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Master Thesis

Étude qualitative sur les représentations des migrants vis-a-vis de l’utilisation du Dossier médical partagé

Abstract : Context: the use of the Electronic health record (EHR) could facilitate the support of migrants but its implementation in France is laborious. Objective: explore the representations on the use of the EHR among migrants, with migrants and general practitioners.
Method: exploratory qualitative study by semi-structured individual interviews and focus group, carried out between April and July 2020 with sampling in maximum variation. The two populations were recruited and analyzed independently until data saturation. An inductive analysis was performed with double blind coding.
Results: twelve participants were recruited from each population. The use of the EHR among migrants was considered by both populations as beneficial but difficult according to the specificities of migrant life. The EHR appears to be a practical solution to access migrant health data but the access should be simplified. Thus, the facilitating elements were the involvement of social workers and the interest in accessing the EHR upon the arrival of the migrants on the French territory. Opinions differed on the impact that the EHR would have on the doctor-patient relationship, which is specific among migrants.
Conclusion: the implementation of the EHR among migrants will not take place without the main actors. Their opinion is essential to avoid multiplying tools that are not adapted to the patients who need them the most. Involving healthcare users and primary care professionals is the only way to develop a partnership approach.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03125417
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Submitted on : Friday, January 29, 2021 - 1:50:51 PM
Last modification on : Tuesday, July 13, 2021 - 3:24:01 AM

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  • HAL Id : dumas-03125417, version 1

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Éva Hurpez. Étude qualitative sur les représentations des migrants vis-a-vis de l’utilisation du Dossier médical partagé. Médecine humaine et pathologie. 2020. ⟨dumas-03125417⟩

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