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Master Thesis

Prévalence des demandes de patients non vus en face à face en médecine générale

Abstract : General practitioners are often asked outside a face-to-face meeting: requests for advice, prescription or follow-up, requests from relatives or other health professionals. We measured the prevalence of these requests and their characteristics. METHOD: This is a descriptive transverse epidemiological study. We studied all the requests of patients not seen during face-to-face meetings from 18 general practitionners with a secretarial office excluding requests for appointments. The data collection was done in 2018 over a period of 4 days in week 22 or 23. Each request was characterized using a survey designed for the study. RESULTS: There were an average of 21.3 requests received per doctor over 4 days. They were mostly made by a patient in deferred (30,5%). The main reasons were the prescription of drugs (17.7%), a post-consultation medical advice (12.5%), the management of an INR (9.1%) and an administrative request (8.1%) . The doctors considered these requests as a waste of time in 57% of the cases and a saving of time in 22.9% of the cases. The requests required a management time between 20 and 73 minutes over 4 days. DISCUSSION: An improvement in the response to the patient is made through practical recommendations. Telephone interview training and the creation of slots dedicated to the management of applications are part of our recommendations. The activity of the doctor and his responsibility are affected by these daily demands, they must be revalued.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02270844
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Submitted on : Monday, August 26, 2019 - 12:43:21 PM
Last modification on : Tuesday, April 14, 2020 - 2:05:35 PM

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Célestin Guillouet. Prévalence des demandes de patients non vus en face à face en médecine générale. Médecine humaine et pathologie. 2019. ⟨dumas-02270844⟩

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