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Master Thesis

Désir de participation à la recherche des médecins généralistes. L’étude DéPaR-MG

Abstract : Background. Clinical research is most often conducted with hospitalized patients, which restricts the population on which interventional or observational studies could be performed. Recruitment of patients could be done by the primary care professional who is the general practitioner (GP). Objectives. Identify GPs interested in participating in general medical research. Characterize factors that promote or limit the willingness to participate in clinical research for GPs. Identify preferences for GPs research topics. Methods. Observational cross-sectional study in Normandy, France, with all settled and substitutes GPs performing a general medical consultation. Sending of a self-questionnaire by postal and electronic means_ The socio-demographic characteristics of the GPs, their experiences and their wishes with regard to the research, and the reasons for non-participation were collected. Results. 489 questionnaires were analyzed with a response rate of 16.3%. 246 GPs (50.3%) were interested in participating in research. The 2 main conditions for participation were the relevance of the study subject for clinical practice (80.5%) and the feedback of the study results (80.1%). 243 GPs (49.7%) refused to participate in research. The 3 main reasons were lack of time (79.4%), administrative burden (43.6%) and lack of training in research (23.4%). According to multivariate analysis, age between 27 and 34 years (OR (odds ratio) = 2.86, Cl (confidence interval) 95% [1.40-5.84] p = 0.004) and being GP trainer (OR=2.41, 95% Cl [1.45-3.87] p <0.001) are 2 factors influencing participation in research in a meaningful way. The age between 60 and 70 years (OR=0.53, 95% CI [0.29-0_96] p = 0.03) and the substitute GP status (OR 0.40, 95% CI [0.16-0.962] p = 0.04) do not promote participation in research. Conclusions. The inclusion of the substitutes and the completeness of the questionnaires on a regional scale are among the strengths of our study. The creation of a GPs investigators network aims at developing and promoting research in general medicine. GPs must be solicited according to their wishes in order to obtain a better involvement.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02276830
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Submitted on : Tuesday, September 3, 2019 - 10:46:05 AM
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Morgane Biard, Jean Beuzeboc. Désir de participation à la recherche des médecins généralistes. L’étude DéPaR-MG. Médecine humaine et pathologie. 2017. ⟨dumas-02276830⟩

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