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Master Thesis

Comment s’organise le suivi médical pédiatrique des enfants des médecins généralistes ? Étude descriptive auprès des médecins généralistes des Pyrénées-Atlantiques

Abstract : Introduction: although discussed throughout the ages and around the world, the issue of medical care for children of general practitioners is never discussed during our studies, and very little regulated. The objective of our study was to determine by whom is provided the medical follow-up of the children of general practitioners, then to analyze the profile of the general practitioners providing the medical follow-up to their children, the motivations associated with the choice to follow them or not, as well as the quality of medical follow-up. Material and method: we conducted a quantitative study based on a questionnaire sent by email. All of the Pyrenees Atlantiques medical practices were contacted once, without any reminder, in order to retrieve their email addresses. The Pau vaccination center as well as the Facebook page of the replacements of the department were also used. Results: among the 372 firms contacted, 143 questionnaires were recorded, and 138 could be included. It emerges from this study that 38.4% of general practitioners medically follow their children, while 44.2% delegate the task to a pediatrician. The rest of the medical care is shared between a general practitioner known from the parent, and a general practitioner without emotional ties. The typical profile of the doctor providing follow-up is a man, older (significant result), and more often living in a city. Conversely, younger women, and more willingly women established in associations, are more likely to delegate the medical monitoring of their children. The main argument put forward by doctors in favor of their own follow-up was convenience, and it is at home that they examine their children for more than half of them. It is the intimacy and influence that medical follow-up can have on the relationship with their children that would limit the follow-up the most for these parents. For the doctors delegating care, it was first because of the desire to maintain objectivity that they made this choice. However, some inconsistencies can be highlighted: First of all, 96.4% of doctors have already examined their children for acute conditions. But it is also almost ¼ of the parents delegating the follow-up who ultimately write the sports medical certificates themselves ... and conversely, 41.5% of the parents following their children take their children to a colleague for compulsory medical examinations. Discussion: the dual role of parent and doctor has tended to become scarce over the past 20 years, if we are to believe the much lower figures in theses conducted in 2001 (70%) and 2010 (69%), to move towards a more and more followed by a pediatrician. Conclusion: despite ethical considerations to the detriment of medical follow-up by a parent, the practical aspect often supersedes the resolutions taken initially. A research work concerning the point of view and the expectations of the children of the doctors concerning their assumption of responsability could supplement our results.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03500731
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Submitted on : Wednesday, December 22, 2021 - 3:05:06 PM
Last modification on : Tuesday, January 4, 2022 - 3:37:20 AM
Long-term archiving on: : Wednesday, March 23, 2022 - 6:33:14 PM

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Marine Hebert. Comment s’organise le suivi médical pédiatrique des enfants des médecins généralistes ? Étude descriptive auprès des médecins généralistes des Pyrénées-Atlantiques. Médecine humaine et pathologie. 2021. ⟨dumas-03500731⟩

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