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Master Thesis

Connaissance de l’outil DMP par le patient Lot-et-Garonnais

Abstract : Introduction: the Electronic Health Record (EHR) is a computerized and secure medical record, accessible on the Internet by the patient and his health professionals. While it appears to be an ideal technological tool for modern medicine, its deployment has encountered many obstacles over the years. The reluctance of health professionals has been studied on several occasions, but the literature remains very poor concerning the patients’point of view. The aim of this work is therefore to assess patients' knowledge of the EHR. Materials and methods: we carried out an observational, quantitative and multicenter study on patients from Lot-et-Garonne. We obtained raw data on EHR by collaborating with the CNAM and CPAM 47 on the one hand and interviewed the patients through a questionnaire on the other hand. Results: 424 questionnaires were included in our study, with a mean age population of 50.8 years and a predominance of women (67%). More than half of the patients had heard of the EHR (53%), but only 23% actually had one. We observe in the latter a lack of knowledge of the tool: only a quarter of patients consult their EHR, 19% do not know who feeds it and 31% do not know its content. Among patients who have never heard of the EHR, 51% think it is an interesting tool. For others, the main barriers to opening the EHR were: the lack of involvement of health professionals, lack of information on the subject and fear of medical confidentiality. Conclusion: despite a still weak deployment (implementation ?), the EHR is a tool of which patients have had a positive perception, and which is increasing in popularity. Our results show a lack of knowledge of the tool, but also of its use. While the multiple adoption barriers identified must be taken into account, therapeutic education may be necessary in addition to facilitate the appropriation of DMP by patients.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03589138
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Submitted on : Friday, February 25, 2022 - 2:14:24 PM
Last modification on : Tuesday, March 1, 2022 - 3:30:14 AM
Long-term archiving on: : Thursday, May 26, 2022 - 7:33:57 PM

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Louise Veyret. Connaissance de l’outil DMP par le patient Lot-et-Garonnais. Médecine humaine et pathologie. 2021. ⟨dumas-03589138⟩

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