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Master Thesis

La médecine défensive : perceptions et vécus par les médecins généralistes français, une étude qualitative en focus group

Abstract : Introduction: defensive medicine (DM) can be defined as deviation from standard medical practice due to various sources of pressure. Aim: explore the experience and the feelings of DM by French general practitioners (GP). Material and method: exploratory qualitative study by focus group (FG). Interviews were retranscribed and analysed by a grounded theory with double coding. Results: four FG were realized between February and June 2019. 21 GP were recruited for this study. They defined DM as a modification of their medical practice due to various sources of pressure with negative but also positive consequences on their practice. Sources of pressures were manifold: mostly patients, fear of lawsuit, own pressure, colleagues and consultation process. They have consequences on physical examination, documentation of medical records, prescription et their experience. Conclusion: sources of pressure identified by French GP were different as other countries but consequences were identical. Sensitization of GP to DM et patient’s information are axis to avoid negative impact.
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https://dumas.ccsd.cnrs.fr/dumas-02531693
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Friday, April 3, 2020 - 6:11:08 PM
Last modification on : Saturday, April 11, 2020 - 1:19:29 AM

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  • HAL Id : dumas-02531693, version 1

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Thomas Grocq. La médecine défensive : perceptions et vécus par les médecins généralistes français, une étude qualitative en focus group. Médecine humaine et pathologie. 2020. ⟨dumas-02531693⟩

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