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Master Thesis

Influence des conditions de vie sur le défaut de suivi de grossesse : vécu et perception des patientes Enjeu du repérage de la vulnérabilité

Abstract : Context: A specific care management is developed for the most vulnerable people but it still remains a lot of inequalities concerning access to care. Vulnerability identification seems to be an answer in order to improve this management. Some tools exist but none are used in maternity wards. Objectives: Identify the indicators that affect the care management from the point of view of patients and evaluate their level of acceptance to an identification tool of vulnerability. The finality is an adapted orientation of these patients and the awareness of the professionals about the identification of these situations. Methods: The approach consisted first in constructing an identification questionnaire (28 questions), thanks to a review of the literature and the notice of professionals (environmental health consultation at the North Hospital). Then, a qualitative explorative investigation has been realized thanks to half-directive interviews with twelve patients in postnatal period that received few or any pregnancy care. At the same time, it has been asked an expertise to the tool previously constructed to know if it was awkward for them to answer. Results: Three main topics have been identified, linked with socialization, resources and finally an explanation on the specific features of access to care for this population. About questions acceptance, in spite of few expressed reluctance concerning health and social professionals, the majority of patients declared to be comfortable with answering the questions asked Conclusion: Patients perception are similar to those of caregivers. The vulnerability impacts on the medical care are multiple and interspersed. To valid and integrate an identification tool on the proposed model is a pertinent perspective based on the different topics identified.
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Submitted on : Tuesday, December 6, 2016 - 2:29:46 PM
Last modification on : Monday, December 21, 2020 - 6:59:08 PM
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  • HAL Id : dumas-01218590, version 1


Soraya Saadi. Influence des conditions de vie sur le défaut de suivi de grossesse : vécu et perception des patientes Enjeu du repérage de la vulnérabilité. Gynécologie et obstétrique. 2015. ⟨dumas-01218590⟩



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