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     <dc:title xml:lang="fr">Place des médecines complémentaires et alternatives dans la prise en charge des maladies chroniques : étude qualitative par entretiens semi-dirigés auprès de patients Bretons</dc:title>
     <dcterms:alternative xml:lang="en">Role of Complementary and alternative medicines in the care of chronic disease : qualitative study thanks to individual semi-guided interviews among patients from Bretagne</dcterms:alternative>
     <dc:subject xml:lang="fr">Médecines complémentaires et alternatives</dc:subject><dc:subject xml:lang="fr">maladies chroniques</dc:subject><dc:subject xml:lang="fr">rôle central du médecin traitant</dc:subject><dc:subject xml:lang="fr">accompagnement</dc:subject><dc:subject xml:lang="fr">conseiller</dc:subject><dc:subject xml:lang="fr">propre pratique</dc:subject>
     <dc:subject xml:lang="en">Complementary and alternative medicines</dc:subject><dc:subject xml:lang="en">chronic disease</dc:subject><dc:subject xml:lang="en">the central role of the general practitioner</dc:subject><dc:subject xml:lang="en">support</dc:subject><dc:subject xml:lang="en">adviser</dc:subject><dc:subject xml:lang="en">own practice</dc:subject><tef:sujetRameau><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="027655008">Médecines parallèles </tef:elementdEntree><tef:subdivision autoriteSource="Sudoc" type="subdivisionDeForme" autoriteExterne="027253139">Thèses et écrits académiques</tef:subdivision>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="027453812">Maladies chroniques</tef:elementdEntree><tef:subdivision autoriteSource="Sudoc" type="subdivisionDeForme" autoriteExterne="027253139">Thèses et écrits académiques</tef:subdivision>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="178227757">Médecins traitants</tef:elementdEntree><tef:subdivision autoriteSource="Sudoc" type="subdivisionDeForme" autoriteExterne="027253139">Thèses et écrits académiques</tef:subdivision>
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     <dcterms:abstract xml:lang="fr">Les médecines complémentaires et alternatives (MAC) sont en plein essor. Etre atteint d’une maladie chronique favoriserait leur accès. L’objectif est d’analyser le ressenti des patients avec une maladie chronique sur la place des MAC dans leur prise en charge. Dans cette étude qualitative, des entretiens semi-dirigés individuels ont été faits avec des patients atteint de maladie chronique dans le 35 et le 22. Parmi 15 patients, 93% avaient eu recours aux MAC. Pour tous, elles pourraient être bénéfiques dans la prise en charge des maladies chroniques. 53% voyaient comme un atout la pratique d’une MAC par leur propre médecin. La place de ce dernier devrait être centrale, orientant vers des pratiques et mettant en garde contre les dérives. Les médecins doivent s’ouvrir à ces perspectives pour l’accompagnement optimal de ces patients. Il pourrait tenir un rôle de conseiller avec constitution d’un réseau d’intervenants fiables. Sa propre pratique serait sinon gâge de qualité et de sécurité. </dcterms:abstract>
     <dcterms:abstract xml:lang="en">Complementary and alternative medicines (CAM) are a new growing area. Suffering from a chronic disease might be a contributing factor in the access to CAM. The main goal of our research is to gather the feelings of patients suffering from chronic disease on the role of CAM in their overall care. In this qualitative study, individual semi-guided interviews were conducted among patients suffering from a chronic disease in Ille et Vilaine and in the Côtes d'Armor. 93% of the 15 patients interrogated already resorted to CAM.  For all of them, they could have a beneficial role in the care of chronic disease. 53% would consider like an asset the practice of CAM by their attending physician. The place of the attending physician should be central, and orients their patients towards beneficial practices and cautions against abuses. Doctors should be open to new perspective to support their patients as effectively as possible with their care. The attending physician could play the role of an adviser with the constitution of a network of reliable practitioners. Their own practice of a CAM would be a guarantee of quality and safety.</dcterms:abstract>
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