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Master Thesis

Coordination entre les centres médico-psychologiques et la médecine générale en Guadeloupe en Grande-Terre : une coopération nécessaire dans le suivi des patients schizophrènes

Abstract : Introduction : Schizophrenia is a psychiatric disorder quite common and often severe. Guadeloupe is no exception as it is the most frequent chronic psychosis. Patients diagnosed with a schizophrenic disorder are mainly treated in a mental health center for adults working with general practitioners within their sector of care. This category of patients presents more serious and more frequent somatic pathologies than the rest of population. Our goal here is to analyze the interaction between the GPs (General Practitioners) and the psychiatrists in the approved healthcare pathway of the outpatients in Guadeloupe, Grande-Terre. Materials and methods : We conducted a descriptive epidemiological study from June to October 2018. Two questionnaires were created: one for the GPs and the second one for the psychiatrists. The one for the GPs was sent via post and electronic mail and then explained on the telephone. The questionnaire addressed to the psychiatrist was presented in person or on the telephone. Results: 44.3% of GPs and 100% of psychiatrists responded positively to the survey.Among the surveyed GPs, 25.75% have never had any communication with the mental health center for adults in their sector. 63,94% consider their interactions with psychiatrists inadequate.25,9% of them regret a lack of communication by mail from the specialists.60% of psychiatrists consider their interactions with GPs unsatisfactory as well. Conclusion : There is an existing lack of communication between psychiatrists and general practitioners in Guadeloupe in Grande-Terre regarding the outpatients’s treatments. Some of the possible solutions could be: a regular somatic follow-up care, better relations between specialists and a more adequate training system for general practitioners. Moreover, the fight against stigma and a clear definition of each person’s role would allow a better communication between health professionals.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02502706
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Submitted on : Monday, March 9, 2020 - 2:37:21 PM
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Clément Ah Kong. Coordination entre les centres médico-psychologiques et la médecine générale en Guadeloupe en Grande-Terre : une coopération nécessaire dans le suivi des patients schizophrènes. Médecine humaine et pathologie. 2019. ⟨dumas-02502706⟩

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