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Master Thesis

Annonce d’une maladie grave : difficultés des médecins généralistes et impact de l’annonce sur la relation médecin-patient : enquête qualitative auprès de 11 médecins généralistes installés dans le Calvados

Abstract : Introduction: the announcement of a serious disease is a key step in the relationship between the patient and his general practitioner. This step, charged in emotions, is also a difficult step for the general practitioner. The aim of this study is to collect the difficulties felt by the general practitioners and the impact of this kind of announcement on the relationship with their patients. Method: a qualitative study has been performed using a semi-directed interview of 11 general practitioners in Calvados until saturation of data. Results: the difficulties felt can be due to defence mechanisms and the inter-individual difference of perception of the gravity concept of the disease. The patient’s denial and the projection of the general practitioners in the patient situation are defence mechanisms which demand a great energy quantity and time and are a source of suffering for the general practitioner. Following the announcement, the relationship between the general practitioner and his patient is usually strengthened. The acquired professional empathy, the personal experience, the studying and the discussion between health professionals are helpful for the daily general practitioners’ practice. Conclusion: the general practitioner-patient relationship can only be strengthened if the general practitioner learns to identify the defence mechanisms and his own difficulties and fears. In addition to the studying of the announcement of a serious disease, which are more and more present, studying based on the communication and on the driving of patient’s reaction shall be taught as soon as possible during the medicals studies.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02316423
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Submitted on : Tuesday, October 15, 2019 - 11:55:56 AM
Last modification on : Friday, April 10, 2020 - 3:53:18 PM

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Blandine Tougard. Annonce d’une maladie grave : difficultés des médecins généralistes et impact de l’annonce sur la relation médecin-patient : enquête qualitative auprès de 11 médecins généralistes installés dans le Calvados. Médecine humaine et pathologie. 2019. ⟨dumas-02316423⟩

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