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Master Thesis

Le médecin généraliste face à la falsification des documents médicaux en Aquitaine

Abstract : Introduction: the forgery of medical documents is a major problem of public health. The main objective of our study was to evaluate a state of play awareness of the general practitioners on the behavior to follow in case of forgery of medical documents. Material and Method: a transverse study, observational, quantitative, using a survey to the 488 internship supervisors of the DMG of Bordeaux and its suburbs from 09/23/18 till 11/22/18. We realized an analysis by logistic regression of data to identify the factors associated with the awareness of the practitioner on the behavior to follow. Results: the participation in our study was 38,5 %. The number of practitioners confronted with forgery was 68 %, predominantly in town. 48,4 % of the doctors declared not to know the behavior to follow facing the forgery of medical documents. The multivariate analysis showed the existence of a statistically significant association between the doctor’s awareness on the behavior to follow and the type of the counterfeit document [certificates (p=0,0005; OR=8,11 [95% IC 2,48-26,57], bizone prescription (p=0,02; OR=6,02 [95% IC 1,42-25,61], the content of the prescriptions [benzodiazepines and/or related (p=0,0005; OR=0,10 [95% IC 0,03-0,36]], the fact that the alert of forgery came from the pharmacist (p=0,001; OR=12,33 [95% IC 2,76-55,16] and finally the fact that the act of the practitioner consisted in informing the Social Security instance (p=0,02; OR=4,09 [95% IC 1,25-13,36]. Conclusion: the forgery of medical documents is a real problem to which are confronted the general practitioners. Training initiatives on the behavior to follow to the doctors appear essential.
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https://dumas.ccsd.cnrs.fr/dumas-02444255
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Submitted on : Friday, January 17, 2020 - 4:52:16 PM
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Aïssatou Bah. Le médecin généraliste face à la falsification des documents médicaux en Aquitaine. Médecine humaine et pathologie. 2019. ⟨dumas-02444255⟩

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