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Master Thesis

Directives anticipées : connaissance des patients de l’agglomération Grenoble Alpes métropole

Abstract : Introduction. The advance directives created in 2005 were changed in 2016 by “Claeys-Leonetti” Law. They allow patients to express their preferences for end-of-life care if they are unable to make decisions for themselves. The law reenforces the patients’ autonomy. Doctors must follow their wishes. The role of the general practitioner is important, as he delivers the information about advance directives. The advance directives are part of a process that considers and communicates about values and goals of end-of-life care. In the United-States, this process is called: “Advance Care Planning”. The benefits of “Advance Care Planning” are less aggressive medical care, a better quality of end of life, diminution of hospitalization. When the patient dies, their relatives suffer less depression and anxiety. Despite these positive aspects, the advance directives are not well known in France, and the take up is low. Objective. The main goal of this study was to evaluate patients’ knowledge about advance directives in Grenoble Metropolis. The secondary objectives were to determine the role of the general practitioners (according to patients) and characterize social-demographic factors that influenced the knowledge of advance directives. Method. We carried out a quantitative survey study, in 10 general practitioner clinics in the Grenoble Metropolis. Results. 392 questionnaires were included. 34% of the patients know about the advance directives but only 5% have already completed them. A significant relationship between the knowledge of advance directives and three factors was found. The factors are age (patient over 45 years old), academic qualification (over bachelor’s degree), and self-perceived health (very and good state). 78% of the patients want to be informed by the general practitioner about advance directives. Conclusion. This study shows that advance directives are not very well-known by the population of Grenoble Metropolis and as a consequence, few people draft them. This study allows better targeting of the population, which is not informed of advance directives, those who are receptive to the drafting of advance directives and to identify the role of the general practitioner.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03275542
Contributor : Jean-Hugues Morneau <>
Submitted on : Thursday, July 1, 2021 - 11:25:21 AM
Last modification on : Sunday, July 4, 2021 - 3:22:38 AM

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Gabrielle Célin. Directives anticipées : connaissance des patients de l’agglomération Grenoble Alpes métropole. Médecine humaine et pathologie. 2021. ⟨dumas-03275542⟩

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