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See detailCrise ou catharsis ?
Vanmeerbeek, Marc ULg

in Exercer (2014), 113(Editorial), 99

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See detailLes médecins généralistes belges francophones peuvent-ils améliorer leurs performances en prévention ? Une étude qualitative
Vanmeerbeek, Marc ULg; Belche, Jean-Luc ULg; Lemaître, Anne-Françoise ULg et al

in Exercer (2013), 107

Background In French-speaking Belgium, success in implementing preventive care remains below expectations, with a socioeconomic gradient. Could GPs contribute to reduce these differences? Objectives The ... [more ▼]

Background In French-speaking Belgium, success in implementing preventive care remains below expectations, with a socioeconomic gradient. Could GPs contribute to reduce these differences? Objectives The study aims at knowing the representations of French-speaking GPs towards their preventive healthcare. The results will be used in a survey assessing the determinants of their involvement in a more systematic and equitable preventive healthcare delivery. Methods We conducted semi-directed interviews with French-speaking GPs. The content was analyzed in a thematic way with reference to the Walsh & McPhee systems model of clinical preventive care to retrieve the predisposing, reinforcing, and enabling factors. Results Preventive healthcare was limited by GPs’ specific interests and psychology. Some clinical and relational skills were sometimes lacking. The information sources were sometimes of poor quality. The lack of organizational skills hindered collective management or systematization towards equity. Media and pharmaceuticals influenced preventive healthcare. GPs wished a specific funding; possibly by “Pay for Quality”. Self assessment was too rare to be a reinforcement factor. Preventive processes were often introduced in an opportunistic way, due to the lack of time. Data circulation and coordination between the various providers was poor. A primary care focused healthcare delivery was suggested. Conclusions Conditions to tackle health inequalities towards preventive healthcare don’t seem to be present at now. To achieve this goal, GPs should be more proactive and develop their practice in a more community-oriented way. However, more research is needed to assess their personal motivation for change. Health authorities should determine a delimitation of competencies and responsibilities and provide organisational support. [less ▲]

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See detailA la recherche du consensus : quelle méthode utiliser ?
Letrilliart, Laurent; Vanmeerbeek, Marc ULg

in Exercer (2011), 99

Consensus methods allow answering questions for which published information is lacking. Among these qualitative methods, the Delphi procedure and the nominal group technique provide quantitative ... [more ▼]

Consensus methods allow answering questions for which published information is lacking. Among these qualitative methods, the Delphi procedure and the nominal group technique provide quantitative estimations.They consist in a systematised and structured synthesis, based on iterative procedures (questionnaires or meetings), and can be conducted quickly and cheaply. They integrate empirical data available with the judgment and experience of the participants, possibly including patients’ representatives. These methods can limit domination effects and conflicts of interest. Examples of use are presented, especially in the field of quality of care assessment. The Delphi procedure does not require any face-to-face meeting and preserves anonymity of answers, whereas the nominal group technique offers more interactivity. [less ▲]

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