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Master Thesis

Cheminement et sélection des sources d’information pour une décision thérapeutique en médecine de premier recours : proposition d’un schéma explicatif par théorisation ancrée

Abstract : Introduction: Facing a same situation, primary care physicians propose different management. Those differences can be explained by variable sources of information, such as scientific articles, institutional guidelines, medical papers, and information received from the pharmaceutical industry. The characteristics of the patient, the physician and the settings also influence the pharmaceutical prescription. When the choice of information sources influences medical decisions, it raises both public health and ethical issues. Methodology: The primary objective was to propose a flowchart that illustrates how information gets embed in the general practitioner's decision making, using the grounded theory method. Results: General practitioners delegate to third parties some of the information census and critic. Access to information is the first filter, including: language, technology, fatigue, personal investment and remoteness of the correspondents. Professional preferences such as independence, empiricism or the pursuit of an academic formation form another filter. Peer confirmation then favors some information, through conviviality, friendship, and reputation. Finally, vigilance and adjustment to the clinical context are the last filters. Conclusion: Multiple factors determine the origins of therapeutic decision making. Teaching these factors might allow future primary care physicians to better identify and avoid certain cognitive biases.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03591210
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Submitted on : Monday, February 28, 2022 - 2:39:47 PM
Last modification on : Friday, March 4, 2022 - 3:25:19 AM

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Matthieu Thomazo. Cheminement et sélection des sources d’information pour une décision thérapeutique en médecine de premier recours : proposition d’un schéma explicatif par théorisation ancrée. Médecine humaine et pathologie. 2021. ⟨dumas-03591210⟩

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