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Master Thesis

Analyse du stress et de ses déterminants chez les médecins généralistes de la région Auvergne-Rhône-Alpes durant la première vague pandémique de la COVID-19

Abstract : In the context of the COVID-19 pandemic, the WHO warned health professionals about the possible occurrence of stress. This study assessed stress in general practitioners (GPs) during the first wave and identified associated factors. Between April 8 and June 30, 2020, a questionnaire was sent to GPs in Auvergne-Rhône-Alpes area at various time. Stress was measured using the 10-item Perceived Stress Score (PSS-10). Verbatims were analyzed too. A first cross-sectional analysis, conducted on 898 GPs between April 8 and May 10, revealed a high-stress level in 437 GPs (49%). Follow-up over time of a cohort of 102 GPs showed a decrease in stress over the study period: 53% of GPs were stressed at the beginning of April compared to 37% at the end of May. Factors associated with high initial stress were : being overwhelmed by the information received, patient's anxiety, making difficult decisions and feeling lonely. Absence of value conflicts reduced stress. The verbatims highlighted a hospital-centered pandemic management, in which it was sometimes difficult for GPs to find their place. In conclusion, the level of stress was unusually high among GPs during the first pandemic wave. In the context of a health crisis, a structured communication chain should be set up early by the health authorities. Better structuring of city-hospital links could be developed. It seems crucial to involve GPs as early as possible in crisis management to improve the health care system's responsiveness and avoid stress that would invalidate the functioning of the health care system.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03154677
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Monday, March 1, 2021 - 10:57:05 AM
Last modification on : Wednesday, March 3, 2021 - 3:18:54 AM
Long-term archiving on: : Sunday, May 30, 2021 - 7:48:24 PM

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Marion Dutour, Anna Kirchhoff. Analyse du stress et de ses déterminants chez les médecins généralistes de la région Auvergne-Rhône-Alpes durant la première vague pandémique de la COVID-19. Médecine humaine et pathologie. 2021. ⟨dumas-03154677⟩

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