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Master Thesis

Maltraitances infantiles : comment les repérer ? Une étude qualitative auprès des médecins généralistes des Landes

Abstract : Introduction: child maltreatment is a public health issue which has serious consequences on child development and health, but it remains underdiagnosed. The general practitioner has a central position in the medical follow up of children. However, less than 3% of the national worrying information come from the medical profession. Purpose The aim of this study is to bring out strategies for tracking child maltreatment, replicable in general medicine practice. Methods: a qualitative study has been conducted by semi-directed interviews with fourteen general practitioners who reported at least one worrying information in the department of Les Landes in France. Results: this study suggests ways of improvement of the medical practices for tracking child maltreatment as soon as possible. Different themes arise: using prevention messages, creating shelter for children upstream any violence, recognizing the warning signs, positioning oneself as a support for families, adopting a benevolent neutrality, becoming systematic, and most of all, not remaining alone facing uncertainties. Conclusion: the general practitioner must be a key actor in the child protection system. Thus, it would be interesting to work towards a new paradigm: reconsider the role of the general doctor who could provide support for parenting, and redesign the pediatric consultation, by going out to a systematic screening of intrafamilial and scholar violence.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03243220
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Monday, May 31, 2021 - 2:51:05 PM
Last modification on : Thursday, July 8, 2021 - 3:16:00 AM

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  • HAL Id : dumas-03243220, version 1

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Rachel Darzacq. Maltraitances infantiles : comment les repérer ? Une étude qualitative auprès des médecins généralistes des Landes. Médecine humaine et pathologie. 2021. ⟨dumas-03243220⟩

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