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Master Thesis

Le ressenti des médecins généralistes lors de l'intervention d'une infirmière de coordination en oncologie dans le suivi de patients âgés atteints de cancer : étude qualitative auprès des médecins généralistes d'Ille-et-Vilaine

Abstract : Introduction: Oncology coordinating nurses (IDEC) aim to facilitate the coordination between outpatient care and hospital in complex pathways, in close collaboration with general practitioners (GPs). Method: The aim is to evaluate the feeling of GPs during the intervention of an IDEC these we met and their roles analyzed during a participatory observation. Semi-structured interviews were conducted with 10 GPs, then analyzed with a descriptive and comprehensive method. Results: GPs participate at all stages of the cancer but feel excluded from the treatment and follow-up steps. Three different IDECs appear: the hospital, the OncoGeriatrics Coordination Unit (UCOG) and the liberal. Hospital and UCOG IDECs are misidentified by the GPs and their roles are misunderstood. They appear as privileged interlocutors for the patients and they facilitate access to specialist advices, but are associated with an exclusive coordination of hospital care. Liberal IDEC is better identified, its roles are known and there is a real collaboration with GPs. Conclusion: GPs feel excluded from monitoring cancer patients. The intervention of a hospital or a UCOG IDEC does not change this feeling because there are few links between them and GPs. However, the liberal IDEC improves the coordination between outpatient care and hospital because of true collaboration with Gps.
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https://dumas.ccsd.cnrs.fr/dumas-02139442
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Submitted on : Friday, May 24, 2019 - 4:46:04 PM
Last modification on : Wednesday, November 11, 2020 - 12:00:07 PM

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Aude Aguillon. Le ressenti des médecins généralistes lors de l'intervention d'une infirmière de coordination en oncologie dans le suivi de patients âgés atteints de cancer : étude qualitative auprès des médecins généralistes d'Ille-et-Vilaine. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02139442⟩

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