- Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), Inserm U1290
- Maison de Santé Pluriprofessionnelle et Universitaire Beauvisage, Lyon 8
- Collège Universitaire de Médecine Générale, Université Claude Bernard Lyon 1
Thesis title: Development and evaluation of a patient-centered clinical decision support system in primary care to identify patients eligible for recommended screening and to support shared decision-making.
This PhD project sits at the interface of preventive care, evidence-based medicine, and shared decision-making in general practice. In France, general practitioners play a key role in proposing recommended screenings, yet the high number of recommendations and the complexity of eligibility criteria expose patients to under-screening, over-screening, and missed opportunities for informed, preference-sensitive choices. The work is embedded in the ADER research programme (“Aide aux DEpistages Recommandés”), which develops and evaluates a patient-centered clinical decision support system (CDSS) combining patient-reported data (via an auto-questionnaire) with a knowledge base derived from national recommendations, to generate a tailored synthesis of recommended screenings and appropriate shared-decision support during consultations. The ADER research programme adopts a mixed-methods approach, combining systematic reviews, qualitative research, and mixed-methods studies to support the development of fact boxes and to assess the feasibility of implementing the CDSS in clinical practice. It is conducted within a public–private consortium (HCL/RESHAPE/Université Lyon 1/Prevenear) and is overseen by a steering committee including Prof. Laurent Letrilliart, Prof. Julien Péron, Prof. Denis Maillet and Pierre-Yves Meunier.
Pierre-Yves Meunier is a general practitioner in Lyon and completed his health studies at University Paris 7 and Lyon 1. His work focuses on strengthening evidence-informed, patient-centered decision-making in primary care for screening. After completing his residency in general practice (2019), he was awarded a research year and subsequently earned a Master’s degree in Philosophy (“Culture et Santé”, Université Lyon 3), with a dissertation on the epistemological challenges of automated decision-making and the mixing of knowledge in evidence-based medicine. In 2022, he defended his medical thesis on barriers and facilitators to the use of clinical decision support systems in primary care, and in 2022 he joined the ADER programme as co-coordinator and member of the steering committee, contributing to the development and evaluation of a shared decision support system for recommended screenings and shared decision-making in consultation. Alongside research, he is actively involved in medical education and academic leadership in general practice and serves on a research ethics committee.
