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Master Thesis

Estimation par les médecins généralistes du niveau d'accessibilité de leur cabinet aux personnes handicapées : enquête menée à La Réunion de février à avril 2016

Abstract : Introduction: In France, all the Public Receiving Establishments (PRE) had to be accessible to disable people by October 2015. The directors of each PRE had to send to the prefecture or the city hall an official document (called Programmed Accessibility Agenda - PAA) proving their engagement to upgrade their office. What about accessibility of general practitioners' (GPs) offices in Reunion Island, and did the GP sent this PAA ? The main objective of our study is to determine the perception of the Reunion Island GPs on the accessibility of their own officies with an accessibility score. The other objectives are: to characterise the GPs who sent their PAA, determine the causes of non-return, the obstacles to upgrade the building and the declared impact on their professional activity. Method: A descriptive quantitative survey, using a questionnaire. Inclusion criteria: GP practicing in Reunion Island from February to April 2016. Participation rate 24.1%. Results: The average of the estimated Accessibility score was 67.1% (179 responses). 96 doctors (53.6%) had a score ≥ 70% (group B) vs 83 (46.4%) with a score <70% (group C). 123 doctors (68.7%) did not return their Agenda. 33.3% from the group B have deposited their Agenda vs 28.9% in group C. 76% of group C were installed before 2005. 22.9% work in rural areas against 15.6% in Group B. 88.5% of Group B stated that this law will have no impact on their professional activity vs 73.5% in Group C. Main difficulty in law enforcement: time-consuming aspects/administrative procedures (60.2%) in group C; technical aspect is raised to 46.9% in group B. Main causes of non-return of Agenda : ignorance of the law (34%; n = 42), office already available (20%; n = 25), lack of understanding of the law (7.8% ; n = 22) and forgetfulness (12.2%; n = 15). Discussion : A few GPs stent their PAA and they probably overestimate the accessibility of their own office. The methods of communication and information to and between physicians as well as practical help to palliate the complexity of the administrative procedures are ways to be explored.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01442488
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Friday, January 20, 2017 - 4:11:34 PM
Last modification on : Wednesday, August 23, 2017 - 4:41:08 PM
Long-term archiving on: : Friday, April 21, 2017 - 4:13:16 PM

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Anne Mecherikunnel. Estimation par les médecins généralistes du niveau d'accessibilité de leur cabinet aux personnes handicapées : enquête menée à La Réunion de février à avril 2016. Médecine humaine et pathologie. 2016. ⟨dumas-01442488⟩

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