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Master Thesis

Les médecins généralistes confrontés à la maladie : prise en charge et vécu du statut de patient : enquête qualitative

Abstract : Introduction: a doctor heals on a daily basis, but this caregiver status does not protect him from the disease. The interest shown to the doctor-patient increases with the years. This is due both to the evolution of medical demography and to the need to understand and improve the care of these particular patients. We wanted to hear these doctors speak out the disease, and gather their experience. How did they experience the onset of the disease, how was it managed? What was its personal and professional impact? And what are the peculiarities of this dual status of doctor and patient? Methods: we conducted semi-directed interviews with 12 general practitioners from Normandy suffering from from acute or chronic diseases. The qualitative analysis was obtained by thematic analysis of the verbatim. Results: the analysis revealed a virtual absence of an attending physician as such. The initial approach is overwhelmingly that of self-prescribing, both medicated and exploratory. Follow-up was frequently undertaken alone, the use of a specialist being a brake and needing to be justified. Patient status oscillated between a willingness to behave like a typical patient and the difficulty of giving up the role of a doctor and letting go. The position of health professional allowed some negotiation of care. One of the salient features of the study is the hierarchy that places work above health. It is explained by a professional culture of responsibility towards the patients, but also by the financial impact induced by a work stoppage. Conclusion: the sick doctor appears as a specific patient, both in his choice of care and the experience he has. To improve the health of doctors, solutions exist but must be promoted, while other proposals deserve to be studied.
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Master Thesis
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Submitted on : Friday, October 4, 2019 - 11:07:12 AM
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  • HAL Id : dumas-02305452, version 1


Hélène Hebert. Les médecins généralistes confrontés à la maladie : prise en charge et vécu du statut de patient : enquête qualitative. Médecine humaine et pathologie. 2019. ⟨dumas-02305452⟩



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