Le projet PAERPA sur le territoire de la ville de Bordeaux : étude qualitative auprès de médecins généralistes

Abstract : Introduction: PAERPA (Seniors at Risk of Loss of Autonomy) is a national program that responds to current and future medico-socio-economic issues. It is aimed at people over 75, still autonomous, but whose autonomy and likely to deteriorate for medical and / or social reasons. Its objectives are to identify frail elderly people and prevent loss of autonomy. The attending physician has a primary role in this project. Objective: to highlight and understand the advantages and disadvantages of the PAERPA project for the practice of general practitioners in Bordeaux. Material and method: qualitative study with liberal general practitioners in Bordeaux with varying degrees of involvement in the PAERPA project. Collection of data by semi-structured interviews. Manual data analysis following the model of anchored theorization. Results: fifteen interviews were conducted. The main advantages of the PAERPA project were the improvement in the care of elderly patients thanks to the support of the Senior Autonomy Platform in the social care and the support of the geriatric evaluation unit in the follow-up of complex patients. home. Digital communication tools were not sufficiently adapted to the practice of physicians. The main drawbacks referred to the administrative burden and the time-consuming procedures of this program, including the organization of the Clinical Coordination of Proximity (CCP) and the drafting of the Personalized Health Plan (PPS). Conclusion: the opinion of general practitioners regarding the PAERPA project seems clearly favorable. Despite the many benefits described, additional information and training as well as improvements concerning certain tools are needed to better involve general practitioners in this project.
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Master Thesis
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Pierre Dulau. Le projet PAERPA sur le territoire de la ville de Bordeaux : étude qualitative auprès de médecins généralistes. Médecine humaine et pathologie. 2019. ⟨dumas-02161063⟩

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