Skip to Main content Skip to Navigation
Master Thesis

Évaluation du lien ville-hôpital par les médecins généralistes dans la prise en charge palliative : exemple des Lits Identifiés de Soins Palliatifs du Centre Hospitalier de Libourne

Abstract : Introduction: the community and hospital network (CHN) is a major health policy issue. It needs to be of good quality to optimize the management of patients in palliative care. Objectives: the main objective was to collect the opinion of general practitioners (GP) of the quality of the CHN considering the hospitalization of patients in Palliative Care Designated Beds (PCDB). The secondary goal was to know the GP improvements expectations. Methods: we conducted a quantitative observational survey by telephone and we interrogated GP whose patients were in the PCDB of the general hospital of Libourne in the period from march to december 2018. Results: the response rate was 35.5%. Half of the GP were dissatisfied with information initiatives on the presence of palliative care in the hospital. During the stay, 66.7% were very dissatisfied with the exchanges and 44.4% were very dissatisfied with their involvement in decision-making. At the end of hospitalization, 51.9% were satisfied with coordination of their patient returning home. 56% of the MG were satisfied with the summary letter but expressed discontent about the amount of time before receiving it, considered too long. Discussion: promoting information on the provision of healthcare, facilitating contact between concerned health care workers and improving communication means were several areas for improvement, based on the results of the study, and seem to be essential factors to develop and strengthen the CHN. Conclusion: the strengthening of the network is first and foremost a result of individual and institutional wishes, based on the political healthcare strategy which is in favour to the decompartmentalization of medical activity.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [56 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-02495775
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Monday, March 2, 2020 - 3:03:30 PM
Last modification on : Saturday, March 7, 2020 - 1:20:13 AM
Long-term archiving on: : Wednesday, June 3, 2020 - 2:30:53 PM

File

 Restricted access
To satisfy the distribution rights of the publisher, the document is embargoed until : 2021-05-14

Please log in to resquest access to the document

Identifiers

  • HAL Id : dumas-02495775, version 1

Collections

Citation

Marie-Mélina Bruhat. Évaluation du lien ville-hôpital par les médecins généralistes dans la prise en charge palliative : exemple des Lits Identifiés de Soins Palliatifs du Centre Hospitalier de Libourne. Médecine humaine et pathologie. 2019. ⟨dumas-02495775⟩

Share

Metrics

Record views

40