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Master Thesis

Les médecins généralistes dans la prise en charge / accompagnement des patients avec mésusage de l’alcool : enquête qualitative par entretiens semi-dirigés

Abstract : Introduction: alcohol has two facets. It enriches the French economy but it also has a significant health cost. It is the second leading cause of preventable death in our country. To fight against this scourge of alcoholism, the authorities ask general practitioners to get involved. They are the only health professional to be consulted by the entire population. They have many opportunities to talk with their patients about alcohol and then lead them to weaning. Several tools are available to general practitioners such as the different remedies of alcohol care, training, drugs and especially the controversial baclofene... The place of GPs is crucial and should be central but what place do they actually occupy ?
Material and method: to explore the care / support of patients with alcohol misuse in general medicine, we worked on a large qualitative study already existing, PrevQuali (2010-2012) which was interesting in several areas of prevention in general medicine including alcohol. Then, we updated the data with an ancillary study: PrevQuali OH (2018-2019). In total, an analysis was made of 99 semi structured interviews, 19 of which dealt more specifically with alcohol, under PrevQuali and 15 additional interviews with PrevQuali OH.
Results: the task of general practitioners is difficult. The formations seem to be lacking or not adapted. The formations focus on the drug prescription and the protocols of weaning but the work on raising the awareness of the problem and the motivation to change one's behavior is difficult. This would require experience and a good doctor-patient relationship. The healthcare remedies seems not to be known by everyone. It is often necessary to have a good address book with colleagues who have the same sensitivity on alcohol.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03573745
Contributor : Université Paris Descartes - Scd Connect in order to contact the contributor
Submitted on : Thursday, April 7, 2022 - 3:28:54 PM
Last modification on : Friday, May 13, 2022 - 3:37:00 AM

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Marie-Laurence Nguyen Dinh. Les médecins généralistes dans la prise en charge / accompagnement des patients avec mésusage de l’alcool : enquête qualitative par entretiens semi-dirigés. Médecine humaine et pathologie. 2019. ⟨dumas-03573745⟩

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