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Master Thesis

Sollicitation des équipes mobiles de soins palliatifs par les médecins généralistes en Lot-et-Garonne : freins et perspectives d’avenir

Abstract : Introduction: the vast majority (85%) French people say they prefer to die at home but only 26% die at home. In France, 60% of those who die are likely to be covered by palliative care, but only half of these patients would benefit. General practitioner plays an essential role in the provision of palliative care at home. But for the general practitioner, managing the end of life alone seems illusory because of the demands imposed substantial management and a not compatible with the constraints of practicing in general medicine. Specialized palliative care teams can support it. Objectives: to study the solicitation of mobile palliative care teams by general practitioners. Check for potential barriers to this use. To determine whether physician characteristics and potential obstacles are associated with the use of palliative care team. Methods: descriptive epidemiological study inspired by knowledge, attitudes and practice survey in 2018 with general practitioners in Lot-et-Garonne. Results: the turnout was 54%. 32% of general practitioners reported having frequent early use of palliative care team, 35% had regular, but late using and 33% had little or no use of palliative care team. Physicians with proper early use were less likely to have the following barriers: lack of knowledge of the missions of palliative care team, perception of palliative care team as a terminal device and apprehension of being excluded from management. Conclusion: the use of specialized palliative care teams by general practitioners remains insufficient and late. More knowledge about the functions of palliative care teams seems necessary. Improved early identification of palliative patients and their needs is a critical challenge. Finally, the precise definition of the roles of each professional set for good collaboration.
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Master Thesis
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Submitted on : Friday, March 27, 2020 - 10:21:47 PM
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Damaris Favre. Sollicitation des équipes mobiles de soins palliatifs par les médecins généralistes en Lot-et-Garonne : freins et perspectives d’avenir. Médecine humaine et pathologie. 2020. ⟨dumas-02522863⟩



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