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Master Thesis

Déterminants de la prescription des antibiotiques en médecine générale : analyse qualitative dans la région du Centre Hospitalier Annecy Genevois

Abstract : France remains one of the european countries with the highest antibiotic use. In France, 93% of all antibiotics are prescribed in the outpatient setting (essentially by general practitioners [GPs]). Most of these prescriptions is inappropriate (20-50%). The bacterial resistance is due to this antibiotic’s overuse and represents a strong public health problem.The objective of this study was to assess antibiotic prescribing’s factors in ambulatory cares among GPs.Qualitative semi structured interviews of GPs from the Hospital Center Annecy-Genevois (CHANGE) area have been conducted in order to assess the key factors of prescription and non-prescription of antibiotics. Interviews have been realised until thematic saturation (absence of new thematic during two successive interviews). The verbatims have been retranscribed and separately analyzed by two researchers. These independent analyses have been then confronted.Antibiotic prescribing’s behavior was governed by a set of several factors related to physicians, patients and the relationship between patients and physicians. It has been showed that all these factors guided the therapeutic decision. The antibiotics were considered as a special therapeutic class which could influence the relationship between the general practitioner and his patient. The antibiotic prescribing’s decision is multifactorial and complex. Multitargeted interventions are necessary to influence the GPs’ behavior about antibiotics’ prescribing.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01564682
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Submitted on : Wednesday, July 19, 2017 - 9:47:12 AM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM

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  • HAL Id : dumas-01564682, version 1

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Sylvain Onteniente, Solène Fournet. Déterminants de la prescription des antibiotiques en médecine générale : analyse qualitative dans la région du Centre Hospitalier Annecy Genevois. Médecine humaine et pathologie. 2017. ⟨dumas-01564682⟩

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