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Master Thesis

Les médecins généralistes de Dordogne face à la première vague de COVID-19 : adaptation de l’exercice

Abstract : Introduction: in France, the first wave of the COVID-19 pandemic occured from March 1st to May 11th 2020. In a lockdown context,the general practitioners had to adaptto avoid contamination during consultations, directed by guidelines. The lack of personal personal equipment (PPE) and differences between medical practices may have caused difficulties. We wanted to study the adjustments made by the independent PhD general practicioners of Dordogne during that period, their exposure to the virus and their experience. Methods: a LimeSurvey survey was sent to them by email. For statistics, we used the R studio software version 1.3.1093 © 2009-2020. Results: eighty three responses were included in the analysis. Doctors mainly used hydro-alcoholic solution (96%), surgicall masks (88%), FFP2 (83%) and gloves (70%). A feeling of lack of protective equipment was found in 76% of the responses. To cope, they used alternative masks and equipment given by local companies, patients and the government. The most frequent adjustments were the use of telehealth (92%), sorting patients (76%) and changes in the organization of secretaries. Cleaning has been increased (94%). Practicioners working in group structures and rural areas made more adjustments. Only one doctor recieved a positive COVID-19 test result, but as testing was uncommon at this time, prevalence is probably underestimated. Thirty-six percent of doctors never or rarely felt safe. The feeling of safety is associated with working in a group structure (p = 0.08), fewer patients seen daily (p < 0.02), telehealth (p = 0.09), cleaning by a professional (p < 0.03) and less re-orientation of patients. Conclusion: the general practicioners of Dordogne largely made adjustments during the first wave of the pandemic. They report feeling a lack of protective equipment and insecurity. Larger studies could assess in particular the impact of the crisis on their mental health.
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Master Thesis
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Submitted on : Monday, November 15, 2021 - 3:17:39 PM
Last modification on : Friday, December 17, 2021 - 3:47:07 AM
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  • HAL Id : dumas-03429260, version 1



Kenza Bennis, Raphaël Depetris, Julie Prevost. Les médecins généralistes de Dordogne face à la première vague de COVID-19 : adaptation de l’exercice. Médecine humaine et pathologie. 2021. ⟨dumas-03429260⟩



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