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Master Thesis

Les différences observées dans l’abord et la prise en charge du sevrage en alcool en ambulatoire en fonction des facteurs personnels du médecin généraliste de la région Occitanie

Abstract : Objective: alcohol was the second cause of preventable death in France in 2017. The general practitioner has a responsibility in detecting alcohol abuse and in weaning. What are the personal factors of the general practitioner that influence his treatment of an outpatient undergoing alcohol withdrawal? Material and methods: transversal observational study carried out with interns and general practitioners in the Occitanie region from january to may 2020. Collection of thirteen personal data from doctors and comparison with the 2015 Good Practice recommendations of the French Society of Addictology. Results: 249 physicians responded to the questionnaire. The most significant personal factors were socio-demographic: age, type of exercise, geographic area and vocational training in addictology. Doctors over 45 years of age self-attributed a success rate of 3.949/10 on average compared to 4.429/10 for doctors under 45 years of age (p=0.035). When it comes to addressing the subject of alcohol consumption with their patients, established physicians were more systematic than replacement physicians (43.8% vs. 15.6%, p<0.001). In urban areas, they more often called on an addictologist for support than in rural areas (23.9% versus 10.8%, p=0.024). Fewer physicians with training in addictology mentioned lack of resources as a cause of failure (5.0% against 17.5%, p=0.017) and more often used their experience in diagnosing alcohol abuse (73.3% against 57.7 %, p=0.030). Many aspects of withdrawal management varied depending on these factors. Conclusion: certain personal factors studied in this study may intervene in physician decision making during the treatment of an outpatient undergoing alcohol withdrawal.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03153772
Contributor : Scd Université de Montpellier <>
Submitted on : Friday, February 26, 2021 - 4:54:20 PM
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  • HAL Id : dumas-03153772, version 1

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Martin Sansiquier. Les différences observées dans l’abord et la prise en charge du sevrage en alcool en ambulatoire en fonction des facteurs personnels du médecin généraliste de la région Occitanie. Médecine humaine et pathologie. 2020. ⟨dumas-03153772⟩

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