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Master Thesis

Quelles sont les difficultés rencontrées par les médecins généralistes ornais concernant la prise en charge thérapeutique de l’insuffisance cardiaque chronique systolique ?

Abstract : Introduction: in France, chronic heart failure is responsible for high mortality and morbidity. Several surveys have showed that care recommandations are not optimally followed in general practice. We want to set out the difficulties that general practitioners face when they follow therapeutic coverage recommandations for this desease. Method: this qualitative study is based on semi-structured interviews with a sample of eleven general practitioners from the department Orne, taking the following features into account: sex, medical practice duration, rural or urban practice, in group practice or alone and the distance from a cardiologist. Datas coming from these interviews have been ordered and presented as a thematic tree, allowing an analysis of the results in a second time. Results: general practitioners are able to question themselves. They know they realise inadequate therapeutic education, in which have not been trained. They regret their lack of time because of their multiple tasks. They often have difficulties in communicating with specialists and hospitals, a problem worsened by a low cardiologist demography. They partly overcome these problems by creating their own informal networks of local health professionals. Conclusion: general practitioners want to improve their practice. Doing therapeutic education requires them to be trained or to be supported by specialised teams. A better data transmission between health professionals would improve multidisciplinary care of patients with chronic heart failure.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02304837
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Submitted on : Thursday, October 3, 2019 - 3:16:45 PM
Last modification on : Friday, October 23, 2020 - 3:05:24 PM

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Lucie Sauvé. Quelles sont les difficultés rencontrées par les médecins généralistes ornais concernant la prise en charge thérapeutique de l’insuffisance cardiaque chronique systolique ?. Médecine humaine et pathologie. 2019. ⟨dumas-02304837⟩

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