Place du médecin généraliste dans le parcours de soins des patients diabétiques sous pompe à insuline, une étude descriptive centrée patients sur l’île de la Réunion

Abstract : Diabetes prevalence rate is in the first national row in the Reunion Island. General practitioner is the cornerstone in the care pathway and deals with this disease daily. Insulin pump is a spreading herapeutic option which organization depends on the diabetologist and the service provider. Our quantitative study permitted to describe the place of the general practitioner in the care pathway of diabetics using insulin pump therapy in La Réunion. Collection of data was made by self-administered questionnaires, delivered by service providers. Studied items were related to diabetes and complications, frequencies and subjects of consultation with the different interveners, and the content of primary care consultations. The IBM SPSS software was used for all analyses. 38,1 % of patients consulted the general practitioner each month, with no will of change. 68,8 %ensured that undergoing insulin pump therapy has not modified consultation frequency. Principal consulting grounds were management of intercurrent diseases, prescriptions renewal and the organization of specialized follow-up. Diabetes and its complications, insulin pump and quality of life were not much discussed in primary care consultation compared to biomedical objectives. Patients were not willing to make a change in the discussion of these subects. Patients undergoing insulin pump therapy do not much appeal general practitioner concerning diabetes despite his ubiquity. Patients are empowered in their disease management and possibly in their care pathway management. The patients under insulin pump therapy’s needs and the brakes on dialogue in primary care consultation require further studies.
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Master Thesis
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Marine Le Saout. Place du médecin généraliste dans le parcours de soins des patients diabétiques sous pompe à insuline, une étude descriptive centrée patients sur l’île de la Réunion. Sciences du Vivant [q-bio]. 2017. ⟨dumas-02162096⟩

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