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Master Thesis

Étude des besoins des médecins généralistes d'Ille-et-Vilaine vis-à-vis des directives anticipées : étude qualitative par entretiens semi-directifs

Abstract : Advanced directives (AD) allow patients to express their wishes, and to anticipate decisions about his end of life in situations where he could not express himself. Those AD remain rarely applied in France. The amendment of the Léonetti law in 2016 puts the general practitioner at the heart of the DA process. We carried out a qualitative survey using semi-directive interviews based on a sample of ten general practioners (GP) from Ille-et-Vilaine, we used a thematic analysis in order to target GP’s need regarding AD. As a result it appears that GP interviewed don't discuss about AD with their patients either because of a lack of time, a lack of intterest or just simply forget to talk about it. AD are not yet integrated as an automatism during consultation, and doctors are globally uncomfortable with the subject. General practitioners have not yet grasped the tools available for them in spite of many past compaigns, or even compaigns in progress. It could be directly linked to the fact that the subject of Death itself is difficult to approach during a general consultation. Increasing diversification and number of interventions (such as patient information, software, financing, automatism) could decomplex doctors with patients, in order to better prepare their end of life.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02140147
Contributor : Santé Rennes 1 <>
Submitted on : Monday, May 27, 2019 - 9:26:32 AM
Last modification on : Monday, October 19, 2020 - 11:00:09 AM

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Gaëlle Beauné. Étude des besoins des médecins généralistes d'Ille-et-Vilaine vis-à-vis des directives anticipées : étude qualitative par entretiens semi-directifs. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02140147⟩

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