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Related Experiment Video

Updated: Feb 1, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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[How do general practitioners promote a more equitable access for patient education?].

Cécile Fournier, Marie-Odile Frattini, Michel Naiditch

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |December 15, 2018
    PubMed
    Summary

    General practitioners can improve equitable access to patient education (PE) by understanding how their judgments influence practice. This research highlights dynamics enabling better PE access for all patients, including underprivileged groups.

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    Area of Science:

    • Sociology of health
    • General practice
    • Health equity

    Background:

    • Patient education (PE) is crucial for health equity.
    • General practitioners (GPs) play a key role in delivering PE.
    • Understanding GP practices is vital for improving equitable access to PE.

    Purpose of the Study:

    • To investigate how GPs contribute to equitable access to patient education.
    • To identify conditions influencing GP involvement in patient education.
    • To explore the impact of socio-psychological characteristics on PE delivery.

    Main Methods:

    • Survey of 32 general practitioners within health networks in the Île-de-France region.
    • Utilized principles of interactionist sociology to analyze doctor-patient interactions.
    • Involved practitioners associated with a PE resource center.

    Main Results:

    • GPs' engagement is theoretically independent of patient psycho-social factors.
    • GPs' a priori judgments of patient characteristics influence their educational practices.
    • Some GPs develop specific practices to enhance PE access for socially underprivileged patients.

    Conclusions:

    • GP judgments, while not deterministic, shape patient education delivery.
    • Specific dynamics can facilitate more equitable PE access.
    • Opportunities exist for physicians and PE structures to enhance universal PE access.