Troubles musculo-squelettiques : rôles des médecins-conseils et relations interprofessionnelles (notice n° 1578709)
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| control field | 20251228045514.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Begue, Cyril |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Troubles musculo-squelettiques : rôles des médecins-conseils et relations interprofessionnelles |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2016.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 15 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Introduction : Les troubles musculo-squelettiques (TMS) ont été à l’origine, en 2010, de 9,7 millions de journées d’arrêt de travail en France. Ils représentent également une cause importante de désinsertion professionnelle. L’objectif était d’étudier les rôles des médecins-conseils (MC) dans l’accompagnement des patients atteints de TMS et leurs relations avec les médecins généralistes (MG) et les médecins du travail (MT). Méthodes : Il s’agissait d’une étude qualitative par entretiens semi-dirigés auprès de médecins-conseils de Bretagne. Les entretiens étaient double-codés et ont fait l’objet d’une analyse thématique. Résultats : Neuf entretiens ont été menés auprès de MC du régime général, du régime agricole et du régime des indépendants. Les MC décrivaient une augmentation des TMS et notamment d’atteintes multiples. Ils ont expliqué que leur activité ne se limitait pas au contrôle et qu’ils avaient un rôle dans la lutte contre la désinsertion professionnelle, ce qui nécessitait d’anticiper les difficultés de reprise du travail. Ils ont évoqué des relations contrastées mais nécessaires avec les MG, au centre de la prise en charge. La reprise du travail pouvait nécessiter de négocier avec le médecin du travail. Conclusion : Les relations entre MC et MG sont en partie basées sur le contrôle des prescriptions ce qui peut engendrer un climat de méfiance. La mise en avant de la lutte contre la désinsertion professionnelle donne un éclairage nouveau sur leur pratique. L’amélioration des relations entre MC et MG pourrait passer par une meilleure compréhension de leurs rôles respectifs. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Musculoskeletal disorders: Role of medical advisers and inter-professional relations Introduction: Musculoskeletal disorders (MSD) were responsible for 9.7 million days of sick leave in 2010 in France. They are also a leading cause of occupational exclusion. The objective was to study the role of medical advisers (Mas) in the care of patients with MSD and their interactions with general practitioners (GPs) and occupational health physicians (OPs). Methods: We performed a qualitative study with semi-structured interviews with medical advisers from the Brittany region. Semi-structured interviews were double-coded and were submitted to thematic analysis. Results: Nine interviews were conducted with MAs from the general regime, agricultural regime, and independent workers regime. MAs described an increase in MSD, especially with complex forms. They explained that their activity was not limited to control, but that they also had an important role in limiting occupational exclusion. It is important to anticipate difficulties related to return to work in this setting. They reported contrasted but necessary relations with GPs who are at the centre of care. Return to work may require negotiation with OPs. Conclusion: Relations between MAs and GPs are partly based on control of prescriptions, which can create a climate of suspicion. Emphasizing the fight against occupational exclusion can provide new light on the role of MAs. Improving relations between MAs and GPs can be achieved by a better understanding of their respective roles. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | désinsertion professionnelle |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | médecins du travail |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | médecins généralistes |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | médecins-conseils |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | relations interprofessionnelles |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | troubles musculo-squelettiques |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | general practitioners |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | interprofessional relations |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | medical advisers |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | musculoskeletal diseases |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | occupational exclusion |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | occupational health physicians |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Delaborde, Antoine |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Huez, Jean-François |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Tessier-Cazeneuve, Christine |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mener, Éric |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Roquelaure, Yves |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Hugé, Sandrine |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 28 | 2 | 2016-06-01 | p. 197-206 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-sante-publique-2016-2-page-197?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-sante-publique-2016-2-page-197?lang=fr&redirect-ssocas=7080</a> |
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