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Master Thesis

Évaluation de la prise en charge en médecine générale des enfants sourds et malentendants en Guadeloupe

Abstract : In the absence of any health care unit for the Hearing-impaired in the French Caribbean, the Law Act of 2005 and the Circular DHOS of 2007 about disability oblige all General Practitioners (GPs) to provide access for patients with hearing impairment. Objective: To assess the management of Guadeloupian Hearing-impaired children in Primary care outside a specialized structure. Methods: We conducted in Guadeloupe a twofold one-time quantitative and qualitative descriptive study. Some physicians were reached by telephone after being randomized out of the directory listing. The hearing-impaired patients were children enrolled in the specialized center EPHPHETHA. Two questionnaires explored the profile of both the patients and the physicians, the content and the means of their medical communication; as well as the feeling of both the expression of the patient's complaints and the transmission of medical information by the physician. Results: Thirty-two physicians and 31 patients answered. Parents would accompany over 90% of the children informed only about the ear, nose and throat system but not about the other medical fields. A seventy-eight percent majority of physicians used oral communication only whereas 3% Sign Language only. Apart from vaccinations and the ENT system respectively, physicians and patients experienced to communicate poorly and 100% of them would prefer if a Sign Language interpreter were present. Conclusion: This study provided scientific objectivity of a poor communication between Guadeloupian Hearing-impaired children poorly informed and their GPs. These latter could rely on some official recommendations submitted online by INPES and CNSA; yet the presence of an interpreter, or even the creation of a health care unit for hearing-impaired patients (UASS), both unanimously acclaimed, would improve the management of the Hearing-impaired in Primary Care.
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Master Thesis
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Submitted on : Monday, August 24, 2015 - 8:19:57 PM
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  • HAL Id : dumas-01172813, version 1



Michael Sengonul. Évaluation de la prise en charge en médecine générale des enfants sourds et malentendants en Guadeloupe. Médecine humaine et pathologie. 2015. ⟨dumas-01172813⟩



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