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Master Thesis

Vers une meilleure qualité des soins pour les bénéficiaires de l’Aide Médicale de l’État (AME) en Gironde : enquête qualitative par focus-groupes auprès des médecins généralistes des bénéficiaires de l'AME de Bordeaux Métropole

Abstract : Introduction: since 1999, precarious foreigners in an irregular situation on French territory have been able to benefit from health coverage system called AME (Aide Médicale d’État). In reality, patients and general practitioners face many barriers. The main objective of our research is to propose ways of improving the professional practice of physicians among adults receiving AME, in order to ultimately improve access and quality of the care for this population and promote the well-being of caregivers at work. Method: qualitative focus-group survey between March and October 2017 among a sample of 13 general practitioners in Bordeaux Metropole in regular contact with AME beneficiaries. Outcomes: physicians sometimes describe difficulties in creating a quality patient-caregiver relationship and in organizing follow-up with AME beneficiaries. The main recommendations that emerge from this work are both institutional (changes inpricing methods, intensification of initial training on precariousness, creation of a dedicated electronic platform, development of the access to professional translators and mediation) and individual (modification of appointment procedures, access to a medical secretary for all, professional training, development and strengthening of care networks). Conclusion: in recent years, national and individual initiatives have emerged to help the work of professionals in contact with patients benefiting from the AME. In Bordeaux Metropole, a dedicated platform is currently being tested and seems to meet the main needs of general practitioners to welcome, treat and guide people benefiting from the AME.
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https://dumas.ccsd.cnrs.fr/dumas-01910361
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, October 31, 2018 - 7:00:02 PM
Last modification on : Wednesday, April 1, 2020 - 9:34:07 AM
Long-term archiving on: : Friday, February 1, 2019 - 4:54:45 PM

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Marion Gimenez Tessier. Vers une meilleure qualité des soins pour les bénéficiaires de l’Aide Médicale de l’État (AME) en Gironde : enquête qualitative par focus-groupes auprès des médecins généralistes des bénéficiaires de l'AME de Bordeaux Métropole. Médecine humaine et pathologie. 2018. ⟨dumas-01910361⟩

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