside hospitals, we studied how general practitioners (GPs) respond to a request for an abortion.
Method: Descriptive study using the standardized patient method : a 28 year-old fake patient asking for an abortion after a forgotten birth-control pill consulted 43 randomized GPs, from the 15th, 18th, and the19th districts of Paris. Data were collected with a questionnaire created for the study.
Primary endpoint (PE): Creation of an « abortion efficiency score » combining 5 items worth 1 point each (attestation, hCG, ultra sound, blood type determination, addressing). The PE is the proportion of physicians obtaining the maximum score of 5.
Results: n=14 GPs (33%) getting 5 points, allowing access to abortion with method’s choice. PE is more frequent in the 19th district (p=0,04) and in the GPs under 45 (p=0,02). Blood type determination is more prescribe by women (p=0,005) and GPs under 45 (p=0,004). Addressing remains predominantly focused on hospital (58%). Only 10% know the site
Conclusion: 33% of the GPs answered perfectly to a request for abortion. GPs under 45 respond better to it. Recourse to medical abortion outside hospital is insufficient. Training and communication towards GPs need to be improved. The diffusion of tools to help addressing patients and of checklists, through the Internet, seems a solution to be considered.
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Master Thesis
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Submitted on : Monday, May 18, 2015 - 10:40:05 AM
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  • HAL Id : dumas-01152545, version 1


Anne-Élisabeth Mazel. Évaluation de l’accès à l’IVG en médecine de ville par la méthode du patient standardisé. Médecine humaine et pathologie. 2015. ⟨dumas-01152545⟩



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