Les déterminants du choix du médecin traitant : étude qualitative auprès de 24 patients du sud de l’ile de la Réunion en 2018

Abstract : Introduction: in accordance with the law dated august 2004, related to health insurance, every patient aged more than 16 must report his general practitioner and therefore, take into consideration every aspect to appoint the latter. The main purpose of the study is to identify these selection criteria. The secondary objectives are, in particular, to describe the circumstances and process behind their choice and to mention the essential criteria in an ideal. Method: we’ve conducted a qualitative study. The inclusion criteria are patients aged more than 18 , who have reported a general practitioner and who live in Reunion island. The semi-structured interviews took place in pharmacies in the south. The verbatim have been analyzed by the Nvivo software. Results: patients select their doctor according to human relation skills (contact, confidence, attentiveness) and professional skills (expertise, fllow-up care quality, and advice). Habits and proximity are also part of important criteria. These are the same essential criteria that are used to choose their future general practitioner. However, in such case, what really matters are human skills more than professional skills. Many patients have chosen to keep their family doctor. Concerning the others, either the doctor or the patients have moved, or they have been disappointed and the report has been done afterwards; they made their choice in an informed manner (by recommendation or they chose the successor of their former doctor). Discussion: our results are similar to those of the mainland France. As well as professional skills, the quality of the relationship between the doctor and the patient is the major determinant of their choice concerning the general practitioner. Nevertheless, it would be useful to further continue a quantitative study and to include some items that have spontaneously not been mentioned in ours (telemedicine, surgery’s equipment).
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Master Thesis
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Submitted on : Thursday, May 9, 2019 - 6:14:30 PM
Last modification on : Saturday, June 29, 2019 - 1:25:08 AM

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Virginie Moalic-Bellon. Les déterminants du choix du médecin traitant : étude qualitative auprès de 24 patients du sud de l’ile de la Réunion en 2018. Médecine humaine et pathologie. 2019. ⟨dumas-02124698⟩

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