Skip to Main content Skip to Navigation
Master Thesis

Prise en charge simplifiée de l’hépatite C chronique : attentes et freins des patients et des médecins généralistes de Nouvelle-Aquitaine

Abstract : Background: both the WHO with its “Global health sector strategy on viral hepatitis 2016- 2021” and the French Ministry of Health and Solidarities in its “Plan Priority Prevention 2018- 2022” want the eradication of viral hepatitis C by 2025/2030. This eradication goes though the opening of the primary prescription since May 2019 of two direct-acting antivirals against chronic hepatitis C to all doctors including general practitioners. Objectives: the main objective of our study is to describe the general practitioners and patients’ expectations and reluctances regarding the primary prescription for the treatment of chronic hepatitis C by general practitioners. The second objective was to describe the general practitioners and patients’ expectations and reluctances regarding the screening of hepatitis C of patients at risk by general practitioners Method: We have run a qualitative study between February 2020 and April 2021. Semi- structured interviews were conducted with both patients affected or at risk for hepatitis C and general practitioners in Nouvelle Aquitaine. The data analysis was done using the grounded theory approach. The coding of interviews was carried out independently by two researchers to allow data triangulation. Results: the majority of patients were in favor of being treated for HCV by their general practitioner. This out-patient care by their general practitioner was desired because of its practicality, proximity to care, quick appointment and reduced time in waiting room. The human relation aspect was also fundamental, trust, familiar relationship and availability of the general practitioner were mentioned. HIV/HCV coinfected patients that were already cared for by infectious disease hospital specialists seemed to prefer being treated by HCV specialists in order to have a centralized follow-up. They thought their general practitioner would not be skilled for managing those diseases that they consider as complex. On the doctors’ side, two of them had already prescribed direct-acting antivirals to their patients. Two others were not aware about the opening of the primary prescription. Some were considered as reluctant and some had a favorable opinion towards the primary prescription. Some of them did not feel the need of doing so. They predominantly mentioned the lack of training and the low number of cases. Those bottlenecks can be lifted with an adapted training according to the doctor’s motivation. Another lever is the collaboration between general practitioners and specialists. Conclusions: the results of this study have allowed a better understanding of the patients and general practitioners’ expectations and reluctances regarding the treatment of hepatitis C by general practitioners. It looks like this new model of care is being accepted by most of concerned patients. The doctors’ opinion seems more moderated but with a possibility to make their practices evolve.
Document type :
Master Thesis
Complete list of metadata

https://dumas.ccsd.cnrs.fr/dumas-03426942
Contributor : BU Carreire UB - Connect in order to contact the contributor
Submitted on : Friday, November 12, 2021 - 5:21:11 PM
Last modification on : Friday, December 17, 2021 - 3:47:07 AM
Long-term archiving on: : Sunday, February 13, 2022 - 7:48:10 PM

File

Med_generale_2021_Iung_Parreau...
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-03426942, version 1

Collections

Citation

Sarah Iung, Marie Parreau. Prise en charge simplifiée de l’hépatite C chronique : attentes et freins des patients et des médecins généralistes de Nouvelle-Aquitaine. Médecine humaine et pathologie. 2021. ⟨dumas-03426942⟩

Share

Metrics

Record views

27

Files downloads

10