Adhérence globale des patients : validation d’un score et étude de ses déterminants : étude prospective suite à une consultation aux urgences
Year: 2014
Type: dissertation
Study design: Observational Study
Abstract: The adherence notion is still a major public health concern, however there is no validated tool that allows assessment of this notion. The objectives of this work were to validate a « global adherence » score (GA), taking into account its medicinal and non-medicinal aspects and to study the determinants. For this observational prospective study, patients of 2 emergency departments, suffering from acute pathology (traumatologic or infectious), have been included. They have been contacted by phone within 7 to 10 days to answer a questionnaire. The analysis on 156 patients (11.9% of loss) showed a significant link (p<0.01) between the GA score and the Morisky score (the reference). The Cronbach’s coefficient for the subsection « medicinal GA » was 0.78. Then, the pathology type (OR=3.39, p<0.01) and the doctor-patient communication quality (OR=1.06, p<0.01) appeared to be the major determinants of a «good» adherence. These results validate the GA scale (validation against another scale and internal reliability obtained) which needs additional studies to be adjustable to all situations. The fundamental link highlighted between GA and DPC open up lines of thought. It is important to wonder about the adherence legitimacy as a major quality care metric to put back the doctor-patient relationship at the heart of the care process. It seems necessary to make the communication one of the essential skill of a doctor.
Source: HAL
Authors: Amélie Duvert, Laure Gonnet
Institution: Université Grenoble Alpes
Language: French
Subfield: Family Practice
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W1512799543