Freins et leviers des consultations de suivi des enfants de 0 à 6 ans par les médecins généralistes de l'agglomeration caennaise

Abstract : In France, 79% of the children under age 15 are exclusively taken care by their family doctor according to the French company of general medicine. The regular follow-up of the children is a part of the skills of the general practitioner and takes an important place. The objective of this study was to collect and to analyze the main determining obstacles or levers, influencing the follow-up of the children from 0 to 6 years old by the general practitioners. We realized a qualitative study with 11 general practitioners of the urban area of Caen by means of semi-managed individual interviews. The typology of the consultations was precise defining a follow-up codified and marked by the rhythm of the immunization schedule and the medical examinations to monitor the psychomotor and growth development. Some difficulties appeared: difficulties of coverage of child psychiatric disorders, expensive or unsuitable medical tools, initial theoretical training in pediatrics. However the desire and the ease of the general practitioner to realize the follow-up of the child as well as the acquisition of a personal and a professional experience are opportunities which we identified. The general practitioner has an essential place within the follow-up of the child in particular thanks to communication parents-children. The health record is the main tool for the continuity of the follow-up. Tools more adapted as a pediatric suitcase, a more relevant initial theoretical training and a better coordination with the healthcare professionals of the early childhood could be solutions to improve the follow-up.
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Master Thesis
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Julia Beaumont Chouquais. Freins et leviers des consultations de suivi des enfants de 0 à 6 ans par les médecins généralistes de l'agglomeration caennaise. Médecine humaine et pathologie. 2018. ⟨dumas-02103621⟩

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