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Canadian Journal of Public Health

, Volume 101, Issue 1, pp 65–71 | Cite as

Pratiques cliniques préventives et besoins pour leur intégration chez des médecins d’un centre hospitalier universitaire à Montréal

  • Julio C. Soto
  • Maria L. Chauvet
  • Stéphane Groulx
  • Sylvie Provost
Recherche Quantitative

Résumé

Objectifs

Décrire le portrait de la prestation des pratiques cliniques préventives (PCP) des médecins d’un centre hospitalier universitaire et identifier les barrières à leur mise en œuvre.

Méthode

Enquête par questionnaire auto-administré auprès de 367 médecins généralistes et spécialistes œuvrant au Centre hospitalier de l’Université de Montréal (CHUM) en 2006.

Résultats

Les répondants disent effectuer ou recommander les PCP (souvent ou très souvent) dans environ 60 à 82 % des cas. Les femmes médecins rapportent une plus grande intégration du dépistage et de la vaccination (p<0,05). Les généralistes disent appliquer ou recommander les PCP plus fréquemment que les spécialistes (p<0,05), sauf pour le counselling anti-tabac. Le manque de temps (82 %) et les déficiences dans la continuité des soins (75 %) sont considérés par la majorité des répondants comme des barrières majeures à la réalisation des PCP. La plupart des participants (99 %) considèrent qu’agir en prévention fait partie de leur rôle et 98 % se disent motivés à intégrer les PCP dans leur pratique. Cependant, presque la moitié des médecins n’appliquent pas les recommandations préventives à leur propre vie et au moins les deux tiers doutent de l’efficacité du counselling.

Conclusion

Malgré les résultats encourageants observés, des actions doivent être entreprises pour améliorer l’intégration des PCP aux soins généraux et spécialisés et pour amener les médecins eux-mêmes à adopter de saines habitudes de vie.

Motsclés

prévention clinique pratiques cliniques préventives guide de pratiques cliniques préventives barrières aux pratiques préventives 

Abstract

Objectives

Present a picture of physicians’ preventive clinical practices (PCP) at a university medical centre, and identify the obstacles that hinder their implementation.

Method

Self-administered questionnaire survey addressed to 367 general practitioners and specialists working at the Centre hospitalier de l’Université de Montréal (CHUM) in 2006.

Results

Respondents claim to be recommending PCP (often or very often) in approximately 60-82% of cases. Women physicians report a larger integration for screening and vaccination (p<0.05). General physicians claim to apply or recommend PCP more frequently than specialists (p<0.05), except for anti-tobacco counseling. Lack of time (82%) and deficiencies in continuity of treatment (75%) are considered by the majority of respondents as major obstacles to the realization of PCP. Most participants (99%) consider delivering preventive services to be part of their role and 98% claim to be motivated to integrate PCP into their practice. However, almost half of physicians do not apply preventive recommendations to their own life and at least two thirds of them doubt the efficacy of counseling.

Conclusion

Despite observed encouraging results, actions must be taken to improve the integration of PCP to general and specialized health care and to bring physicians around to adopting healthy lifestyle habits themselves.

Keywords

Clinical prevention preventive clinical practices preventive clinical practice guidelines preventive practice obstacles 

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Copyright information

© The Canadian Public Health Association 2010

Authors and Affiliations

  • Julio C. Soto
    • 1
  • Maria L. Chauvet
    • 1
  • Stéphane Groulx
    • 2
  • Sylvie Provost
    • 3
  1. 1.Département de médecine préventive et de santé publiqueCentre hospitalier universitaire de MontréalMontréal (Québec)Canada
  2. 2.Direction de santé publique de la MontérégieAgence de la santé et des services sociaux de la MontérégieLongueuilCanada
  3. 3.Direction de santé publiqueAgence de la santé et des services sociaux de MontréalMontréalCanada

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