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Master Thesis

L’expérience patient en cabinet de médecine générale dans les Alpes-Maritimes : état des lieux et facteurs influençant l'expérience des patients

Abstract : Background : Patient Experience (PE) is recognized as a key component of quality of care and health services assessment. A positive Patient Experience is correlated with higher levels of adherance to treatment processes, better clinical outcomes, better care safety, and a decrease of health-related costs. Improving quality and appropriateness of primary care services, considered as the cornerstone of healthcare systems, is thus an overall target. Our study aimed to describe Patient Experience in general practices of Alpes-Maritimes and identify patient-related factors that might influence this experience.
Methods : Our cross-sectional study was based on a newly-created, satistically validated multidimensional questionnaire exploring the various domains of Patient Experience. Global and composite scores were used to assess Patient Experience. Multivariate analyses have been carried out to determine which patient-related factors might influence Patient Experience.
Results : Overall, 762 patients followed by 32 general practitioners were included in our study. Global Patient Experience mean score was 85,7/100. Patient aged between 60 and 74 years old, retirees and people in « very good health » reported the best PE scores. In Patient Experience different dimensions, mean scores were : 94,8/100 for « healthcare practice hospitality », 90,4/100 for « doctor-patient relationship » and 76,0/100 for « practice organisation and management ». We highlighted that global Patient Experience of primary care was influenced by three patient-related factors : age (p=0,005), socio-professional category (p=0,008) and health status (p=0,008).
Conclusions : patient Experience in general practices of Alpes-Maritimes was evaluated positively by patients. Our newly-created Patient Experience questionnaire is relevant, reliable, consistent and designed for french healthcare system and could be used in the future in new studies at different levels. Those studies would serve to set up or assess initiatives to improve quality of the french primary healthcare system.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02968508
Contributor : Bibliothèque Universitaire de Médecine Nice <>
Submitted on : Thursday, October 15, 2020 - 5:52:55 PM
Last modification on : Saturday, April 17, 2021 - 3:12:58 AM

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  • HAL Id : dumas-02968508, version 1

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Denis Mansour. L’expérience patient en cabinet de médecine générale dans les Alpes-Maritimes : état des lieux et facteurs influençant l'expérience des patients. Médecine humaine et pathologie. 2020. ⟨dumas-02968508⟩

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