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Master Thesis

Place et ressenti du médecin généraliste dans la mise en place des aides pour le maintien à domicile des personnes âgées en Savoie et Haute-Savoie

Abstract : Introduction: The French population is aging and home care is a major issue. The general practitioner is at the center of this care but his role is poorly characterize. Objective: Conduct an inventory of the feeling of the general practitioner and his place in the establishment of home health care for elderly people. Material and Method: Qualitative research was conducted through individual semi-structured interviews and groups with thirteen general practitioners from Savoie and Haute-Savoie. Results: The place of the general practitioner appears most often as essential. Screening for loss of autonomy and coordination between the evaluations centres, the patient’s relatives and the caregivers themselves are the two most cited roles. Then comes the information on dependency and how to supplement, the prevention of loss of autonomy, the prescription of help and the care of the caregiver. The actual establishment of interventions at home by the doctor remains limited. Concerning them affect, the doctors deplore a time-consuming and insufficiently paid management with sometimes an administrative overload. They also consider that some of them have gaps in their training, and ignore the local social support network. They sometimes face the lack of available help and the communication difficulties between the different actors. Conclusion : Finally, there are as many practices as doctors because their role is poorly defined and they must adapt to the existing local network but also to each of their patients. Nevertheless, the doctors remain voluntary to take part in this care, even if at present it is rather as a duty that they do it and that many improvements are to be envisaged.
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Master Thesis
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Submitted on : Monday, November 25, 2019 - 6:02:30 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:24 AM
Long-term archiving on: : Wednesday, February 26, 2020 - 8:03:33 PM


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  • HAL Id : dumas-02379661, version 1
  • PPN : 241076587


Pamela Buchman, Julie Erb. Place et ressenti du médecin généraliste dans la mise en place des aides pour le maintien à domicile des personnes âgées en Savoie et Haute-Savoie. Médecine humaine et pathologie. 2019. ⟨dumas-02379661⟩



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