La prise en charge des patients handicapés en médecine générale libérale : une enquête auprès d’un panel de médecins généralistes en Provence Alpes Côte d’Azur, en 2002

Aulagnier, M.; Gourheux, Jean-Claude; Paraponaris, Alain; Garnier, Jean‐Pierre; Villani, Patrick; Verger, Pierre

doi:10.1016/j.annrmp.2003.11.004

Cited by 8 publications

(1 citation statement)

References 25 publications

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“…Acceptability refers to professionals' values, norms, culture, and gender. From the points of view expressed in this study, we identified that HPs may have little belief in their effectiveness in prevention, even though prevention requires belief in its effectiveness [63], unfortunately, training in health education and in environmental health are limited during curricula. Indeed, several studies of American paediatricians showed that while they were interested to include environmental health in their practices, they were limited by a lack of training [64].…”

Section: Acceptabilitymentioning

confidence: 94%

A Clinical Preventive Strategy Based on a Digital Tool to Improve Access to Endocrine Disruptors Exposure Prevention: The MEDPREVED Study

Albouy

Parthenay

Nogues

et al. 2022

IJERPH

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Introduction: The digitalized PREVED (PREgnancy, PreVention, Endocrine Disruptor) questionnaire was used in the clinical practices of health professionals (HP) who adhered to the MEDPREVED strategy. The objectives were to assess the strategy and to determine if it could improve access to endocrine disruptor (ED) exposure prevention. Methods: After having filled in the digital questionnaire in HP waiting rooms, patients were invited to talk about ED exposure during the consultation. HPs were previously trained in ED and had received a prevention kit for their patients. After the seven-month implementation phase, the evaluation phase consisted of five mixed assessments: interviews with: (i) patients who were young children’s parents; (ii) patients in the general population; (iii) paediatricians; (iv) midwives; and a quantitative study on GPs. Assessment concerned feasibility, accessibility, and usefulness of the strategy; we then used the Levesque model to evaluate how it could improve access to ED exposure prevention. Results: The study included 69 participants. The strategy appeared feasible for the filling-out step due to digital and environment access. However, it depended on patient and HP profiles. The strategy seemed useful insofar as it facilitated reflexive investment, an intention to healthy behaviour and, rather rarely, talk about ED exposure. The beginning of this discussion depended on time, prioritizing of the topic and HP profile. The strategy has confirmed the Levesque model’s limiting factors and levers to access ED prevention. Conclusions: The MEDPREVED strategy is feasible, accessible, and useful in clinical prevention practice. Further study is needed to measure the impact on knowledge, risk perception and behavior of beneficiaries of the MEDPREVED strategy in the medium and long term.

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Section: Acceptabilitymentioning

confidence: 94%