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Master Thesis

Représentations et attentes des médecins généralistes concernant la réalisation et la coordination, avec la Protection Maternelle et Infantile, du bilan de santé chez les enfants de 3-4ans : enquête qualitative auprès de médecins généralistes de Sud Gironde

Abstract : Background: The medical preventive check-up of 3-4 years old children is currently achieved by the Maternal and Child Welfare doctors in Gironde (France). With the increasing number of children to detect, it becomes more and more complicated to implement. The General Practitioner is the pivotal player in the primary care system in France. Involved in the medical exams of the 8th day, 9th and 24th months, he has in his practice a preventive approach, and could also intervene in this 3-4 years old check up. The objective of this study was to gather the perceptions and expectations of general practitioners regarding the implementation and the coordination of the 3-4 years old check-up. Method: qualitative research, conducted among General practitioners in South Gironde (France), from February to July 2015 with semi-structured interviews. A thematic analysis was conducted using the N'Vivo software. Results: Regardless their age, sex, place or conditions of practice, General Practitioners practiced a preventive care until 2 years old. Beyond, consultations concerned mainly acute diseases and knowledge on the embodiment of the 3-4 years old medical exam were uneven. The doctors seemed, in part, in favor of a partnership with the Maternal and Child Welfare to achieve this check-up. The exercise in group including in Multi-professional Health Care Centers seemed to facilitate this collaboration. Thenceforth, we propose ways to improve collaboration between General Practitioners and Maternal and Child Welfare in the realization of 3-4 years old’ preventive exam. For that purpose, an experiment in South Gironde (France), with Multi-professional Health Care Centers will also be a future research project.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01264891
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Friday, January 29, 2016 - 5:48:56 PM
Last modification on : Wednesday, August 23, 2017 - 4:30:13 PM
Long-term archiving on: : Friday, November 11, 2016 - 9:24:59 PM

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Emmanuelle Combes. Représentations et attentes des médecins généralistes concernant la réalisation et la coordination, avec la Protection Maternelle et Infantile, du bilan de santé chez les enfants de 3-4ans : enquête qualitative auprès de médecins généralistes de Sud Gironde. Médecine humaine et pathologie. 2016. ⟨dumas-01264891⟩

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