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Master Thesis

Facteurs favorisant la prescription de contraception orale en dehors d'un moment de consultation dédié

Abstract : Introduction: the effectiveness of oral contraception is highly dependent on its mode of use, given the delta between theoretical and practical efficacy. The time of education and information that is the consultation of prescription is often restricted by habits of prescriptions without appointment dedicated. Hypothesis: there are factors that promote oral contraception prescription outside of a dedicated counseling time. Objective: to identify the factors that favor pill prescription outside dedicated consultation. Method: multicenter quantitative self-administered descriptive study, completed by women having contraceptive pill dispensing from 13 February to 12 April 2019 in 43 pharmacies. Bivariate analysis on each factor, then multivariate. Results: patients with a high EPICES precariousness score less often benefit from a dedicated consultation time (p <0.001), as do those without any complementary coverage, or other than a private complementary coverage (p = 0.05). The prescription, when performed by a prescriber who does not usually perform gynecological monitoring of the patient, is more regularly produced without dedicated time (p = 0.04). Conclusion: social and economic factors have an impact on how to prescribe a patient's oral contraception. A socio-economic fragility favors the exit of the prescription circuit with dedicated time, and constitutes a risk of reduction of the given information and deficit of therapeutic education. The relationship between the prescriber and the patient also modifies the way of prescribing, with a risk of delaying to a dedicated time when the prescriber is consulted punctually, or conversely when he knows well and for a long time the patient.
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Master Thesis
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Charles Vignères. Facteurs favorisant la prescription de contraception orale en dehors d'un moment de consultation dédié. Médecine humaine et pathologie. 2019. ⟨dumas-02442979⟩



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