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Master Thesis

Perception du respect de la confidentialité par les médecins généralistes au sein de leur propre cabinet : une étude qualitative

Abstract : Background: confidentiality is a legal and ethical obligation for any doctor. Except for the secure medical software, there are no guidelines for the layout and the organization of the medical office to guarantee it. Several studies show that confidentiality is not always respected in medical offices. Objectives: the objective was to explore the perception that general practitioners have of the respect of confidentiality within their own medical office and to analyze the risky situations identified by doctors, the improvements made and the impediments encountered. Methods: a qualitative study by semi-directed interviews was carried out with 12 general practitioners in the Nouvelle-Aquitaine region. A thematic analysis of the content was carried out using double coding. Results: general practitioners were aware that confidentiality was regularly breached in their offices despite the importance they gave to it. Three sources of his rupture were distinguished: the structure of the medical office, communication tools and professional vigilance. The themes identified for the first one were sound and visual insulation; for the second one, the common medical software, drafting correspondence, telephone disturbance and communication without verification of the correspondent. The third covered respect for anonymity, out-of-office discussions and secret to families. The limiting factors for improving confidentiality were the lack of knowledge, the cost of accommodation, the overwork and the lack of discussion on this subject. Conclusion: general practitioners identify a multifactorial origin to the lack of confidentiality in their medical office. They are aware of being the main actors in its respect. Talking with other practice stakeholders and patients could improve it.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03116630
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Submitted on : Wednesday, January 20, 2021 - 2:43:33 PM
Last modification on : Tuesday, February 2, 2021 - 3:12:13 AM
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Johanna Bec. Perception du respect de la confidentialité par les médecins généralistes au sein de leur propre cabinet : une étude qualitative. Médecine humaine et pathologie. 2020. ⟨dumas-03116630⟩

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