Comment allier médecine conventionnelle et acupuncture ? Étude qualitative chez les médecins généralistes à orientation acupuncture de l'Ile de la Réunion

Abstract : Background: integrative medicine seems to bring together all conventional and unconventional medical traditions in order to offer a holistic approach to the patient. Taking the example of acupuncture, how to recreate this in the general practice? Objective: the objective of this study was to define the limiting and contributing factors of the biomedicine-acupuncture alliance. Methods: we have done for that a qualitative study. Semi-directed interviews were conducted between October 2017 and June 2018 with seven general practitioners with acupuncture orientation in the southwest of Reunion Island. The sample was collected by the "snowball" method and an anchored theorization analysis has allowed to elaborate hypotheses. The ethical aspects of the work have been taken into account. Results: the doctors practiced on average 56% of acupuncture and 44% of general medicine. They judged this alliance complementary. This double reading allowed them a global and depth approach of the patient, less interventionist and more humane, as well as an extension of their field of action and therapeutic efficiency. However, they expressed losing in scientificity, financial profitability and communication with peers. They regretted the risk of diagnostic deviance and described difficulties in the spatio-temporal articulation of this alliance. Conclusion: despite a positive biomedicine-acupuncture integration, some points remain to be improved. Practices are still too heterogeneous and therefore difficult to assess, that is why it would be interesting to develop research in the field of "unconventional sciences".
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02101344
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Submitted on : Tuesday, April 16, 2019 - 4:12:37 PM
Last modification on : Saturday, June 29, 2019 - 1:25:10 AM

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Léa Rousset. Comment allier médecine conventionnelle et acupuncture ? Étude qualitative chez les médecins généralistes à orientation acupuncture de l'Ile de la Réunion. Médecine humaine et pathologie. 2019. ⟨dumas-02101344⟩

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