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Master Thesis

État des lieux du ressenti des médecins généralistes picards concernant le compte-rendu d'hospitalisation en vue d'une amélioration

Abstract : Introduction : the aim of a discharge summary (DS) is to transfer medical information between Physicians to ensure continuity of care after hospitalization. General practitioners (GP) are the main recipients of DS. The objective of this study was to collect the experience of GP in Picardy regarding DS for improvement purposes. Methods : prospective and qualitative study. GP in Picardy were individually interviewed with semi-guided questionnaires. Interviews were analyzed with grounded theory method, with the Nvivo software. Results : from January 2018 to July 2018, 21 interviews were performed until data saturation. Main complaints included delays for reception of the DS after hospitalization, lack of digitization, and a too dense content, although the quality and completeness of the summary were paradoxically appreciated. Sections of DS deemed the most important were the reason for hospitalization, home treatments after discharge from the hospital, conclusion, and recommendations. Digitization and use of secure emailing for DS were suggested to improve the content and transmission of DS. Ongoing development should be fostered. Discussion : digitization and secure emailing of DS have the potential to improve the value of DS according to GP. These recommendations are also supported by the Haute Autorité de Santé, the 2 main actors in secure emailing (MSSanté and APICRYPT) and Le CHU d’Amiens. Transitioning towards secure emailing of DS seems in progress. Conclusion : DS is important for continuity of care. According to GP in this study, improvement of quality and delay before reception could be achieved with the use of digitization and emailing.
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Master Thesis
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Simon Naïm. Thèse d'exercice...
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Simon Naïm. État des lieux du ressenti des médecins généralistes picards concernant le compte-rendu d'hospitalisation en vue d'une amélioration. Médecine humaine et pathologie. 2018. ⟨dumas-02082808⟩



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