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Master Thesis

Prise en charge des patients atteints de pathologies psychiatriques sévères : étude qualitative auprès de 12 médecins généralistes d'Ille-et-Vilaine

Abstract : Background : Patients with severe mental illnesses (schizophrenia, bipolar disorder, major depressive disorder) have a life expectancy reduced by 15 years compared to the general population. The first cause of this excess mortality are cancers, followed by cardiovascular diseases. These patients have difficulties in accessing comprehensive and coordinated care in the common rights system. Aims : To assess the global follow-up of patients with severe mental illnesses by the general practitioner, and possible obstacles to its proper implementation. Method : Qualitative study, carried out during individual semi-directed interviews with 12 general practitioners in Ille-et-Vilaine. Results : The overall management of patients with severe psychiatric pathologies is suboptimal, in terms of screening, access to and quality of care: lack of clinical examination and complementary tests, less use of recommended screening, lower prevention, difficult communication with specialists. Conclusion : Patients with severe mental illnesses are an at-risk population, and their overall care must be improved. Optimised communication with the psychiatric sectors would make it possible to remedy some dysfunctions, in order to clarify the role of each actor.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03544476
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Submitted on : Wednesday, January 26, 2022 - 4:41:35 PM
Last modification on : Wednesday, March 16, 2022 - 3:37:28 AM
Long-term archiving on: : Wednesday, April 27, 2022 - 7:24:09 PM

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Maëva Edern. Prise en charge des patients atteints de pathologies psychiatriques sévères : étude qualitative auprès de 12 médecins généralistes d'Ille-et-Vilaine. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03544476⟩

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