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Master Thesis

L’influence du discours du médecin sur l’apparition des motifs de consultation secondairement révélés : analyse conversationnelle à partir d’enregistrements audio de consultations en médecine générale

Abstract : Introduction: medical consultation is a meeting between a doctor and a patient seeking care, which he seeks by expressing a reason for consultation. The patient's initial request is not necessarily his main concern. Aim: determine the different communication techniques used in the consultation that would promote the expression of secondarily revealed reasons and establish when in the session these reasons are revealed. Methods: a descriptive qualitative study was carried out using a database of audio recordings of 72 consultations carried out by three general practitioners in three private practices in Gironde. The verbatims obtained by manual transcription were analysed using the double coding method with data triangulation. We have established a communication score according to the Calgary-Cambridge guide. Results: Secondarily revealed reasons are mainly stated during the questioning. There are mostly communication techniques such as facilitation, open and closed questions, reformulation, clarification, summary, empathy, active involvement, legitimation, humor and small talk. Conclusion: to create a climate of trust within a consultation, the learning of communication, as a complex skill, must therefore be integrated into the training of becoming a doctor. He will be able to use the Calgary-Cambridge grid to conduct his interview and obtain an optimal relationship with his patients.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03596659
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Submitted on : Thursday, March 3, 2022 - 5:55:38 PM
Last modification on : Saturday, March 5, 2022 - 3:31:15 AM

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Émeline Beaud, Virginie Cottron. L’influence du discours du médecin sur l’apparition des motifs de consultation secondairement révélés : analyse conversationnelle à partir d’enregistrements audio de consultations en médecine générale. Médecine humaine et pathologie. 2022. ⟨dumas-03596659⟩

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