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Master Thesis

Regards croisés sur la place du médecin généraliste lors de la prise en charge d’un de ses patients en hospitalisation à domicile (HAD) : étude qualitative sur les secteurs de l’HAD de Chambéry et de Grenoble

Abstract : Context: During a Hospital At Home (HAH), the attending physician has a pivotal role in patient management. However, several research studies underline the difficulties these doctors face to endorse this role during a HAH. Objective: To highlight areas for improvement in order to better adapt the role of general practitioners in HAH care. Method: Qualitative study in semi-structured individual interviews with ten general practitioners and two HAH coordinating doctors in the Chambéry and Grenoble areas between November 2019 and July 2020. Reasoned sampling in search of maximum variation. Recording of interviews, anonymized transcriptions and topic analysis of the discourse. Results: The role of the attending physician in patient management cannot be standardized and seems to be renewed at each new patient according to the availability of the attending physician, the patient's pathology, the attending physician's knowledge of both medicine and the functioning of HAH, his role in medical prescription, the relationship of the attending physician with the patient and his family, the quality of communication with the coordinating doctors of HAH, each physician’s personality. The coordinating physician brings his technical skills and the attending physician seems to have a human role through his knowledge of the patient and the patient's family and friends. Conclusion: As far as possible, the role of each doctor should therefore be defined at the beginning of each treatment.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03008921
Contributor : Jean-Hugues Morneau <>
Submitted on : Tuesday, November 17, 2020 - 9:16:56 AM
Last modification on : Thursday, November 19, 2020 - 3:17:51 AM

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Marion Cetre, Paul Semeraro. Regards croisés sur la place du médecin généraliste lors de la prise en charge d’un de ses patients en hospitalisation à domicile (HAD) : étude qualitative sur les secteurs de l’HAD de Chambéry et de Grenoble. Médecine humaine et pathologie. 2020. ⟨dumas-03008921⟩

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