Les distorsions à la norme régissant l'aptitude médicale à servir du personnel des forces armées françaises. Expérience de la consultation de médecine interne dédiée aux unités de l'Hôpital d'instruction des armées Sainte Anne (Toulon)

Abstract : Introduction: The objective of our study was to determine the prevalence of distortions to the standard of medical aptitude to serve in the French armed forces, then to understand the determinants. Materials and methods : This was a single-center, retrospective study that included all patients in the internal medicine consultation dedicated to units ans benefiting of Medico-Military Decision (MMD) between 2012 and 2016. We performed a concordance analysis. between the proposed MMD and Ministerial Instruction 2100 on the determination of the Medical aptitude profil for Service in case of Medical or Surgical Pathology (MI 2100), and then sampled the personnel concerned according to their pathology, their army , their rank, their service link. Results: We found 11.43% of distortions to the standard. The most affected pathologies are metabolic diseases, diseases of the endocrine glands and osteo-articular pathologies. We have shown a greater tendency towards distortion among gendarmes, air force personnel, non-commissioned officers and career personnel. Discussion: The prevalence of distortions to the norm in our study can be explained by a failure to take into account the pathology in its prognostic and therapeutic aspects, of the exercise and operational environment, with a MMD proposed by an expert with his own knowledge of the military and professional experience. A reflection is proposed on the modalities of periodic updating of the regulatory texts.
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Submitted on : Thursday, April 11, 2019 - 2:50:58 PM
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Claire Brochot. Les distorsions à la norme régissant l'aptitude médicale à servir du personnel des forces armées françaises. Expérience de la consultation de médecine interne dédiée aux unités de l'Hôpital d'instruction des armées Sainte Anne (Toulon). Sciences du Vivant [q-bio]. 2018. ⟨dumas-02096665⟩

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