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Master Thesis

La conciliation médicamenteuse de sortie : intérêt pour réduire la iatrogénie chez la personne âgée et tisser des liens ville-hôpital

Abstract : Introduction: Good command of iatrogenic events, especially with the elderly is a public health problem to reduce morbi-mortality and the induced costs. Objective: Assuming that an hospitalisation in geriatric departments reduces iatrogenic events we aim to prove that the introduction of a paragraph in the hospitalisation reports dedicated to the therapeutic changes could improve their follow up by general practitioners. Methods: Our study was realized in a geriatric medical department of after-care and rehabilitation in Paris. The first step was to analyse retrospectively 36 hospitalisation reports to study the changes applied as well as the percentage of which modifications were maintained after the exit. Secondly we included in the study 36 new patients whose reports contained a dedicated paragraph and we applied the same methodology as previously. Results: Although hospitalisation improves the quality of prescription, improvements needs to be done regarding the prescription by hospital habits. We demonstrated that the addition of a dedicated paragraph improves significantly the percentage of justified changes in the CRH from 40% to 60%. In the same way, the continued implementation of needed changes raised from 87.5% to 95%. Conclusion: Adding a dedicated paragraph to the therapeutic changes in the hospitalisation reports allows the general practitioner to better understand them and thus maintain them. It also reinforces the link between city and hospital. This paragraph still needs to be formalized and its ability to reduce iatrogenic events is to be demonstrated.
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Master Thesis
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Submitted on : Wednesday, January 27, 2016 - 2:37:39 PM
Last modification on : Tuesday, November 10, 2020 - 4:50:07 PM
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  • HAL Id : dumas-01263157, version 1


Claire-Marine Andro Borione. La conciliation médicamenteuse de sortie : intérêt pour réduire la iatrogénie chez la personne âgée et tisser des liens ville-hôpital. Médecine humaine et pathologie. 2015. ⟨dumas-01263157⟩



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