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Master Thesis

Maltraitance médicale dans la pratique gynécologique et obstétricale ambulatoire et conséquences pour le suivi : point de vue des patientes

Abstract : Background: Abuse in health care is all violent, abusive, improper, or negligent behaviour from a healthcare professionals onto end-users. Though frequently voiced in France it remains scarcely researched for french gynaecological and obstetrics care. The main objective of this work was to identify what is experienced or perceived by patients as malpractice in ambulatory gynaecological and obstetrical settings. The secondary objective was to assess the impact of these experiences on patient follow-up. Method: A qualitative study involving sixteen women in the Auvergne-Rhône-Alpes region was conducted using semi-structured individual interviews. Results: The situations experienced as malpractice were, on the one hand related to the practitioner and their interaction with the patient. And the other hand related to the care structure. These patient experiences negatively affected follow-up, perception of care and staff. Though there was little impact on the frequency of follow-up, the patient reported more apprehension and even avoidance or refusal of care. The emotional aftermath caused by the malpractice situations darkened their perceptions of care, as well as their mind-set and emotional state both in later consultations and personnal life events. Conclusions: The patient-experience of malpractice in gynaecological and obstetric practice influence the representations of care and healthcare professionals of patients in an unfavourable manner. It brings into question certain habitus of healthcare professionals and organisational structures. Further studies building from this one will evaluate the extent of these maltreaments.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01881279
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Submitted on : Tuesday, September 25, 2018 - 4:06:13 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
Long-term archiving on: : Wednesday, December 26, 2018 - 3:31:29 PM

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Amandine Marcilly, Mélissa Mauri. Maltraitance médicale dans la pratique gynécologique et obstétricale ambulatoire et conséquences pour le suivi : point de vue des patientes. Médecine humaine et pathologie. 2018. ⟨dumas-01881279⟩

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