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Master Thesis

Étude des pratiques professionnelles et freins au repérage précoce des troubles cognitifs en médecine générale chez les médecins généralistes libéraux du Calvados

Abstract : Introduction: With the aging of the population, the care of patients with cognitive disorders becoming a public health problem. Despite this, 50% of these patients still undiagnosed. The objective of our study was to study professional practices and to quantify the main obstacles to the detection of cognitive disorders in primaly cares among liberal general practitioners in calvados. Methods: Doctors were contacted by phone to collect their email address. A questionnaire was sent to doctors who gave their consent. Results: 57 questionnaires were analyzed. 89.5% of doctors questioned saw an interest in the early identification of cognitive disorders. 68.4% performed cognitive tests in the office. The MMSE was used as first intention in the majority of cases. Main obstacles reported were the lack of treatment (70.2%), lack of time (45.6%), fear of a harmful effect (31.6%) and lack of knowledge (21%). A memory disease was most often sought in the event of complaint from the entourage (100%), in the face of behavorial disorders (84.2%) or in the event of a complaint from the patient (82.5%). Discussion: Following these results, there still seems to be a negative image of memory diseases, including among general practitioners, making their early detection difficult. Better knowledge of these diseases could allow better management, in particular in terms of non-drug therapy.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03576867
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Submitted on : Wednesday, February 16, 2022 - 12:46:25 PM
Last modification on : Saturday, April 2, 2022 - 3:38:36 AM
Long-term archiving on: : Tuesday, May 17, 2022 - 6:36:24 PM

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Tanguy Autret. Étude des pratiques professionnelles et freins au repérage précoce des troubles cognitifs en médecine générale chez les médecins généralistes libéraux du Calvados. Médecine humaine et pathologie. 2021. ⟨dumas-03576867⟩

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