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Master Thesis

Création d’une fiche d’aide à la prise en charge des patients atteints de BPCO à l’attention des médecins généralistes

Abstract : Background. COPD is a common and often under-diagnosed respiratory disease with available therapies sometimes misused. In 2010, the French population affected by COPD was estimated at 3.5 million people. New recommendations were published in 2017 by the GOLD but they are either unknown or considered too complex to apply during a general medical consultation. Objective. Offer assistance to the management of COPD patients for General Practitioners in the form of a summary card commonly used in general medicine consultation. Method. First part: qualitative study by consensus according to a DELPHI protocol. Repeated presentations of computerized self-questionnaires to a group of experts composed of Pneumologists and General Practitioners in the Pays de Savoie to obtain a consensus on the different items to appear in the card. Second part: presentation of the card and evaluation by general practitioners practicing in the Pays de Savoie by a questionnaire distributed by email. Results. The Delphi Round required 3 successive rounds to get consensus on some items and stability of results for others. The therapeutic escalation scheme has been redesigned to be clearer and easier to use in general practice. In a second step, the card was evaluated by 80 general practitioners; more than 95 % of them considered that it was legible with a format adapted to consultations of general medicine. More than 90 % of these physicians felt that it could help them or change their practice regarding the management and the follow-up of COPD patients. Conclusion. Creation of a summary card adapted to the general practice.
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Master Thesis
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Submitted on : Friday, September 27, 2019 - 11:07:03 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:24 AM
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  • HAL Id : dumas-02298778, version 1


Anne Cloé Pelletier Saveret, Yohan Thizy. Création d’une fiche d’aide à la prise en charge des patients atteints de BPCO à l’attention des médecins généralistes. Médecine humaine et pathologie. 2019. ⟨dumas-02298778⟩



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