Skip to Main content Skip to Navigation
Master Thesis

Parcours du patient douloureux chronique : analyse des courriers d'adressage des médecins vers les CETD

Abstract : Chronic pain is a complex problem that is very common in general practice. Its management is time-consuming and difficult for pain patients and primary care physicians. The objective of this work was to study the care pathway of pain patients through the analysis of the transmission of medical information between physicians who refer patients and pain centers, evaluating the completeness of Addressing letters and then comparing them according to patient characteristics, diagnostic hypotheses, practitioners and referral modalities. 200 letters were analyzed in 3 CETD in the Paris region, using a completeness grid. On average, mail contains 4.56 / 9 important items. The letters of the general practitioners are less complete than those of the other specialists 4,29 vs 4,82. The completeness does not vary significantly according to the diagnostic hypotheses. The quality of the mail is not different according to the age and sex of the patients and improves when the family and professional situation is mentioned. The levers of action for a better transmission of medical information could be the improvement of the training of general practitioners and the awareness of the importance of the environment of painful patients on their health.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [65 references]  Display  Hide  Download
Contributor : Université Paris Descartes - Scd <>
Submitted on : Friday, June 19, 2020 - 12:21:51 PM
Last modification on : Sunday, November 22, 2020 - 3:19:34 AM
Long-term archiving on: : Wednesday, December 2, 2020 - 9:32:13 AM


Files produced by the author(s)


Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International License


  • HAL Id : dumas-02501149, version 1


Raphaël Kempler. Parcours du patient douloureux chronique : analyse des courriers d'adressage des médecins vers les CETD. Médecine humaine et pathologie. 2019. ⟨dumas-02501149⟩



Record views


Files downloads