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Master Thesis

Représentations de l’échographie chez le médecin généraliste à La Réunion

Abstract : Context: ultrasound is a simple diagnostic procedure, cheap, growing abroad since many years, and most recently in France. The main purpose of this study was to evaluate the representations of some general practitionners of Reunion Island, concerning the use of ultrasound in primary care. Method: it was a qualitative study based by focus group. Data analysis was done in general inductive. Result: the study was conducted on December 2017 with 23 general practtioners practicing in Reunion Island, for most masters of internships of universities. It allowed to identify their representation on the ultrasound centered on the care (improvement versus delay and forensic risk), the diversification of the practice in the matter of personal interest, the organization of the cabinet in terms of time (gain versus time-consuming nature), the cost in terms of variable profitability and subject to listing, patient doctor relationship (improvement versus distance), doctor radiologist relationship (improvement versus alteration). They also discussed the need to demystify ultrasound and integrate it into the mainstream practice of general medicine. Discussion: most of the ideas corroborate the results of the other studies. The study shows an ambivalence in the representations of general practitioners with motivations but also fears about care, skills, changes in practices and cost. Conclusion: the use of an ultrasound system in a general practice in Reunion Island seems useful and attractive. Practitioners awareness campaigns on the use and acquisition of ultrasound in primary care through training and equipment support could contribute to the development of ultrasound in general practice.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02499992
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Gilles Alberto. Représentations de l’échographie chez le médecin généraliste à La Réunion. Médecine humaine et pathologie. 2019. ⟨dumas-02499992⟩

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