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Master Thesis

Facteurs limitant la prescription du «sport sur ordonnance» de Caen et pistes d’amélioration : étude qualitative auprès de 13 médecins généralistes

Abstract : Introduction: Promoting regular physical activity is a real public health issue. The city of Caen has set up a "sport on prescription" initiative for sedentary patients with chronic diseases. The objective of our study is to identify the factors limiting its prescription by general practitioners in order to improve it. Method: A qualitative study was conducted among general practitioners through semi-structured and individual interviews, followed by continuous thematic and manual data analysis. Results: The analysis of 13 interviews showed that the prescription was hampered by the lack of knowledge of the initiative, the lack of time and financial reward for doctors, the imprecision of the legal framework and the previous failures. The inclusion criteria of the patients, the location and capacity of the accommodation as well as the duration of coaching were inherent limitations of the program. There were other patient-related barriers widely cited in the literature, especially lack of motivation. General practitioners suggested an improvement of the communication on the initiative and an evolution of some of its conditions. An assessment of its effectiveness and an investment of social health insurance were also requested. Conclusion: If the "sport on prescription" initiative is positively welcomed by the doctors, some weaknesses are raised. Therefore, it seems necessary to expand this at local level and beyond, to not increase disparities regarding access to physical activity.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02472839
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Submitted on : Monday, February 10, 2020 - 1:51:23 PM
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  • HAL Id : dumas-02472839, version 1

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Lucie Dubois. Facteurs limitant la prescription du «sport sur ordonnance» de Caen et pistes d’amélioration : étude qualitative auprès de 13 médecins généralistes. Médecine humaine et pathologie. 2019. ⟨dumas-02472839⟩

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