4 results on '"Isabelle Aubin-Auger"'
Search Results
2. What do women and healthcare professionals expect of decision aids for breast cancer screening? A qualitative study in France
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Aïm-Eusébi Amélie, Yannick Ruelle, Bernard Frèche, Mélanie Houllemare, Aurélie Bonillo, Laurie Bouaziz, Cédric Rat, Xavier Gocko, Catherine Cerisey, Isabelle Aubin-Auger, Emilie Ferrat, Ruelle, Yannick, Université Paris Cité (UPCité), Laboratoire éducations et promotion de la santé (LEPS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Sorbonne Paris Nord, Collège National des Généralistes Enseignants (CNGE), Département universitaire de médecine générale, Université Sorbonne Paris Nord (DUMG USPN), Centres municipaux de santé universitaires de Pantin (CMSU Pantin), Université de Poitiers, Université Sorbonne Paris Nord, Nantes Université - UFR de Médecine et des Techniques Médicales (Nantes Univ - UFR MEDECINE), Nantes Université - pôle Santé, Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ), Centre de Recherche en Cancérologie et Immunologie Intégrée Nantes-Angers (CRCI2NA ), Université d'Angers (UA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Nantes Université - UFR de Médecine et des Techniques Médicales (Nantes Univ - UFR MEDECINE), Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ)-Nantes Université - pôle Santé, Système Nerveux Autonome - Epidémiologie, Physiologie, Ingénierie, Santé (SNA-EPIS), Université Jean Monnet - Saint-Étienne (UJM)-Centre Hospitalier Universitaire de Saint-Etienne, Health Service and Performance Research (HESPER), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon, IMRB - CEPIA/'Clinical Epidemiology And Ageing : Geriatrics, Primary Care and Public Health' [Créteil] (U955 Inserm - UPEC), Institut Mondor de Recherche Biomédicale (IMRB), and Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)-Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)
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Decision Making ,[SDV.CAN]Life Sciences [q-bio]/Cancer ,Breast Neoplasms ,breast tumours ,General Medicine ,[SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics ,preventive medicine ,Decision Support Techniques ,primary care ,[SDV.MHEP.GEO] Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics ,[SDV.CAN] Life Sciences [q-bio]/Cancer ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,Humans ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Female ,France ,Delivery of Health Care ,Early Detection of Cancer ,Qualitative Research - Abstract
ObjectiveBreast cancer screening decision aids (DAs) are designed to help women decide whether or not to participate in mammography-based programmes. We aimed to explore women’s and healthcare professionals’ expectations of a breast cancer screening DA, as part of the French DEDICACES study.MethodsThis French qualitative study was based on semistructured, individual interviews with women from the general population, general practitioners (GPs), midwives, gynaecologists, radiologists and screening centre managers. Sampling was purposive and used diversification criteria. The inductive analysis was based on grounded theory.ResultsBetween April 2018 and May 2019, we interviewed 40 people: 13 women, 14 GPs, 4 gynaecologists, 3 midwives, 3 radiologists and 3 screening centre managers. The women and the healthcare professionals considered that a DA could help to improve levels of knowledge, harmonise medical practice and provide reliable, comprehensive information. Overall, the interviewees wanted an easy-to-use, intuitive, graphic-rich, interactive, computer-based, patient-centred DA. Use of the DA might be limited by a lack of familiarity with shared decision-making (SDM), the risk of misuse and a preference for asymmetric positive information.ConclusionThe present results are likely to facilitate the development of the first validated tool for SDM support in French breast cancer screening programmes.
- Published
- 2022
3. Consensus study to define appropriate inaction and inappropriate inertia in the management of patients with hypertension in primary care
- Author
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Kristin Hendrickx, Roy Remmen, Emmanuel Rusch, Isabelle Aubin-Auger, Etienne Vermeire, Julie Biogeau, Maxime Carré, Alain Mercier, and Jean-Pierre Lebeau
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Adult ,Male ,Ambulatory blood pressure ,Consensus ,hypertension ,Delphi Technique ,Blood Pressure ,Primary care ,030204 cardiovascular system & hematology ,Cardiovascular Medicine ,Pharmacological treatment ,quality in health care ,03 medical and health sciences ,Orthostatic vital signs ,primary care ,0302 clinical medicine ,therapeutics ,Medicine ,Humans ,030212 general & internal medicine ,Reliability (statistics) ,Antihypertensive Agents ,computer.programming_language ,Quality of Health Care ,Primary Health Care ,business.industry ,Operational definition ,Research ,Disease Management ,Reproducibility of Results ,General Medicine ,Middle Aged ,medicine.disease ,3. Good health ,Blood pressure ,Treatment Outcome ,Female ,Human medicine ,Medical emergency ,Clinical Competence ,France ,business ,computer ,Delphi - Abstract
ObjectivesTo elaborate and validate operational definitions for appropriate inaction and for inappropriate inertia in the management of patients with hypertension in primary care.DesignA two-step approach was used to reach a definition consensus. First, nominal groups provided practice-based information on the two concepts. Second, a Delphi procedure was used to modify and validate the two definitions created from the nominal groups results.Participants14 French practicing general practitioners participated in each of the two nominal groups, held in two different areas in France. For the Delphi procedure, 30 academics, international experts in the field, were contacted; 20 agreed to participate and 19 completed the procedure.ResultsInappropriate inertia was defined as: to not initiate or intensify an antihypertensive treatment for a patient who is not at the blood pressure goals defined for this patient in the guidelines when all following conditions are fulfilled: (1) elevated blood pressure has been confirmed by self-measurement or ambulatory blood pressure monitoring, (2) there is no legitimate doubt on the reliability of the measurements, (3) there is no observance issue regarding pharmacological treatment, (4) there is no specific iatrogenic risk (which alters the risk-benefit balance of treatment for this patient), in particular orthostatic hypotension in the elderly, (5) there is no other medical priority more important and more urgent, and (6) access to treatment is not difficult. Appropriate inaction was defined as the exact mirror, that is, when at least one of the above conditions is not met.ConclusionDefinitions of appropriate inaction and inappropriate inertia in the management of patients with hypertension have been established from empirical practice-based data and validated by an international panel of academics as useful for practice and research.
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- 2018
4. General practitioners' justifications for therapeutic inertia in cardiovascular prevention: an empirically grounded typology.
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Lebeau, Jean-Pierre, Cadwallader, Jean-Sébastien, Vaillant-Roussel, Hélène, Pouchain, Denis, Yaouanc, Virginie, Isabelle, Aubin-Auger, Mercier, Alain, Rusch, Emmanuel, Remmen, Roy, Vermeire, Etienne, and Hendrickx, Kristin
- Abstract
Objective: To construct a typology of general practitioners' (GPs) responses regarding their justification of therapeutic inertia in cardiovascular primary prevention for high-risk patients with hypertension. Design: Empirically grounded construction of typology. Types were defined by attributes derived from the qualitative analysis of GPs' reported reasons for inaction. Participants: 256 GPs randomised in the intervention group of a cluster randomised controlled trial. Setting: GPs members of 23 French Regional Colleges of Teachers in General Practice, included in the EffectS of a multifaceted intervention on CArdiovascular risk factors in high-risk hyPErtensive patients (ESCAPE) trial. Data collection and analysis: The database consisted of 2638 written responses given by the GPs to an open-ended question asking for the reasons why drug treatment was not changed as suggested by the national guidelines. All answers were coded using constant comparison analysis. A matrix analysis of codes per GP allowed the construction of a response typology, where types were defined by codes as attributes. Initial coding and definition of types were performed independently by two teams. Results: Initial coding resulted in a list of 69 codes in the final codebook, representing 4764 coded references in the question responses. A typology including seven types was constructed. 100 GPs were allocated to one and only one of these types, while 25 GPs did not provide enough data to allow classification. Types (numbers of GPs allocated) were: 'optimists' (28), 'negotiators' (20), 'checkers' (15), 'contextualisers' (13), 'cautious' (11), 'rounders' (8) and 'scientists' (5). For the 36 GPs that provided 50 or more coded references, analysis of the code evolution over time and across patients showed a consistent belonging to the initial type for any given GP. Conclusion: This typology could provide GPs with some insight into their general ways of considering changes in the treatment/management of cardiovascular risk factors and guide design of specific physician-centred interventions to reduce inappropriate inaction. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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