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Master Thesis, création d’un site Internet d’aide à la prescription d’une méthode contraceptive et réalisation d’une étude d’acceptabilité de cet outil

Abstract : Context: France is charactererized by a broad access to contraceptive methods with an important medicalization of the prescription of contraception. However, stereotyped practices still remain, in inadequacy with the current recommandations and resulting in a significant number of failure of contraception. We did develop a website to help the primary care physician to prescribe a contraceptive method adjusted to the patient, in order to improve health care quality and security. Material and methods: collect and synthesis of the French Health Authority’s recommandations and the WHO’s guideline by a decision tree. Development of the website, that will indicate the level of recommandation of each contraceptive method according to the medical history of the patient. Realization of a pilot study of acceptability involving 35 physicians in primary care, in the form of a public opinion pool. The website was tested out of a real consultation, in order to assess its usability and to improve it afterward. Results: is an online decision support system intended for health care professionnals, independant and free of charge. It presents four parts : contraceptive’s prescription, oversight, emergency contraceptives and sterilization. The therapeutic proposals are based on the 2015 WHOS’s guidelines and the French Health Autority’s recommendations, published in 2013 and actualized in 2015. 97% of the questioned professionnals would use this website for their daily practice. However, there are some points to be improved as the visual and the navigability, in order to procure the best use possible. Conclusion: aim to be a reliable tool to use in consultation, in order to improve the contraceptive prescription by reducing the unfit prescriptions and therefore their side-effects and the risk of pregnancy.
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Master Thesis
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Submitted on : Thursday, March 15, 2018 - 11:42:56 AM
Last modification on : Saturday, March 17, 2018 - 1:20:08 AM
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Valérie Klenkle, Adnane Radjabaly., création d’un site Internet d’aide à la prescription d’une méthode contraceptive et réalisation d’une étude d’acceptabilité de cet outil. Médecine humaine et pathologie. 2018. ⟨dumas-01734959⟩



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