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Master Thesis

Évaluation du développement psychomoteur de l'enfant de moins de 3 ans et difficultés rencontrées en médecine générale : étude qualitative auprès de 14 médecins béarnais

Abstract : Introduction: developmental delay concerns more than 2% of French children. In 2005, the HAS proposed a standard assessment for general practitioners. However, a psychomotor disorder is still identified quite late and is seldom treated early. Objective: our work focused on understanding the difficulties encountered by general practitioners for the developmental assessment of children under 3 years old. Methods: a qualitative study by semi-structured interviews was conducted with general practitioners settled in the region of Pau. Results: 14 physicians were interviewed. All of them highlighted the lack of time in their practice to correctly identify an abnormality in the child's brain development. This difficulty was sometimes explained by a complex organisation facing the multiple prerogatives of general practitioners. Some mentioned their lack of experience, having never been confronted with the discovery of a psychomotor disorder. Moreover, despite the decisive role of the parents in the follow-up of their child, some doctors stressed their lack of confidence in the parents' identification of trouble and their lack of information. Other difficulties were also raised: lack of formation, reluctance to use specific tools, complicated access to specialists sometimes due to the families' lack of financial means, physicians’ insufficient remuneration. Conclusion: considering the many difficulties encountered, it seems important to think about some measures that would make it possible to "generalise" and facilitate the developmental assessment by the general practitioner, in order to better identify children in difficulty.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02866558
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Friday, June 12, 2020 - 3:37:54 PM
Last modification on : Wednesday, October 21, 2020 - 3:30:10 PM

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Lauriane Grzelka. Évaluation du développement psychomoteur de l'enfant de moins de 3 ans et difficultés rencontrées en médecine générale : étude qualitative auprès de 14 médecins béarnais. Médecine humaine et pathologie. 2020. ⟨dumas-02866558⟩

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