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Master Thesis

Impact de la distance physique sur la qualité de la relation médecin-patient en médecine générale.

Abstract : Introduction: Patients don't have the same expectations as caregivers and restrict the field of care quality to the physician-patient relation (PPR). Communication, verbal and non-verbal, is the vector of this relationship. We have attempted to identify, by an observational, randomized, multicenter study, a correlation between quality of the PPR and physical distance in consultation, by observing its 3 components (vertical distance, horizontal distance and physical contact), among general practicioners interns supervisors and their patients, from Aquitaine. We also tried to identify confusing factors improving the PPR. Material and Method: The correlation was established on a distance score, observed by interns in internship on 17 doctors in consultation and on a PPR quality score established by the 74 patients observed, built from foreign validated scales. Results: The correlation between PPR and physical distance was strong (correlation coefficient = + 0.572). Correlations between PPR and the horizontal distance, vertical distance and physical contact were very good with coefficients ar 0.44, 0.42 and 0.42, respectively. Discussion: There is a strong correlation between physical distance and PPR quality. The horizontal and vertical distances and physical contact, separately analyzed, exhibit a very good correlation with the PPR quality. But tools used to achieve these results are not validated, the evaluation of the PPR quality remains subjective, and the low power of this study limited the analysis of potential factors influencing the PPR.
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Master Thesis
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Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Monday, December 7, 2015 - 6:01:25 PM
Last modification on : Wednesday, August 23, 2017 - 4:33:52 PM
Long-term archiving on: : Saturday, April 29, 2017 - 9:24:39 AM


  • HAL Id : dumas-01239455, version 1



Dimitri Archambault. Impact de la distance physique sur la qualité de la relation médecin-patient en médecine générale.. Médecine humaine et pathologie. 2015. ⟨dumas-01239455⟩



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