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Master Thesis

ASALEE (Action de Santé Libérale En Equipe) et Dépistage organisé du cancer du sein : Étude descriptive auprès des 54 médecins généralistes ASALEE des Deux-Sèvres : Évolution du taux de participation au programme de dépistage organisé du cancer du sein après deux années de collaboration avec l'infirmière ASALEE

Abstract : Background: In recent years, general medicine practice has evolved towards working in multidisciplinary teams. Because breast cancer remains the deadliest cancer for women in France, coordination between local health actors in organized breast cancer screening is needed to improve women's awareness of this matter. Our main objective is to observe the evolution of patients’ participation rate in the organized breast cancer screening in general practitioners in the Deux-Sèvres, after two years of cooperation with an ASALEE (liberal health teamwork) nurse. Our secondary objectives are to assess the characteristics of the practitioners who had the best (≥ 10%) improvement in their participation rate and to assess the participation rate of female patients in practitioners who joined ASALEE during their first liberal installation, in the 2015-2016 years. Methods: We carried out a retrospective descriptive and quantitative study of 41 ASALEE general practitioners in the Deux-Sèvres from June 2004 to June 2015. The sample was divided into two groups : 20 installed practitioners, having joined ASALEE in second time and 21 other ones having initiated their liberal activity directly with ASALEE. The data were transcribed and analysed using the Excel® software, while respecting the anonymity. Results: The ASALEE nurse’s action in the Deux-Sèvres department seems to increase the patients’ participation rate in organized breast cancer screening for 95% of physicians. They increase their average rate by 12.6% after joining ASALEE. We notice a better increase in the participation rate (≥ 10%) for female general practitioners, practicing in MSP, as MSU, in the north of the department, mainly in rural areas. In addition to that, the average participation rate in organized breast cancer patient screening (62.4%) in practitioners who started their liberal career with ASALEE is higher than the departmental (54.3%) and national (51.1% %) ones for the 2015-2016 program. Conclusion: Our study is the first one in France that has linked up these subjects. In organized breast cancer screening, participation rates are better in patients followed by the ASALEE nurse-physician teams. However, there are disparities between medical offices. Therefore, it would be necessary to organize an audit in every ASALEE team to harmonize practices in order to enhance the performance of these procedures in organized breast cancer screening.
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https://dumas.ccsd.cnrs.fr/dumas-01876572
Contributor : Faculté de Médecine Amu <>
Submitted on : Tuesday, September 18, 2018 - 3:24:10 PM
Last modification on : Monday, July 6, 2020 - 4:46:58 PM

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Audrey Amussat. ASALEE (Action de Santé Libérale En Equipe) et Dépistage organisé du cancer du sein : Étude descriptive auprès des 54 médecins généralistes ASALEE des Deux-Sèvres : Évolution du taux de participation au programme de dépistage organisé du cancer du sein après deux années de collaboration avec l'infirmière ASALEE. Sciences du Vivant [q-bio]. 2017. ⟨dumas-01876572⟩

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