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Master Thesis

Le vécu des médecins généralistes dans la prise en charge des patients âgés à domicile via l’utilisation de l’outil numérique de coordination Paaco-Globule

Abstract : Introduction: with the ageing of the population on the horizon, general practitioners will have to adapt to the growing demand for support and coordination of care for patients at home. Paaco-Globule is a digital tool that aims to help doctors in this task by connecting the various health staff working with the patient. Objective: to collect general practitioners' experiences of using Paaco-Globule in elderly patients care at home. METHOD : qualitative study by individual semi-directed interviews with general practitioners in the Pyrénées-Atlantiques and Landes using Paaco-Globule. An interpretative phenomenological analysis of the fully transcribed verbatim was carried out. Results: 11 interviews were conducted. Paaco-Globule appears to be overwhelmingly adopted by the doctors who use it. It fulfils its role as a communication tool within a varied panel of health professionals. Even if it does not erase the problem of the persistent gap between city and hospital medicine. Paaco-Globule helps doctors to cope with their difficult role as care coordinator, especially in the social field. It allows for the modernization of home medicine thanks to its nomadic use and instantaneous data transmission. However, this new tool brings with it a wave of information, not always relevant, and which tarnishes the advantages that doctors can gain from it. It can even become invasive with the multiplication of data sources reaching general practitioners through different channels. The risk is that by creating links around the patients, we forget to privilege the direct link with the patients themselves. Conclusion: the challenge of managing elderly patients at home could be facilitated by the use of Paaco-Globule. General practitioners seem to appreciate what this tool brings them. But the involvement of all will be necessary to harmonise practices, around Paaco-Globule if it becomes permanent, in order to simplify patient management in the long term.
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Master Thesis
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Submitted on : Wednesday, December 1, 2021 - 6:00:31 PM
Last modification on : Friday, December 17, 2021 - 3:47:07 AM
Long-term archiving on: : Wednesday, March 2, 2022 - 8:06:23 PM


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  • HAL Id : dumas-03462437, version 1



Marjorie Mathieu-Poublan. Le vécu des médecins généralistes dans la prise en charge des patients âgés à domicile via l’utilisation de l’outil numérique de coordination Paaco-Globule. Médecine humaine et pathologie. 2021. ⟨dumas-03462437⟩



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