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Master Thesis

Les internes de médecine générale de l’Océan Indien interrogent-ils leurs patients au sujet de leur éventuel usage de plantes à but thérapeutique ?

Abstract : Introduction: the majority of the indigenous population of La Reunion uses alternative and complementary medicine (ACM) often in the form of native plants and herbs. The medical interns of the Indian Ocean (GPM IO) are not familiar with this therapeutic approach. Despite the risks associated with the consumption of ACM, its use is often not reported to the physician unless specifically asked. Thus, we sought to determine if the GPM IO routinely questioned their patients regarding their consumption of therapeutic plants (TP). We profiled the characteristics of the GPM IO as well as their challenges in determining the use of TP. Methods: we conducted a cross-sectional, descriptive and quantitative study via an auto-administered questionnaire to all GPM IO. Interns without diploma or those who didn’t study in La Reunion were omitted. Results: The study lasted 6 months, from May 1st to October 31, 2017. We collected 108 questionnaires and 98 interns took part. The majority of interns (82.6%) questioned their patients regarding their consumption of TP; a quarter of those (21.4%) would ask the question often/all the time and two-thirds of them (61.2%) seldom or from time to time. Patient data collection on their consumption of TP was different based on the gender (p < 0.05), age (p=0.01), years in internship (p=0.02) and personal use of TP (p<0.0001) but was not associated with the years of internship of the practicing physician (p=0.76) nor with the background of the intern (p=0.21). The majority of interns (85.7%) expressed an insufficient knowledge in the subject, access to human resources (96.9%) and reliable documentation (91.8%). Conclusion: The GPM IO are concerned by the use of TP but encounter obstacles which prevents them from introducing them into the clinical practice. Training in traditional medicine would allow the GPM IO to better understand the local context as well as appreciate the use of MAC by the patients.
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Master Thesis
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Submitted on : Tuesday, September 18, 2018 - 4:53:50 PM
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Marie Ivanez. Les internes de médecine générale de l’Océan Indien interrogent-ils leurs patients au sujet de leur éventuel usage de plantes à but thérapeutique ?. Médecine humaine et pathologie. 2018. ⟨dumas-01876735⟩

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