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Master thesis

Le médecin généraliste et la coordination du dépistage du cancer du col de l'utérus : Etude du contenu des dossiers médicaux de 32 médecins généralistes lorrains

Abstract : Cervical cancer screening can reduce incidence and mortality of this cancer. General practitioners, actors by definition of the screening, should be able to assure the coordination, through the files of their patients. We studied, through a computer module of data gathering, the contents of GPs? medical files, in order to see if they contained the information necessary for this coordination. 32 GPs and 305 folders were included in this study, both a 64 % participation rate and a 95 % filling rate. GPs have taken the last Pap smear at 21 % of their patients, what represents one-quarter of primary screening smears. 98 % of these smears are good quality. The information contained in the medical records is excellent when GP take themselves smears, 95 % including the date, the quality and the result of the smear. However, when the smear is not taken by the GP, this information is rarely available (9.5 % of the files concerned). Indeed, only 12 % of medical files show an information feedback towards the GP. According to our estimations, only a quarter of cervical smears would so be the object of an information feedback. GPs are therefore proficient in taking smears and coordinate cervical cancer screening. But they are faced with a lack of feedback that appears as the main obstacle to an effective screening coordination and to an improving of its coverage rate. The recent evolutions of the law and especially the Health Insurance reform of 2004 do not appear to have changed this process.
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https://hal.univ-lorraine.fr/hal-01732953
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  • HAL Id : hal-01732953, version 1

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Yannick Ruelle. Le médecin généraliste et la coordination du dépistage du cancer du col de l'utérus : Etude du contenu des dossiers médicaux de 32 médecins généralistes lorrains. Sciences du Vivant [q-bio]. 2009. ⟨hal-01732953⟩

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