Motivations et freins des Médecins Généralistes à participer à un parcours de soins sur l'Hypercholestérolémie Familiale

Abstract : Background : Familial hypercholesterolemia (HF) is an autosomal dominant dyslipidemia among the most common in the world. Its prevalence is estimated between 1/500 and 1/250. Without suitable treatment, it exposes to a cardiovascular risk 13 times higher than an unreached subject. She's still under-diagnosed and under-treated. General practitioners, major prevention actors, are in the front line to participate in the improvement of the diagnosis. The objective of the Interprofessional DECHOL 13 project in the Bouches du Rhône is to educate the various health professionals on the detection of HF. The purpose of this study was to study the motivations and brakes of general practitioners to participate in a course of care on HF. Methods : Quantitative cross-sectional, observational, and multicentric study carried out from December 2017 to March 2018 in the Bouches du Rhône. Six outreach meetings were held. The doctors present replied to the motivations questionnaire and the absent doctors were contacted by phone to answer the brakes questionnaire. Results: Out of 2835 couriers sent by the regional Union of liberal physicians, 100 physicians participated in the meetings of which 84 responded to the motivations questionnaire. Of 353 doctors absent, 50 replied to the brakes questionnaire between December 2017 and March 2018 in the Bouches du Rhône. The main motivations of the physicians present were training to better screen (95%) and treat patients (96%), the importance of the problem in terms of public health (93%), and the interdisciplinarity of the project (93%). The main brakes cited for their participation were the low prevalence of pathology (74%), the "lack of interest" in genetic testing (74%) and the lack of time in consultation (58%). Conclusions: Improving awareness and training of the various primary care actors, in particular general practitioners, is necessary to obtain their participation in the detection of HF. The cooperation between the different primary care actors appears necessary for a better quality of management. Better information by the public authorities, the media and prevention campaigns would make the population more aware.
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Charline Dupouy. Motivations et freins des Médecins Généralistes à participer à un parcours de soins sur l'Hypercholestérolémie Familiale. Sciences du Vivant [q-bio]. 2018. ⟨dumas-01962211⟩

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