Prevention in general practise : how does general practionner establish it ?

Aurore Girard

Keywords: Prevention; General Practise;

Background:

Childhood obesity is a high prevalence problem all over the world. This problem induces important complications with a higher risk of chronic diseases. The risk of staying obese for an obese child is higher than 80%.
Despite all this facts, prevention messages of GP aren't constant or systematic to all children.

Research questions:

What are the different constructive elements of GP prevention message? How do they interact?

Method:

We realize a qualitative study on 30 general practionners semi-directed interviews. All the material was analyzed continuously in an inductive thematic analysis.
The elaboration of the scheme was completed all the time by new interview materials.
On the same time, scientific literature was explored to complete this analysis.
We completed the analysis with10 observations on site to implement on this analysis.

Results:

We identified different factors that are linked in the construction of this messages:
1. GP work on a stage; they manage their consultations like on a theater scene. They need to construct a good moment and feel that it's the good way to speak about prevention
2. GP construct a time-based relation with their patients; even if they don't speak about prevention on a precise moment, they create the relation for later
3. GP are human. Sometimes it's not a good day for the GP himself
4. GP have previous idea on what their patients are ready for. They presuppose about patient's ideas.

Conclusions:

Different elements influence the message of GP. A lot of these elements are directly linked to the GP himself.
To improve prevention and it can be implemented in GP practice, these elements have to be integrated in formations.

Points for discussion:

Applicability of the results in different country

Utilization of identified elements for GP formation

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