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Master Thesis

Les médecins généralistes face aux inégalités sociales de la santé : Étude quantitative sur le recueil de la situation sociale des patients et les pratiques vis-à-vis des inégalités sociales de santé des médecins généralistes toulousains

Abstract : Background : The general practitioner (GP) has a key role in reducing health status disparities (HSDs). The College of General Medicine has issued recommendations encouraging GPs to collect seven "indispensable" and nine "useful" pieces of information on the social situation of patients and to adapt their practices. Few quantitative studies have evaluated this collection and practices with regard to HSDs. The main objective was to describe the collection of social information from patients followed in general practice. The secondary objectives were to describe knowledge, practices and attitudes towards HSDs. Method : We carried out a descriptive quantitative observational study among GPs in Toulouse using a self-administered questionnaire. Results : 391 GPs were included. 106 questionnaires were completed. The GPs had not received any initial training on HSDs. They considered this collection to be useful and even indispensable. Six of the seven "indispensable" items of information were mostly collected as opposed to three of the nine "useful" items of information. The idea that reducing SIHs is part of the role of primary care was associated with a more effective collection for some items. Most GPs had walk-in clinics, practiced generalized third-party payment, and checked for health insurance. Awareness of HSDs and the perceived role of primary care in reducing them had a key impact on their approach. However, GPs did not feel equipped to meet the social needs of their patients. Conclusion : Better training is called for, as well as an appropriate work practice to address HSDs.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02920118
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Mathilde Mantoux. Les médecins généralistes face aux inégalités sociales de la santé : Étude quantitative sur le recueil de la situation sociale des patients et les pratiques vis-à-vis des inégalités sociales de santé des médecins généralistes toulousains. Sciences du Vivant [q-bio]. 2020. ⟨dumas-02920118⟩

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