{"id":2039,"date":"2015-10-01T01:00:00","date_gmt":"2015-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/prise-en-charge-conjointe-gastroenterologue-generaliste-de-linfection-a-helicobacter-pylori-au-centre-hospitalier-dannecy-a-laide-de-la-fiche-de-recommandations-du-gefh-groupe-d\/"},"modified":"2018-10-20T18:40:19","modified_gmt":"2018-10-20T16:40:19","slug":"prise-en-charge-conjointe-gastroenterologue-generaliste-de-linfection-a-helicobacter-pylori-au-centre-hospitalier-dannecy-a-laide-de-la-fiche-de-recommandations-du-gefh-groupe-d","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/prise-en-charge-conjointe-gastroenterologue-generaliste-de-linfection-a-helicobacter-pylori-au-centre-hospitalier-dannecy-a-laide-de-la-fiche-de-recommandations-du-gefh-groupe-d\/","title":{"rendered":"Prise en charge conjointe gastroent\u00e9rologue\/g\u00e9n\u00e9raliste de l\u2019infection \u00e0 Helicobacter pylori au Centre Hospitalier d’Annecy \u00e0 l\u2019aide de la fiche de recommandations du GEFH (Groupe d\u2019Etude Fran\u00e7ais des Helicobacter). Quel est le ressenti du m\u00e9decin g\u00e9n\u00e9raliste ?"},"content":{"rendered":"

2015<\/strong><\/p>\n

A. Mo\u00ebnne-Loccoz, A. Montchaud, A. Hosari, S. Pestour, B. Brusset, J. Pofelski, P. Oltean, M. Baconnier, E. Maillard, P. Capony, J. Jund, F. Heluwaert (1) – Service Hepato-gastro – Centre Hospitalier Annecy Genevois<\/em><\/p>\n

Gastroent\u00e9rologie <\/strong>– \u00a02015-05-11 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

Introduction : La prise en charge de l\u2019infection a H. pylori est de plus en plus assur\u00e9e conjointement par le gastro-ent\u00e9rologue (HGE) et le m\u00e9decin g\u00e9n\u00e9raliste. Afin d\u2019am\u00e9liorer cette collaboration, le GEFH a \u00e9labor\u00e9 une fiche de recommandation qui a re\u00e7u un tr\u00e8s vif succ\u00e8s (17500 t\u00e9l\u00e9chargements\/an), disponible sur le site helicobacter.fr.
\nElle est largement utilis\u00e9e dans notre centre hospitalier, et il nous a sembl\u00e9 important d\u2019\u00e9valuer le ressenti de nos confr\u00e8res g\u00e9n\u00e9ralistes sur ce mode de collaboration gastro-ent\u00e9rologue \/ g\u00e9n\u00e9raliste qui est effectif depuis plus de 3 ans.
\nMat\u00e9riels et M\u00e9thodes : Une enqu\u00eate de pratique a \u00e9t\u00e9 adress\u00e9e via un questionnaire mail \u00e0 415
\nm\u00e9decins g\u00e9n\u00e9ralistes de Haute Savoie entre juillet et Aout 2014. Le taux de r\u00e9ponses a \u00e9t\u00e9 de 21% (n = 89). Le sexe ratio F\/H \u00e9tait 1,5, d\u2019un \u00e2ge moyen de 38 ans, 90 % des r\u00e9pondants
\nayant \u00e9t\u00e9 confront\u00e9s \u00e0 l\u2019\u00e9radication d\u2019H. pylori au cours de leur carri\u00e8re. 41 m\u00e9decins ne connaissaient pas la fiche (population 1) et 48 la connaissaient (population 2).
\nR\u00e9sultats : 1. Perception du g\u00e9n\u00e9raliste sur la fiche de recommandation du GEFH. Elle a une pr\u00e9sentation claire et a\u00e9r\u00e9e pour 85% des r\u00e9pondants, est simple \u00e0 comprendre pour 94%. Elle donne le sentiment de travailler selon les donn\u00e9es de la science dans 87,3%. Les m\u00e9decins la conserve en version papier (53%), ou sur support informatique (33%) et certains (10%) la consulte directement sur le site helicobacter.fr. Les m\u00e9decins de la population 1 pensent qu\u2019ils s\u2019y r\u00e9f\u00e9reront dans 89% des cas, ceux qui l\u2019utilisent s\u2019y reporte toujours
\nou la plupart du temps dans 75% des cas, notamment pour la bonne prescription des traitements s\u00e9quentiels ou de la quadrith\u00e9rapie bismuth\u00e9e. Ce chiffre plus bas \u00e9tant en partie
\nexpliqu\u00e9 par une meilleure connaissance de la prise en charge (PEC) de l\u2019infection gr\u00e2ce \u00e0 cette collaboration depuis plus de 3 ans.
\n2. Perception du g\u00e9n\u00e9raliste sur l\u2019implication du patient. La population 1 estime qu\u2019avec ce type de collaboration le patient est impliqu\u00e9 dans sa PEC et qu\u2019il serait plus observant
\nen revoyant son g\u00e9n\u00e9raliste dans 48 et 54% des cas. Ces impressions dans la population 2 passent respectivement \u00e0 70% et 79%. Ce mode de collaboration sp\u00e9cialiste – g\u00e9n\u00e9raliste
\n– patient permet probablement de sensibiliser le patient \u00e0 sa prise en charge, 93% des m\u00e9decins ayant le sentiment que le patient est content de revoir son g\u00e9n\u00e9raliste.
\n3. Ressenti du g\u00e9n\u00e9raliste utilisant cette fiche vis-\u00e0-vis de sa collaboration avec le gastro-ent\u00e9rologue. Le m\u00e9decin g\u00e9n\u00e9raliste n\u2019a pas le sentiment que l\u2019 HGE lui donne du travail
\nen plus (84%), ni qu\u2019il se d\u00e9charge de ses responsabilit\u00e9s (95,4%), ni qu\u2019il le consid\u00e8re comme un incomp\u00e9tent (95,4%). Le partage des comp\u00e9tences HGE\/g\u00e9n\u00e9raliste est consid\u00e9r\u00e9 comme facile \u00e0 appliquer pour 97,7% d\u2019entre eux et 93% souhaitent travailler selon ce protocole avec un sentiment d\u2019\u00eatre utile pour leurs patients (89% des cas) en \u00e9tant au centre de la prise en charge (97%).
\nConclusion : Apres avoir montr\u00e9 une am\u00e9lioration de la prise en charge globale de l\u2019infection H. pylori, l\u2019utilisation de la fiche de recommandation du GEFH apparait comme un outil simple et optimal pour la collaboration HGE\/g\u00e9n\u00e9raliste. Pl\u00e9biscit\u00e9e par nos confr\u00e8res g\u00e9n\u00e9ralistes, elle d\u00e9livre des informations synth\u00e9tiques et claires, am\u00e9liorant leurs pratiques.
\nV\u00e9ritable support d\u2019une collaboration efficace pour traiter nos patients, sa diffusion et sa mise en application au sein de notre sp\u00e9cialit\u00e9 m\u00e9rite d\u2019\u00eatre g\u00e9n\u00e9ralis\u00e9e.<\/p>\n","protected":false},"excerpt":{"rendered":"

2015 A. Mo\u00ebnne-Loccoz, A. Montchaud, A. Hosari, S. Pestour, B. Brusset, J. Pofelski, P. Oltean, M. Baconnier, E. Maillard, P. Capony, J. Jund, F. Heluwaert (1) – Service Hepato-gastro – Centre Hospitalier Annecy Genevois Gastroent\u00e9rologie – \u00a02015-05-11 –\u00a0CO – ________________________________ Introduction : La prise en charge de l\u2019infection a H. pylori est de plus en […]<\/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":[4],"tags":[26],"class_list":["post-2039","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-26"],"yoast_head":"\nPrise en charge conjointe gastroent\u00e9rologue\/g\u00e9n\u00e9raliste de l\u2019infection \u00e0 Helicobacter pylori au Centre Hospitalier d'Annecy \u00e0 l\u2019aide de la fiche de recommandations du GEFH (Groupe d\u2019Etude Fran\u00e7ais des Helicobacter). 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