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Master Thesis

Prévention de l’iatrogénie chez la personne âgée en médecine de ville : évolution des pratiques de prescriptions des médecins généralistes de l’Albanais en Haute-Savoie après une formation à l’outil de prescription STOPP/START (screening tool of older people prescription / screening tool to allert doctors to right treatement)

Abstract : Background: Elderly people with frailty factors are concerned by polypharmacy. They are involved in iatrogenic disease which has become increasingly important as the aged population grows. STOPP and START (Screening Tool to Alert Doctors to Right Treatement) is a tool whose purpose is to optimize elderly people’s prescriptions. Goals: The study’s main goal was to assess improvement of iatrogenic médication’s prevention for elderly people in primary care. General practitioners’s precription was evaluate before and after an education to the tool STOPP and START. The second goal was to underline ltool’s limits daily practice for general practitioners. Method: For this pre-post study, general practitioners from Albanais’s area in the county of Haute-Savoie participated in a medical training on iatrogenesis’s prevention which included presentation of STOPP and START tool. Drug prescriptions from people over 65 with polyphamacy have been collected before and after training. A survey was adressed to general practitioners asking about their profil and tool’s assessment. Results: The amount of drugs prescription didn’t change significantly after training. The amount of potentially inapropriate medications according to STOPP criteria and potential prescribing omissions according to START criteria didn’t change either. Conclusion: The training about iatrogenesis’s prevention supported by a tool for optimizing prescriptions of the elderly people is not enough. In-depth work on obstacles to deprescribing appears necessary.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02313041
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Submitted on : Friday, October 11, 2019 - 11:55:18 AM
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Aurélien Chevin. Prévention de l’iatrogénie chez la personne âgée en médecine de ville : évolution des pratiques de prescriptions des médecins généralistes de l’Albanais en Haute-Savoie après une formation à l’outil de prescription STOPP/START (screening tool of older people prescription / screening tool to allert doctors to right treatement). Médecine humaine et pathologie. 2019. ⟨dumas-02313041⟩

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