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Master Thesis

Les procédés mis en place par les médecins généralistes pour faire face aux demandes injustifiées de leurs patients, étude qualitative par entretiens semi-dirigés auprès de douze médecins généralistes

Abstract : Introduction: the doctor-patient relationship today is based on the concepts of shared medical decision and patient centered care. It is in this context that the patient can make requests that appear unjustified. The aim here is to study the procedures put in place by general practitioners to deal with the unjustified demands of their patients. Method: a qualitative study using semi-structured interviews was conducted with twelve general practitioners. The interviews were analyzed by coding in order to identify the main concepts. Results: the definition of an unjustified claim is subjective and variable. For some doctors, these requests make sense if you are looking for a hidden request. The most common request concerns work stoppages. Most doctors analyze the demand according to several factors: patient’s behavior, professional context of the doctor, strength of doctor-patient relationship and quality of the relationship ... The feeling during the patient’s demand is negative and unpleasant for the doctor. Then doubt and questioning prevail. The workday can be impacted. Some doctors see their personal sphere impacted. Many consider that they can lead to burnouts. Doctors use communication, especially negotiation skills, and emotion management in order to find solutions. Conclusion: the main issue is not to miss a hidden demand. The relationship is based on negotiating ; thus, taking time and energy. The doctor must put in place personal and professional solutions to manage these requests, keep a quality medical practice and preserve themselves.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02492993
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Thursday, February 27, 2020 - 3:00:37 PM
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Johanna Zuliani Cyr. Les procédés mis en place par les médecins généralistes pour faire face aux demandes injustifiées de leurs patients, étude qualitative par entretiens semi-dirigés auprès de douze médecins généralistes. Santé publique et épidémiologie. 2019. ⟨dumas-02492993⟩

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