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Master Thesis

Évaluation de la perception des patients de médecine générale vis-à-vis de la numérisation des prescriptions médicamenteuses via une enquête qualitative

Abstract : Introduction: Digital Information Technology is now at the heart of our society and the medical world is not immune to this trend. Unlike most of its European neighbors, France has still not adopted an electronic medicine prescription method. Aware of this delay, the Ministry of Health is currently working on a project called "PEM2D" which is in the testing phase and has invested more than five hundred million euros with the aim of digitizing medical prescriptions. Even if the total disappearance of paper is not yet on the agenda, it is a long-term objective according to recent official statements. Our objective was to evaluate the feelings of patients in general medicine vis-à-vis this future mode of operation and from this deduce the information necessary for general practitioners to respond to future questions from patients. Moreover, this study could be used as a basis for a future "before-after" study.
Materials and methods: This was a qualitative and descriptive study. After completion of the interview guide, we chose to conduct semi-directed (or semi-structured) interviews with general practice patients drawn from three practices located in the Var and the Alpes-Maritimes but also during home consultations. The interviews were recorded and transcribed verbatim then classified by theme.
Results: A total of thirty-two interviews were conducted, with an average of twelve minutes per interview and a total of three hundred and eighty-four minutes of recording. The mean age of the study population was 47 years and there were seventeen women and fifteen men. The majority of the patients interviewed had a professional activity and our sample was diversified in terms of socio-professional category. The respondents to our study were able to identify the challenges and benefits of the process and above all were able to recognize the environmental importance. They also predominantly expressed the benefit of digitally archiving prescriptions and never losing them or also making them accessible to any healthcare professional anywhere. In addition, several patients highlighted the safety and readability of this digital prescription and its attractive potential for teleconsultation. On the other hand, several constraints were expressed such as the possible absence of a paper trace concerning the dose, a change of habit and the lack of confidence in computer systems.
Discussion: In view of the advantages expressed by the patients and the trend towards computerization of our society, paperless prescription appears obvious to the patient of tomorrow. Despite this, analysis of our results has raised a number of obstacles for this project starting with ”computer illiteracy” and also the fact that excessive digitization could isolate a section of the population and even have an impact on their compliance. Beyond the patient, there is the question of the technical limitations in terms of network and secure storage which also raise concerns amongst patients.
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Master Thesis
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Submitted on : Tuesday, November 26, 2019 - 3:35:13 PM
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Stéphane Caggiano. Évaluation de la perception des patients de médecine générale vis-à-vis de la numérisation des prescriptions médicamenteuses via une enquête qualitative. Médecine humaine et pathologie. 2019. ⟨dumas-02381342⟩



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