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Master Thesis

Déterminants des ruptures du parcours de soin médical des patients suivis par le RéPPOP Aquitaine : impact d’un contact téléphonique précoce sur l’intention de reprise du suivi

Abstract : Regular and prolonged medical follow-up is associated with better results in the multidisciplinary care of childhood and adolescent obesity. Unfortunately, some children interrupt follow-up before the two years recommended by the French National Authority for Health. Our work was to define the characteristics of the children included in the RéPPOP Aquitaine between May 31, 2018 and May 01, 2019, when medical follow-up has been interrupted for more than six months and the potential determinants of this rupture. Of the 445 children targeted in the study, 262 were suspected of having interrupted medical follow-up. We conducted a semi-directive phone interview with their parents. Among the 186 responding families, 53 had finally continued the medical follow-up and 133 children had actually interrupted the medical follow-up. Of these children, 97 had a complete follow-up break (discontinuation of medical and paramedical follow-up) and 36 had a partial follow-up break (discontinuation of medical follow-up only). Considering the children who maintained total or partial follow-up among the responding families, in the end, 272 children, or 61.1% of the 445 children studied in this work, have active care within the RéPPOP Aquitaine. The main determinants of medical care interruption were: inherent in RéPPOP for 63.9% of the families surveyed, related to the individual for 53.4% or to their living environment for 36.1%. The immediate intention of the responding families to resume the medical care after the interview is 60.9%. These work outlooks are to propose improvements in the coordination of the care pathways to limit follow-up breaks. In addition, this work can be used as a basis for assessing the effective resumption of medical follow-up at the RéPPOP Aquitaine, by the families contacted.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03371930
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Submitted on : Saturday, October 9, 2021 - 10:21:49 AM
Last modification on : Thursday, October 28, 2021 - 3:27:10 AM

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Pauline Hoogwoud. Déterminants des ruptures du parcours de soin médical des patients suivis par le RéPPOP Aquitaine : impact d’un contact téléphonique précoce sur l’intention de reprise du suivi. Médecine humaine et pathologie. 2021. ⟨dumas-03371930⟩

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