Consensus par méthode Delphi de la trousse d’urgence thérapeutique optimale du médecin généraliste du Bas-Rhin:Thèse présentée pour le diplôme d'État de docteur en médecine : Diplôme d'État de Médecine générale, présentée et soutenue le 03 février 2023
Langue Français
Langue Français
Auteur(s) : Peutrec, Pauline Le
Directeur : Ngono Atah, Thérèse
Composante : MEDECINE
Date de création : 30-06-2023
Description : Médecine, Introduction : The general practitioner, considered as an important link in the healthcare system, performs the initial care of the patient, either alone or while awaiting relief by specialized emergency services. However, there is no statutory text defining the necessary equipment for this mission. The main objective of our work was therefore to define: the optimal content of the emergency therapeutic kit adapted for general practitioners in Bas-Rhin and, as a secondary objective, its logistical and administrative management. Material and method : The Delphi method, applied to general practitioners in Bas-Rhin, made it possible, with a 61-item questionnaire sent by email to general practitioners, emergency doctors and regulating doctors through their supervisory entities, to compare their expertise on the content of this emergency kit with a questionnaire via Google Forms, then to Google Sheets to extract the raw data. The results were considered as appropriate, inappropriate or uncertain based on the agreement/disagreement between the participants and the median value of each item. Two rounds of the questionnaire were planned with scheduled reminders for each stage of the questionnaire. The study was carried out from March 28 to July 14, 2022. Results and discussion : 77 experts responded including 51 inclusions in the 1st round, 37 respondents in the 2nd round including 36 inclusions. At the end of the 2 rounds, 26 items were retained in all domains, 19 considered as inappropriate and 14 without consensus. Conclusion : Among the experts a convergence is observed. We were able to identify 26 therapies to constitute the emergency kit of the general practitioner of Bas-Rhin in order to respond to emergency situations outside the hospital., Thèses et écrits académiques
Mots-clés libres : Trousse médicale d'urgence, Médecins généralistes, Bas-Rhin (France), Médicaments, 610
Couverture : FR
Directeur : Ngono Atah, Thérèse
Composante : MEDECINE
Date de création : 30-06-2023
Description : Médecine, Introduction : The general practitioner, considered as an important link in the healthcare system, performs the initial care of the patient, either alone or while awaiting relief by specialized emergency services. However, there is no statutory text defining the necessary equipment for this mission. The main objective of our work was therefore to define: the optimal content of the emergency therapeutic kit adapted for general practitioners in Bas-Rhin and, as a secondary objective, its logistical and administrative management. Material and method : The Delphi method, applied to general practitioners in Bas-Rhin, made it possible, with a 61-item questionnaire sent by email to general practitioners, emergency doctors and regulating doctors through their supervisory entities, to compare their expertise on the content of this emergency kit with a questionnaire via Google Forms, then to Google Sheets to extract the raw data. The results were considered as appropriate, inappropriate or uncertain based on the agreement/disagreement between the participants and the median value of each item. Two rounds of the questionnaire were planned with scheduled reminders for each stage of the questionnaire. The study was carried out from March 28 to July 14, 2022. Results and discussion : 77 experts responded including 51 inclusions in the 1st round, 37 respondents in the 2nd round including 36 inclusions. At the end of the 2 rounds, 26 items were retained in all domains, 19 considered as inappropriate and 14 without consensus. Conclusion : Among the experts a convergence is observed. We were able to identify 26 therapies to constitute the emergency kit of the general practitioner of Bas-Rhin in order to respond to emergency situations outside the hospital., Thèses et écrits académiques
Mots-clés libres : Trousse médicale d'urgence, Médecins généralistes, Bas-Rhin (France), Médicaments, 610
Couverture : FR
Type : Thèse d'exercice
Format : PDF
Source(s) :
Format : PDF
Source(s) :
- http://www.sudoc.fr/268110565
Entrepôt d'origine :
Identifiant : ecrin-ori-345599
Type de ressource : Ressource documentaire
Identifiant : ecrin-ori-345599
Type de ressource : Ressource documentaire