{"id":347568,"date":"2013-09-11T00:00:00","date_gmt":"2013-09-10T22:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/la-tache-principale-du-medecin-generaliste-est-de-fixer-des-priorites\/"},"modified":"2013-09-11T00:00:00","modified_gmt":"2013-09-10T22:00:00","slug":"la-tache-principale-du-medecin-generaliste-est-de-fixer-des-priorites","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/fr\/la-tache-principale-du-medecin-generaliste-est-de-fixer-des-priorites\/","title":{"rendered":"La t\u00e2che principale du m\u00e9decin g\u00e9n\u00e9raliste est de fixer des priorit\u00e9s"},"content":{"rendered":"<p><strong>Alors que la comorbidit\u00e9 est centr\u00e9e sur une maladie index, la multimorbidit\u00e9 est caract\u00e9ris\u00e9e par la coexistence simultan\u00e9e de plusieurs maladies chroniques, la difficult\u00e9 \u00e9tant de d\u00e9terminer laquelle constitue le probl\u00e8me principal pour le patient.<\/strong><\/p>\n<p> <!--more--> <\/p>\n<p>La multimorbidit\u00e9 est clairement corr\u00e9l\u00e9e \u00e0 l&#8217;\u00e2ge, mais concerne aussi, dans une moindre mesure, les plus jeunes. Dans la population moyenne d&#8217;un cabinet de m\u00e9decine g\u00e9n\u00e9rale, neuf patients adultes sur dix souffrent de plus d&#8217;une maladie chronique, la moiti\u00e9 en ayant m\u00eame cinq ou plus [1]. Il n&#8217;y a que tr\u00e8s peu de diff\u00e9rences entre les hommes et les femmes, et le niveau d&#8217;\u00e9ducation n&#8217;a pas d&#8217;influence sur le nombre de maladies chroniques, contrairement au revenu : Plus une personne gagne de l&#8217;argent, moins elle est malade [2].<\/p>\n<p>La t\u00e2che la plus importante du m\u00e9decin g\u00e9n\u00e9raliste dans la prise en charge des patients multimorbides est la hi\u00e9rarchisation, c&#8217;est-\u00e0-dire l&#8217;identification du probl\u00e8me principal. &#8220;Il est donc tr\u00e8s important que vous demandiez toujours \u00e0 vos patients ce qui les d\u00e9range le plus&#8221;, a soulign\u00e9 le Dr Martin Krause, M\u00fcnsterlingen, lors du congr\u00e8s de la SSMI de cette ann\u00e9e \u00e0 B\u00e2le. Le Dr Krause fait \u00e9galement remarquer que de nombreuses choses que nous qualifions aujourd&#8217;hui de maladies correspondent en principe au processus physiologique de vieillissement et ne n\u00e9cessitent donc pas n\u00e9cessairement un traitement. Il est toutefois important de toujours garder \u00e0 l&#8217;esprit que ce processus de vieillissement physiologique entra\u00eene une fragilit\u00e9 croissante (&#8220;frailty&#8221;), qui aggrave consid\u00e9rablement le pronostic de nouvelles maladies et interventions, m\u00eame l\u00e9g\u00e8res. Il n&#8217;est pas toujours facile de faire comprendre cela aux patients et surtout \u00e0 leurs proches.<\/p>\n<p><em>Source : 81e congr\u00e8s annuel de la SSMI, 29-31 mai 2013, B\u00e2le<\/em><\/p>\n<p>Litt\u00e9rature :<\/p>\n<ol>\n<li>Fortin M, et al : Ann Fam Med 2005 ; 3 : 223-228.<\/li>\n<li>Agborsangaya CB, et al. : BMC Public Health 2012 ; 12 : 201.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Alors que la comorbidit\u00e9 est centr\u00e9e sur une maladie index, la multimorbidit\u00e9 est caract\u00e9ris\u00e9e par la coexistence simultan\u00e9e de plusieurs maladies chroniques, la difficult\u00e9 \u00e9tant de d\u00e9terminer laquelle constitue le&hellip;<\/p>\n","protected":false},"author":4,"featured_media":33188,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Multimorbidit\u00e9","footnotes":""},"category":[11315,11482,11535,11549],"tags":[35139,62922,62944,62935,62929,13878,30925],"powerkit_post_featured":[],"class_list":["post-347568","post","type-post","status-publish","format-standard","has-post-thumbnail","category-medecine-interne-generale","category-prevention-et-soins-de-sante","category-rapports-de-congres","category-rx-fr","tag-assistance","tag-donner-la-priorite","tag-fragilite","tag-maladie-chronique-fr","tag-maladie-indexee","tag-multimorbidite","tag-previsions-fr","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-11 14:55:04","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"fr_FR","wpml_translations":{"it_IT":{"locale":"it_IT","id":347575,"slug":"il-compito-principale-del-medico-di-famiglia-e-quello-di-dare-priorita-a","post_title":"Il compito principale del medico di famiglia \u00e8 quello di dare priorit\u00e0 a","href":"https:\/\/medizinonline.com\/it\/il-compito-principale-del-medico-di-famiglia-e-quello-di-dare-priorita-a\/"},"pt_PT":{"locale":"pt_PT","id":347550,"slug":"a-principal-tarefa-do-medico-de-clinica-geral-e-dar-prioridade-a","post_title":"A principal tarefa do m\u00e9dico de cl\u00ednica geral \u00e9 dar prioridade a","href":"https:\/\/medizinonline.com\/pt-pt\/a-principal-tarefa-do-medico-de-clinica-geral-e-dar-prioridade-a\/"},"es_ES":{"locale":"es_ES","id":347562,"slug":"la-principal-tarea-del-medico-generalista-es-priorizar","post_title":"La principal tarea del m\u00e9dico generalista es priorizar","href":"https:\/\/medizinonline.com\/es\/la-principal-tarea-del-medico-generalista-es-priorizar\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/347568","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/comments?post=347568"}],"version-history":[{"count":0,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/347568\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media\/33188"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media?parent=347568"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/category?post=347568"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/tags?post=347568"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/powerkit_post_featured?post=347568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}