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Master Thesis

Enquête quantitative sur l'avis et le ressenti des patients suite au retrait du bureau séparateur dans la salle de consultation du médecin généraliste

Abstract : Introduction : General practitioner (GP) desks in France, placed between patients and GP, seems to be a cultural heritage from old-fashioned times when medical paternalism prevailed. Working without a desk between patient and physician could facilitate communication in a patient centeredness approach. Methods : Volunteer GP changed their layout : they turned their desks in order to face directly their patients without a desk between them. After a consultation in this new layout, patients were asked to fill in a questionnaire. Descriptive analysis were made on the results of the questionnaire and univariate analysis were made to look for interference due to characteristics of patient or physician. Results : Between October 2020 and February 2021, 8 GP changed the layout of their consultation rooms. 158 patients responded to the questionnaire. 75% appreciated not having the desk between them and the physician and 65% wanted the desk to stay in this position (excluding patients that didn’t have an opinion, answers were respectively 88% and 86%). Patients felt comfortable in this new layout and they thought it had a positive impact on the ambiance, the patient-physician relationship and the image they had of their doctor. Consulting a GP well-known by the patient seemed to weaken these results. Discussion : This is the first French study to analyse patients responses to desk removal. Our results show that patients appreciated this change. Further studies should assess the impact of suppressing the “in-between” desk on patient-physician communication. The reasons why French GP keep their desks between them and their patients could also be studied.
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https://dumas.ccsd.cnrs.fr/dumas-03435636
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Submitted on : Thursday, November 18, 2021 - 6:17:46 PM
Last modification on : Friday, March 18, 2022 - 3:14:38 AM

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Aurore Desbant. Enquête quantitative sur l'avis et le ressenti des patients suite au retrait du bureau séparateur dans la salle de consultation du médecin généraliste. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03435636⟩

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