Prévention des maladies génétiques. Le retour du médecin de famille ?

Autor: S. De Montgolfier, Frédéric Galactéros, Benjamin Derbez, Z. El Haffaf
Přispěvatelé: Laboratoire d'Études et de Recherche en Sociologie (LABERS), Université de Bretagne Sud (UBS)-Université de Brest (UBO)-Institut Brestois des Sciences de l'Homme et de la Société (IBSHS), Université de Brest (UBO), Institut de Recherche Interdisciplinaire sur les enjeux Sociaux - sciences sociales, politique, santé (IRIS), Université Paris sciences et lettres (PSL)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Sorbonne Paris Cité (USPC)-École des hautes études en sciences sociales (EHESS)-Université Paris 13 (UP13), Centre Hospitalier de l'Université de Montréal (CHUM), Université de Montréal (UdeM), Université Paris-Est Créteil Val-de-Marne - Faculté de médecine (UPEC Médecine), Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), Université Paris-Est Créteil Val-de-Marne - Faculté des sciences de l'éducation, sciences sociales et STAPS (UPEC SESS STAPS), Derbez, Benjamin, Centre de Recherche du Centre Hospitalier de l’Université de Montréal (CRCHUM), Université de Montréal (UdeM)-Université de Montréal (UdeM), Hôpital Henri Mondor, École des hautes études en sciences sociales (EHESS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Sorbonne Paris Nord, Malbec, Odile, CCSD, Accord Elsevier, Université Paris 13 (UP13)-École des hautes études en sciences sociales (EHESS)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris sciences et lettres (PSL)
Rok vydání: 2021
Předmět:
Background information
medicine.medical_specialty
Referral
[SHS.SOCIO] Humanities and Social Sciences/Sociology
Epidemiology
[SDV]Life Sciences [q-bio]
Context (language use)
Genetic hemochromatosis
[SHS]Humanities and Social Sciences
03 medical and health sciences
General practitioners
New genetics
Genetics
Genetic predisposition
medicine
ComputingMilieux_MISCELLANEOUS
030304 developmental biology
[SHS.ANTHRO-SE] Humanities and Social Sciences/Social Anthropology and ethnology
0303 health sciences
[SHS.SOCIO]Humanities and Social Sciences/Sociology
Prevention
030305 genetics & heredity
Public Health
Environmental and Occupational Health
Bioethics
[SHS.ANTHRO-SE]Humanities and Social Sciences/Social Anthropology and ethnology
3. Good health
Test (assessment)
[SDV] Life Sciences [q-bio]
Family communication
Family medicine
[SHS] Humanities and Social Sciences
Psychology
Zdroj: Epidemiology and Public Health / Revue d'Epidémiologie et de Santé Publique
Epidemiology and Public Health / Revue d'Epidémiologie et de Santé Publique, Elsevier Masson, 2018
Epidemiology and Public Health = Revue d'Epidémiologie et de Santé Publique
Epidemiology and Public Health = Revue d'Epidémiologie et de Santé Publique, 2021, 69 (1), pp.30-38. ⟨10.1016/j.respe.2018.07.003⟩
Epidemiology and Public Health = Revue d'Epidémiologie et de Santé Publique, 2018, ⟨10.1016/j.respe.2018.07.003⟩
Epidemiology and Public Health = Revue d'Epidémiologie et de Santé Publique, Elsevier Masson, 2018
ISSN: 0398-7620
1773-0627
DOI: 10.1016/j.respe.2018.07.003
Popis: International audience; Background.-Information to kin is one of the major ethical problems of the new genetics. In France, the revised bioethics law in 2011 created the possibility for patients to authorize professionals, under certain conditions, to directly contact their relatives at risk. Beyond this, other actors, such as GPs, could however play a role in this process. Methods.-Our article is based on an ethnographic-type sociological study by observations and semi-structured interviews with patients (n = 59) and genetic professionals (n = 16) that took place from 2014 to 2016 in three genetic hospital wards in France and Canada. It focuses particularly on genetic predispositions to breast and ovarian cancers as well as genetic hemochromatosis. Results.-Because of its position as a primary care specialist, the general practitioner can play a decisive role in the process of informing relatives about genetic disorders. Upstream of the genetic test, the generalist, thanks to his knowledge of the family context of his patients, can play a referral role towards a specialized consultation. Downstream, it can also ensure a more effective follow-up of the information procedures undertaken by its patients thanks to the medical follow-up that it carries out. Conclusion.-The data collected during our study highlight the unprecedented place that could be that of the general practitioner in the field of prevention in genetics. At the articulation between primary care and highly specialized care, it is the figure of the ''family'' doctor who seems to be called here to be renewed by genetics.
Databáze: OpenAIRE
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