Enjeux éthiques à la formation des étudiants et des professionnels dans le cadre d'une prise en charge préventive des effets morbides du vieillisement

Abstract : Introduction Although it is recalled in the 2004 public health law, taking care of health determinants linked to ageing is inadequately taken into account in the primary care procedure by general practionners (GP) Objectives To understand the reasons and reveal the ethical tensions linked to this. How can we take care of this better? Methodology Phase 1: semi-directive interviews with GPs. Phase 2: analysis of hospital reports. Phase 3: Analysis of a hospital-GP coordination method. Results GPs acknowledge doing mainly cardiovascular prevention. For the other determinants, they are favourable to an area of competence transfer, but they want to remain central in the preventive action. Hospital wards do not deal much with ageing prevention and only deal with what is linked to their speciality. There are many reasons for this of which funding and a medical approach per pathology. Conclusion Integrated medecine should enable to take care of these determinants. The care organisation model will have to change with a better hopital -GP coordination.
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Benoit Tudrej. Enjeux éthiques à la formation des étudiants et des professionnels dans le cadre d'une prise en charge préventive des effets morbides du vieillisement. Ethique. Université Sorbonne Paris Cité, 2015. Français. ⟨NNT : 2015USPCB198⟩. ⟨tel-01886960⟩

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