{"record":{"leader":"cx  r22     2  45","datafield":[{"ind2":" ","ind1":" ","subfield":{"code":"a","content":"20171022afrey50      ba0"},"tag":100},{"ind2":" ","ind1":" ","subfield":[{"code":"a","content":"fre"},{"code":2,"content":"639-2"}],"tag":101},{"ind2":" ","ind1":" ","subfield":{"code":"a","content":2016},"tag":103},{"ind2":" ","ind1":" ","subfield":[{"code":"a","content":"k"},{"code":"f","content":"fre"}],"tag":104},{"ind2":" ","ind1":" ","subfield":[{"code":"a","content":0},{"code":"b","content":"#"},{"code":"c","content":"#"}],"tag":106},{"ind2":" ","ind1":" ","subfield":{"code":"a","content":"AFNOR"},"tag":152},{"ind2":" ","ind1":" ","subfield":{"code":"a","content":"Oeuvre Textuelle"},"tag":189},{"ind2":" ","ind1":" ","subfield":[{"code":7,"content":"ba0yba0"},{"code":"t","content":"Le patient alcoolique, entre représentation médicale et prise en charge, enquête auprès des médecins généralistes de Picardie"}],"tag":241},{"ind2":" ","ind1":" ","subfield":[{"code":7,"content":"ba0yba0y"},{"code":"a","content":"Introduction : L\u2019alcoolisme entre dans le champ d\u2019intervention du médecin généraliste. Le polymorphisme de cette maladie laisse envisager les difficultés de prise en charge. L\u2019objectif principal de cette étude était de rechercher le ressenti et les difficultés des médecins généralistes lors du suivi du patient alcoolo-dépendant et secondairement de recueillir leurs suggestions pour l\u2019améliorer. Méthode : Nous avons réalisé une étude qualitative par entretiens semi-dirigés auprès des médecins généralistes libéraux de Picardie. Résultats : Les quinze médecins exprimaient le sentiment d\u2019une relation complexe, un diagnostic rendu difficile par le déni du patient et un suivi de longue haleine face à des patients peu compliants. L\u2019isolement, les rechutes, l\u2019influence du vécu engendraient un sentiment d\u2019impuissance. Les principales difficultés recueillies  étaient l\u2019abord difficile, la proximité, le profil du patient, le manque de temps, de formation, de traitements et de structures locales. Les médecins suggéraient de mettre à disposition plus de formations sur l\u2019abord, le suivi et les traitements disponibles. Faciliter l\u2019accès aux soins en augmentant les structures locales. Continuer d\u2019informer et modifier les représentations sociales et politiques. Mettre à disposition des autotests dans les salles d\u2019attentes. Rembourser la consultation avec un psychologue pour une prise en charge conjointe. Conclusion : Valoriser l\u2019acte de prévention et de dépistage permettrait de sensibiliser le corps médical et les politiques face à cette maladie."}],"tag":300},{"ind2":" ","ind1":" ","subfield":[{"code":"b","content":"Thèse d'exercice"},{"code":"c","content":"Médecine. 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