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Master Thesis

État des lieux de la pratique gynécologique des médecins généralistes installés en Savoie et Haute-Savoie : une étude quantitative

Abstract : Context: For their gynecological follow-up, women can choose between the gynecologist, the obstetrician/gynecologist, the midwife or the general practitioners. Medical demographic projections indicate a decline in the number of gynecologists. General practitioners are more likely to be involved in the future. The main goal of the study is to carry out an inventory of the gynecological practice of general practitioners in Savoie and Haute-Savoie. The secondary goal is to look for the impacts of their initial training in gynecology and their distance with the nearest gynecologist. Method: Quantitative cross-sectional descriptive study by on-line questionnaire of general practitioners in Savoie and Haute-Savoie between November 2016 and January 2017. Substitutes and salaried doctors are excluded. The questionnaire consist of three parts: the status of practice, training in gynecology and socio-demographic data of the respondents. The CNIL permitted the study. Results: 254 responses were obtained among which 226 responses were exploitable over the 900 questionnaires sent. The response rate was 28.5%. 80% of general practitioners all the gynecological activities including screening, prevention, follow-up and contraception; but excluding unusual technical acts. The level of initial training and distance from the nearest gynecologist does not impact their practices. The main obstacle described by physicians was the lack of request from patients. The majority of respondents (80%) would actually agree to do more gynecology. More than 60% of respondents are nevertheless motivated by a practical training in gynecology. Conclusion: This study shows the value of better communication with patients on the competence of general practitioners; as well as the interest of varied training to improve the quality of treatment and follow-up of women.
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Master Thesis
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Submitted on : Wednesday, May 3, 2017 - 11:33:47 AM
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Iris Bonhomme, Carole Moretti. État des lieux de la pratique gynécologique des médecins généralistes installés en Savoie et Haute-Savoie : une étude quantitative. Médecine humaine et pathologie. 2017. ⟨dumas-01517439⟩



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