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Master Thesis

Représentations concernant la relation avec le médecin traitant, ayant accompagné le passage des patients en maison de santé pluriprofessionnelle : étude préliminaire par méthode qualitative au sein des maisons de santé de Targon, Créon et Saint-Caprais

Abstract : Introduction: in a context of decreasing number of general practitioners (GP) and increasing demand of care, community health centers (CHC) are booming. Our objective was to assess patient’s feelings regarding the relationship with their personal GP in these structures. Methods: we performed a qualitative study with semi-directed individual interviews until reaching data saturation, with patients from three CHC. Analysis was done by thematic coding and data triangulation. Results: with 13 interviews, we found several changes. The declared GP was no longer necessarily the patient’s main GP and could be « multiple ». The time of “family doctors” was over in terms of availability and relationships, even if this relation remained essential to patients for some reasons of consulting. The result was a feeling of more targeted clinical examinations and management. These changes seemed more related to the generation of the GP than to the structure. Discussion: these results demonstrate a step-back of the personal GP for a more adaptable management and proximity regarding reasons of consulting. The already essential doctor-patient relationship becomes more crucial, especially since it will be less developed by the regularity of the consultations. It could be beneficial to conduct a larger study of this situation in France, and to reinforce communication training and encourage students, like GP, to work on the right distance in the care relationship.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02994579
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Saturday, November 7, 2020 - 10:17:16 PM
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Hélène Capois-Gotchac. Représentations concernant la relation avec le médecin traitant, ayant accompagné le passage des patients en maison de santé pluriprofessionnelle : étude préliminaire par méthode qualitative au sein des maisons de santé de Targon, Créon et Saint-Caprais. Médecine humaine et pathologie. 2020. ⟨dumas-02994579⟩

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