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Master Thesis

Prévention primaire des maladies cardiovasculaires : état des lieux en France à partir du questionnaire du projet SPICES

Abstract : Cardiovascular Diseases (CVD) are the leading cause of mortality in the world. Management of risk factors is effective to prevent CVD. The international SPICES project aims to implement innovative interventions for CVD prevention in Europe and Sub-Saharan Africa. The project first step was the situational analysis of the CVD prevention measures in each participating country. The objective of this paper was to realize this situational analysis in France. Methodology: A questionnaire was issued by Makerere University (Uganda) to assess the situational analysis. It was translated and adapted to French context. Data collection was realized independently by two researchers via a narrative review of literature, completed by stakeholders interviewing. Data were assembled in order to answer the questionnaire items. Results: In France, CVD mortality was 28%. Various plans and health programmes have been proposed (a National Nutritional Health Plan, an Anti-Smoking Campaign, etc.). Many health workers and healthcare professionals were involved in CVD prevention. The General Practitioner was the focal point of patient management for CVD prevention. Medication compliance was difficult to evaluate but was estimated at 50%. Therapeutic education appeared central for CVD prevention. Conclusion: Various national programs for CVD prevention were found. Some limitations were identified in the current Health Care System. Main limitation seemed to be the absence of a structured and coherent national policy for cardiovascular health with a consequent lack of coordination between the different stakeholders. CVD prevention improvement focused on multi-disciplinary teamwork and therapeutic education development.
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Master Thesis
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Pauline Nouguès. Prévention primaire des maladies cardiovasculaires : état des lieux en France à partir du questionnaire du projet SPICES. Sciences du Vivant [q-bio]. 2018. ⟨dumas-01858319⟩

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