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Master Thesis

Les visites à domicile permettent-elles une relation médecin-patient de qualité ? Étude qualitative auprès de médecins généralistes dans les Alpes-Maritimes

Abstract : Background : The home visit (HV) is an difficult exercise for the general practitioner (GP). Nevertheless, can visits be beneficial in the care? The physician-patient relationship (PR) which has taken a prominent place in care and revolutionized communication skills was chosen to try to answer them.
Purpose : To collect the perception of GP on the PR they put in place in HV.
Method : Qualitative study by semi-structured interviews with liberal GPs of the Alpes-Maritimes.
Results : Twelve individual interviews were conducted in this study. The analysis revealed six particularities of the visits: an intuitive doctor-patient relationship, a link and deeper patient knowledge, a ground for communication, a fragility of patients inducing a greater risk of paternalism, specific constraints for EHPADs and visits difficult to substitute. Two factors can explain them: the profile of elderly and frail patients, and the relocation of visits. PR is difficult to evaluate. HV help to better communication and understand the patient. Teleconsultation could be a solution to help GP.
Conclusion : HV allow a different DPR of the office, with better communication and a biopsychosocial vision. But they present many constraints for the GP, as well as displacements in EHPAD.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02320044
Contributor : Bibliothèque Universitaire de Médecine Nice <>
Submitted on : Friday, October 18, 2019 - 2:10:17 PM
Last modification on : Monday, October 12, 2020 - 10:28:06 AM
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Sylvain Thiabaud. Les visites à domicile permettent-elles une relation médecin-patient de qualité ? Étude qualitative auprès de médecins généralistes dans les Alpes-Maritimes. Médecine humaine et pathologie. 2019. ⟨dumas-02320044⟩

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