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Master Thesis

Évaluation de la satisfaction lors de la première consultation en gynécologie, chez les jeunes femmes de 18 à 25 ans en France

Abstract : Objective: evaluation of the first gynecology consultation among young women in France. Patients and methods: retrospective, observational, descriptive study using a questionnaire on line (GoogleForms®), posted on the social network Facebook from of 23 August 2017 to 6 September 2017 and accumulating 1545 responses in two weeks including 1398 exploitable responses. Results: we were able to determine that several determinants influenced women's overall satisfaction. In our study, 78.6% of young women were satisfied, 16% were dissatisfied and 5.4% were enchanted with their first consultation in reproductive health (p <0.001). Their main cause of satisfaction was the health professional for 58.2%. Their first dissatisfaction’s cause was as well the health professional with 49.8%. (p <0.001). In addition, we observed that during this first consultation in gynecology, the BERCER method described by the WHO and recommended by the HAS was not used in a systematic way, while the respect of its six step would favor the enchantment of patients and conversely would cause discontent among young women. (p <0.001). Finally, the results point a heterogeneity of care among health professionals during this consultation, particularly in the use of the BERCER method. In fact, if we take the example of the respect of the method’s fourth step, 87.9% of the women having consulted a midwife had the choice in their method of contraception, 66.7% for those who have consulted a general practitioner and 47.3% who have consulted a gynecologist. (p <0.001). For this contraception, 91.4% of midwives gave explanations to the patient as well as 86.2% of general practitioners and 65.1% of gynecologists (p <0.001).
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Camille Vignaud. Évaluation de la satisfaction lors de la première consultation en gynécologie, chez les jeunes femmes de 18 à 25 ans en France. Gynécologie et obstétrique. 2018. ⟨dumas-01898622⟩

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