Expériences et attentes des usagers du système de soins premiers envers la consultation de médecine générale : enquête descriptive en quartier prioritaire

Abstract : Background: Since the Alma-Ata declaration in 1978, primary healthcare is the main concern of the health system. lnspired from the international project QUALICOPC, the main goal of this study was to measure the coherence between experiences and expectations of patients regarding the general medicine consultations in Saint-Martin-d'Hères (SMH). Methods: epidemiologic descriptive pilot study, with prospective data, performed with the help of hetero-administrated surveys. Primary care structures users (general practitioners [GP]. pharmacies, speech therapist, occupational therapist) were investigated between 29/01/2019 and 07/03/2019. Their experiences' and expectations' collection was done using follow up question within the same topic. The themes addressed were the accessibility of the GP, the cost of consultations and their content. Results: 98 surveys out of 100 have been analyzed. Seventeen point nine percent of the patients concerned by the absence of their GP had difficulty finding another doctor, which was regretted by 71.4% of them. GP' delay was a problem for 38.8% of patients. Not to be involved in the therapeutic decision was regretted by 41.7% of patients. 67.4% of patients receiving thirdparty payment considered this important. Conclusion: A majority of coherence between patients' experiences and expectations regarding the general medicine consultations in SMH was found. Biases and limitations exist but have been taken into consideration in the result's interpretation. lt would be interesting to involve the users of primary care in a larger scale evaluation of their care structures.
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Master Thesis
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Aline Bernardon, Pauline Suppo. Expériences et attentes des usagers du système de soins premiers envers la consultation de médecine générale : enquête descriptive en quartier prioritaire. Médecine humaine et pathologie. 2019. ⟨dumas-02157651⟩

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