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Master Thesis

Évaluation de l'utilisation de l'outil STOPP/START chez les médecins généralistes : étude TAPAGE

Abstract : Iatrogenism for polymedicated elderly subjects over 75 years old causes excess mortality and increases hospitalization. Some studies have suggested the efficacy of using the STOPP/START tool by General practitioners (GPs) for detecting potentially inappropriate prescribing in older patients. Therefore, making relevant to explore the doctor’s perceptions regarding the use of this tool. Our objective was to study the feasibility, acceptability and usefulness of the computerized STOPP/START perceived by the GPs. This is a quantitative and qualitative study resulting from the analysis of data collected from a survey sent to GPs using STOPP/START during the TAPAGE study. Out of 120 participating to the TAPAGE study, 78 answered our questionnaire. Many GPs didn’t have prior knowledge of the computerized STOPP/START tool at the start of our study, especially the newly GPs. The implementation of this tool was generally validated. Eighty-three percent of them were in favour of the introduction of this tool in primary care in order to optimize and improve their drug prescriptions. Most GPs participating to the study (52,6%), and mostly the youngest, judged it easy to use. Other possible applications were proposed, such as reminder function, or for therapeutic patient education. The tool was often perceived as too general, and therefore making it unsuitable for ‘individual’ patient care. It was often perceived as complex and time-consuming. Despite being well accepted and validated, it’s necessary to better promote the use of STOPP/START. Prior a large implementation of this tool in primary care, some improvements regarding the design of the user interface (UI) and the user experience (UX) should be carried out. One of the solutions would be to get the help of an IT software developer specialized in medical software. This new computerized clinical decision support system could be integrated in existing prescription software commonly used by GPs and be used on an ad-hoc basis.
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https://dumas.ccsd.cnrs.fr/dumas-03392241
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Submitted on : Thursday, December 9, 2021 - 5:25:58 PM
Last modification on : Sunday, December 12, 2021 - 3:18:41 AM

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  • HAL Id : dumas-03392241, version 1

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Charles-Marie Le Bihan. Évaluation de l'utilisation de l'outil STOPP/START chez les médecins généralistes : étude TAPAGE. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03392241⟩

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