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Master Thesis

L’anxiété liée à l’incertitude en médecine générale. Étude du genre, des années d’expérience, du type d’exercice et de la région de travail comme déterminants des réactions des médecins face à l’incertitude

Abstract : The French Society of General Medicine estimates that 70% of consultations do not lead to a strict diagnosis. Uncertainty is responsible for increased health costs and professional exhaustion. Knowing how to position oneself in relation to uncertainty is one of the foundations of the quality of practice. Method : observational, descriptive, multivariate, linear regression-type study analysing the determinants of uncertainty anxiety among French GPs, questioned by the Physician Reactions to Uncertainty questionnaire, during the year 2019-2020. Results : male and Breton doctors experienced less anxiety due to uncertainty. Male doctors felt less anxiety about negative consequences. The "other" mode of exercise was associated with an increased reluctance to reveal uncertainty to the patient. Breton doctors and those working in multidisciplinary centres were less reluctant to tell colleagues about their mistakes. The doctors' experience revealed no significant effect on PRU items. On the overall questionnaire score, the male gender and the fact of practising in Brittany were two factors for which anxiety was lower among GPs. Discussion : there seems to be a link between anxiety about uncertainty and lower quality of life. On a daily basis, the use of a dictionary of consultation summaries and "gut feeling" would be ways of reducing uncertainty. It is essential to prepare medical students for uncertainty. In spite of advances in artificial intelligence, humans remain decisive in decision-making. Conclusion : the PRU highlighted that the male gender and the fact of practising in Brittany were two factors for which GPs were less anxious. It would be interesting to circulate the questionnaire to the whole of France, and to study the use of "gut feeling".
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03172213
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Submitted on : Wednesday, March 17, 2021 - 3:34:10 PM
Last modification on : Monday, October 11, 2021 - 2:23:10 PM
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Gauthier Cadic. L’anxiété liée à l’incertitude en médecine générale. Étude du genre, des années d’expérience, du type d’exercice et de la région de travail comme déterminants des réactions des médecins face à l’incertitude. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03172213⟩

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