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Master Thesis

Évaluation des besoins nécessaires en outils numériques au médecin généraliste pour organiser et améliorer la collecte des données médicales de ses patients

Abstract : Introduction: The general practitioner is managing and coordinating the whole process of a patient's care, he is the intermediary of the various specialists. The gathering of medical information is still too difficult and an improvement would allow a better follow-up of the patient and its treatment. Our goal was to identify the issues faced by the GP when gathering information but also to let him express the identified solutions or desired improvements. Our study illustrates the needs of the general practitioner to improve the reception and storage of medical information, in a way compatible with his daily activity.
Materials and methods: This is a qualitative and descriptive study. After having written the interview guide, we conducted 15 semi-directed interviews with general practitioners in the Auvergne-Rhône-Alpes Region. The recordings were transcribed in the form of verbatim.
Results: The majority of practitioners surveyed were between 45 and 65 years old, exercising in urban areas, with a mixed patient population. Almost all the doctors interviewed have heard about the shared medical file but none use it, either for lack of time or difficulty of access. The reception of biology (by Bioserveur) to the office seems adapted to the doctor's practice. On the other hand most of the doctors interviewed would like an improvement on the reception of information by the hospital structures or by their colleagues. Mail being still used in majority, they would prefer the development of computer tools. A reception via a secure platform, reliable and with fast access is for them the right solution. For imaging, opinions diverge and no unanimous solution has been proposed. Regarding the security of incoming information, no doctor has found a problem but they have little knowledge in this field. In the years to come, doctors would like an informatic tool, standardized for all care structures and with a better quality of use.
Discussion: In our study, it emerged that the development of computer tools was necessary. This development must be done but with certain requirements: the improvement of accessibility and the guarantee of data security. The doctor must be accompanied and reassured thanks to: a digital tool, adapted to all and established by the State; adequate training on the use of this tool; institutional support by actors such as CPAM; and a work on the impact for his practice in the chain of care.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02317082
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Submitted on : Tuesday, October 15, 2019 - 6:29:30 PM
Last modification on : Wednesday, October 14, 2020 - 4:23:02 AM

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Martin Jullian. Évaluation des besoins nécessaires en outils numériques au médecin généraliste pour organiser et améliorer la collecte des données médicales de ses patients. Médecine humaine et pathologie. 2018. ⟨dumas-02317082⟩

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