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Master Thesis

Regard des familles sur le carnet de santé de l’enfant : du papier au numérique

Abstract : Introduction: since 1945, the health record booklet has been an essential document in the monitoring of children. Its almost systematic use bears witness to a successful follow- up procedure. The latest version of this booklet dates back to 2018 and aims to strengthen the monitoring of the child's medical development but also to raise awareness among families about prevention. However, studies have shown that, on the one hand, families do not take sufficient ownership of it and, on the other hand, that health professionals do not use it optimally after early childhood. In 2019, we are witnessing the creation of the child's Digital health record (DMP) which is the child's health memory. Its objective is to promote coordination, quality and continuity of care.
Objective: the aim of this thesis is to analyze families' perceptions of the child's health record, and thus determine whether they are ready to adopt the digital version.
Method: a qualitative study by semi-directed individual interviews was conducted between March and July 2020 with families in the Var and Alpes Maritimes departments. The thematic analysis was preceded by double coding.
Results: fifteen families were interviewed. For the parents of the study, the health record of the child occupies an important place in the medical follow-up. It is a tool with multiple functions, making it possible to collect confidential information, to communicate between health professionals, and to advise through prevention messages. Families appreciate the practicality and accessibility of the paper format. However, the majority of parents mention a certain detachment from the health record. They also feel that the health record is used less by general practitioners in favor of professional software. Despite the digital boom in various fields, families remain little aware of the existence of their child's DMP, created in 2019. Opinions are mixed about the DMP; it raises a few concerns in terms of accessibility and use.
Conclusion: the paper health record is a paradoxical tool, often appreciated and sometimes forgotten. It remains relevant despite a detachment on the part of certain parents and physicians. The transition to digital seems obvious, but it will take time to convince parents, health professionals, and authorities. Improving communication around the child's DMP would be a lever for its use on the part of families.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03121724
Contributor : Bibliothèque Universitaire de Médecine Nice Connect in order to contact the contributor
Submitted on : Tuesday, January 26, 2021 - 3:42:30 PM
Last modification on : Friday, July 16, 2021 - 3:16:23 AM

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2020NICEM073.pdf
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  • HAL Id : dumas-03121724, version 1

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Camille Garneau-Senequier. Regard des familles sur le carnet de santé de l’enfant : du papier au numérique. Médecine humaine et pathologie. 2020. ⟨dumas-03121724⟩

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