Les freins à la pratique de la gynécologie-obstétrique par les médecins généralistes de la Manche

Abstract : Goals: many women miss screening for gynecological cancers due to a lack of follow-up. Gyneco-obstetrics is an integral part of the general practitioner’s skills. But many do not practice it, what are the reasons that lead to this fact? The purpose of the study is to define what are the barriers to the practice of gynecology-obstetrics by the GP and to find ways to promote it. Material & Methods: this is an observational epidemiological study conducted through a survey. The randomization of the sample has been made by making lots. After contacting doctors by telephone to present the study 137 survey have been mailed or posted. A targeted referral has been made for doctors who agreed to answer and did not do it after two month and a half. Statistical analysis of data has been guided by Dr. Morello, biostatistician. Results: 87 practitioners answered the survey (58%). 14 did not practice gynecological obstetrics at all (11 men and 3 women). Among the 87 respondents, 40 were women and 47 were men. The three main obstacles were: patient percepts their GP as less competent than gynecologist to perform gyneco-obstetric their follow-up (55,2%); doctor feels as undertrained in this discipline (49,4%); patient does not know that their GP has this skill (42,5%). Conclusion: by pointing out the main brakes, this study paved the way to the exploration of several ways (training, information, awareness) to increase the practices of gyneco-obstetrics by GP. In the actual medical demography, female doctor practice gyneco-obstetrics more than male. The feminization of the profession should increase the proportion of GP practicing gyneco-obstetrics.
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Master Thesis
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Submitted on : Thursday, April 18, 2019 - 4:45:36 PM
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Marie Loyer. Les freins à la pratique de la gynécologie-obstétrique par les médecins généralistes de la Manche. Médecine humaine et pathologie. 2018. ⟨dumas-02103763⟩

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