{"id":1754,"date":"2003-10-01T01:00:00","date_gmt":"2003-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/module-de-formation-vhc-destine-aux-medecins-generalisteslexperience-du-reseau-vih-vhc-du-pays-daix\/"},"modified":"2018-10-20T18:39:30","modified_gmt":"2018-10-20T16:39:30","slug":"module-de-formation-vhc-destine-aux-medecins-generalisteslexperience-du-reseau-vih-vhc-du-pays-daix","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/module-de-formation-vhc-destine-aux-medecins-generalisteslexperience-du-reseau-vih-vhc-du-pays-daix\/","title":{"rendered":"Module de formation VHC destin\u00e9 aux m\u00e9decins g\u00e9n\u00e9ralistes:\nL’exp\u00e9rience du r\u00e9seau VIH-VHC du Pays d’Aix"},"content":{"rendered":"

2003<\/strong><\/p>\n

C. Wartelle-Bladou 1,2, J. Gourin 1,3, J-M Riou 1,4, C. Pisano-R\u00e9my 1, A. Ribaute 1, 5, P. Mours 1,, 6.
\n1 R\u00e9seau sant\u00e9 provence; 2 Service d’ h\u00e9patogastroent\u00e9rologie, C.H.P.A; 3 Autre Regard, Marseille; 4 La Maison, Gardanne; 5 Aix-Tox; 6 F.S.T Villa Flor\u00e9al, , Aix-en-provence.<\/em><\/p>\n

H\u00e9patologie <\/strong>– \u00a02000-03-09 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

Introduction: Les progr\u00e8s th\u00e9rapeutiques, la possibilit\u00e9 d’instaurer un traitement anti-viral sans ponction biopsie h\u00e9patique pr\u00e9alable ont augment\u00e9 le nombre de nouveaux recours \u00e0 l’h\u00f4pital des sujets infect\u00e9s par le VHC. La double dispensation de l’Interf\u00e9ron p\u00e9gyl\u00e9 depuis avril 2003, l’incitation \u00e0 une prise en charge globale de ces patients au sein de r\u00e9seaux multidisciplinaires impliquent l’appropriation par les m\u00e9decins g\u00e9n\u00e9ralistes (MG) de cette pathologie.
\nLe R\u00e9seau Sant\u00e9 Provence a mis en place en 2000 un module de formation VHC th\u00e9orique et pratique destin\u00e9 aux MG. Nous rapportons ici cette exp\u00e9rience.
\nObjectifs du module:
\n(1) Proposer aux MG du Pays d’Aix une formation concr\u00e8te, couvrant de la fa\u00e7on la plus compl\u00e8te possible les probl\u00e9matiques li\u00e9es \u00e0 la prise charge des sujets VHC +, incluant les aspects m\u00e9dico-psycho-sociaux et la prise en charge des co-morbidit\u00e9s (VIH, addictions).
\n(2) Impliquer ces MG dans un partenariat avec les m\u00e9decins r\u00e9f\u00e9rents hospitaliers
\nMat\u00e9riel et m\u00e9thodes: Un premier module pilote a \u00e9t\u00e9 test\u00e9 en 2000 sur 10 m\u00e9decins. Modifi\u00e9 chaque ann\u00e9e, il associe maintenant:
\n(1) une formation th\u00e9orique d’un jour et demi, avec la participation de 8 intervenants diff\u00e9rents (addictologues, MG, assistante sociale, h\u00e9patologue, IDE, psychiatre).
\n(2) une formation pratique comprenant deux co-consultations VHC, assister \u00e0 une P.B.H, une co-consultation C.D.A.G, une co-consultation \u00ab\u00a0de terrain\u00a0\u00bb (association autre regard, F.S.T)
\n(3) Une soir\u00e9e de cl\u00f4ture avec discussion autour des r\u00e9sultats de l’\u00e9valuation compl\u00e9t\u00e9e par les participants en fin de module.
\nLes MG sont indemnis\u00e9s pour cette formation.
\nR\u00e9sultats:
\n(1) Trente trois m\u00e9decins ont \u00e9t\u00e9 form\u00e9s: 10 en 2000, 11 en 2001, 12 en 2002. Six MG et trois infirmi\u00e8res suivent le module 2003.
\n(2) Un questionnaire a \u00e9t\u00e9 adress\u00e9 en 2002 aux 21 m\u00e9decins des modules pr\u00e9c\u00e9dents. Les r\u00e9sultats de cette \u00e9valuation seront pr\u00e9sent\u00e9s.
\n(3) Nombre de nouveaux recours en consultation externe (un m\u00e9decin hospitalier): progression de 36 en 2000 \u00e0 87 en 2002. Pourcentage stable des nouveaux recours parmi la file active de consultants VHC: 42% en 2002 vs, 40 % en 2000.
\n(4) Investissement des MG au sein du r\u00e9seau (encha\u00eenement module VHC – module douleur) et de l’h\u00f4pital (consultations CDAG assur\u00e9es par des MG ayant particip\u00e9 aux modules; cr\u00e9ation d’une vacation hom\u00e9opathie pour la gestion des effets secondaires des traitements).
\nConclusions:
\n(1) Une exp\u00e9rience enrichissante qui consolide les liens ville-hopital et s’inscrit dans l’axe prioritaire \u00ab\u00a0renforcement du dispositif de soins\u00a0\u00bb du plan national h\u00e9patites virales B et C.
\n(2) Faible \u00ab\u00a0d\u00e9sengorgement\u00a0\u00bb de la consultation externe hospitali\u00e8re pour l’instant
\n(3) N\u00e9cessit\u00e9 d’une \u00e9valuation plus rigoureuse de l’impact d’un tel module de formation
\nPerspectives:
\n(1) Etendre le module \u00e0 un plus grand nombre de m\u00e9decins sans perdre le caract\u00e8re de \u00ab\u00a0compagnonnage\u00a0\u00bb particuli\u00e8rement appr\u00e9ci\u00e9
\n(2) R\u00e9pondre \u00e0 la demande des IDE en proposant un module mixte m\u00e9decins – infirmiers plut\u00f4t que deux modules distincts.
\n(3) Int\u00e9grer au module des notions de counseling (membres du r\u00e9seau en formation)<\/p>\n","protected":false},"excerpt":{"rendered":"

2003 C. Wartelle-Bladou 1,2, J. Gourin 1,3, J-M Riou 1,4, C. Pisano-R\u00e9my 1, A. Ribaute 1, 5, P. Mours 1,, 6. 1 R\u00e9seau sant\u00e9 provence; 2 Service d’ h\u00e9patogastroent\u00e9rologie, C.H.P.A; 3 Autre Regard, Marseille; 4 La Maison, Gardanne; 5 Aix-Tox; 6 F.S.T Villa Flor\u00e9al, , Aix-en-provence. H\u00e9patologie – \u00a02000-03-09 –\u00a0CO – ________________________________ Introduction: Les progr\u00e8s […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[14],"class_list":["post-1754","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-14"],"yoast_head":"\nModule de formation VHC destin\u00e9 aux m\u00e9decins g\u00e9n\u00e9ralistes: L'exp\u00e9rience du r\u00e9seau VIH-VHC du Pays d'Aix - Abstracts des congr\u00e8s de l'ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/module-de-formation-vhc-destine-aux-medecins-generalisteslexperience-du-reseau-vih-vhc-du-pays-daix\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Module de formation VHC destin\u00e9 aux m\u00e9decins g\u00e9n\u00e9ralistes: L'exp\u00e9rience du r\u00e9seau VIH-VHC du Pays d'Aix - 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