Attentes et représentations des professionnels de santé intervenant dans le dépistage du cancer du sein vis-à-vis d'un outil d'aide à la décision médicale partagée PDF Download
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Author: Laurie Bouaziz
Publisher:
ISBN:
Category :
Languages : fr
Pages : 110
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Book Description
Introduction : le cancer du sein est la première cause de mortalité par cancer chez les femmes en occident. Le dépistage organisé (DO), existant depuis 2004, est sujet à controverse. Face à cette balance bénéfice risque incertaine, la décision médicale partagée (DMP) semble essentielle pour une prise en charge centrée sur le patient. Le projet DEDICACES (DEcision partagée dans le cadre du DépIstage du CanCEr du Sein) a pour but de créer un outil d'aide à la décision (OAD) utilisable en consultation. Objectif : explorer les attentes et les représentations des différents professionnels de santé intervenant dans le DO du cancer du sein vis-à-vis d'un OAD. Méthode : étude qualitative par entretiens semi-dirigés menés auprès de sages-femmes, gynécologues, radiologues et coordinateurs de structure de gestion. Recrutement par convenance en visant la saturation théorique des données. Analyse par théorisation ancrée. Codage manuel des données. Triangulation en groupe de plus d'un tiers des entretiens (5/13). Résultats : 13 entretiens ont été menés dont 3 auprès de sages-femmes, 4 gynécologues, 3 radiologues et 3 coordinateurs de structure de gestion. Des postures communes se sont dessinées : le sachant, le robot et le conciliateur. Malgré cela on a observé un important clivage entre les représentations des différents professionnels interviewés. La DMP était peu connue et interpellait certains professionnels qui remettaient en question l'intérêt d'un OAD. Les attentes des autres professionnels s'orientaient plutôt vers un outil numérique, simple, visuel, réduisant les inégalités sociales de santé. Discussion : il existe une ambivalence chez les professionnels de santé entre la volonté d'informer les femmes et celle de favoriser leur participation au dépistage. En ce sens, l'intérêt des professionnels vis-à-vis d'un OAD est mitigé. Le rôle des sages-femmes est trop méconnu et sa communication au grand public permettrait de favoriser l'accès à la prévention de beaucoup de femmes. Enfin une étude en cours s'intéresse à une nouvelle stratégie de dépistage basée sur le risque individuel.
Author: Laurie Bouaziz
Publisher:
ISBN:
Category :
Languages : fr
Pages : 110
Get Book Here
Book Description
Introduction : le cancer du sein est la première cause de mortalité par cancer chez les femmes en occident. Le dépistage organisé (DO), existant depuis 2004, est sujet à controverse. Face à cette balance bénéfice risque incertaine, la décision médicale partagée (DMP) semble essentielle pour une prise en charge centrée sur le patient. Le projet DEDICACES (DEcision partagée dans le cadre du DépIstage du CanCEr du Sein) a pour but de créer un outil d'aide à la décision (OAD) utilisable en consultation. Objectif : explorer les attentes et les représentations des différents professionnels de santé intervenant dans le DO du cancer du sein vis-à-vis d'un OAD. Méthode : étude qualitative par entretiens semi-dirigés menés auprès de sages-femmes, gynécologues, radiologues et coordinateurs de structure de gestion. Recrutement par convenance en visant la saturation théorique des données. Analyse par théorisation ancrée. Codage manuel des données. Triangulation en groupe de plus d'un tiers des entretiens (5/13). Résultats : 13 entretiens ont été menés dont 3 auprès de sages-femmes, 4 gynécologues, 3 radiologues et 3 coordinateurs de structure de gestion. Des postures communes se sont dessinées : le sachant, le robot et le conciliateur. Malgré cela on a observé un important clivage entre les représentations des différents professionnels interviewés. La DMP était peu connue et interpellait certains professionnels qui remettaient en question l'intérêt d'un OAD. Les attentes des autres professionnels s'orientaient plutôt vers un outil numérique, simple, visuel, réduisant les inégalités sociales de santé. Discussion : il existe une ambivalence chez les professionnels de santé entre la volonté d'informer les femmes et celle de favoriser leur participation au dépistage. En ce sens, l'intérêt des professionnels vis-à-vis d'un OAD est mitigé. Le rôle des sages-femmes est trop méconnu et sa communication au grand public permettrait de favoriser l'accès à la prévention de beaucoup de femmes. Enfin une étude en cours s'intéresse à une nouvelle stratégie de dépistage basée sur le risque individuel.
Author: David HouŽto
Publisher: Lulu.com
ISBN: 1291761152
Category : Reference
Languages : fr
Pages : 327
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Book Description
Le terme promotion de la santé en Afrique, près de 30 ans après l'adoption de la Charte d'Ottawa, continue d'avoir des connotations complètement hors du sens que lui confère cette charte. Cela n'est pas étonnant quand on sait que la notion de santé dans ce contexte africain équivaut à la lutte contre la maladie à travers les soins de santé dispensés par des professionnels de la santé dans des formations sanitaires et les hôpitaux. L'évolution que connait le continent depuis quelques décennies est de donner un peu plus de place à la communauté à travers les relais communautaires dans une participation communautaire vidée de son contenu, car le pouvoir n'est jamais passé entre les mains des communautés.C'est au vu de tout ceci que le présent ouvrage à sa raison d'être pour expliquer les fondements de l'autonomisation communautaire et de la promotion de la santé avec leur importance pour la région africaine en proie aux mauvais indicateurs de santé comparativement aux autres régions du monde.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547006
Category : Health & Fitness
Languages : en
Pages : 284
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Book Description
Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.
Author: Alan D. Lopez
Publisher: World Bank Publications
ISBN: 0821362631
Category : Medical
Languages : en
Pages : 511
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Book Description
Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.
Author: Eric Topol
Publisher: Basic Books
ISBN: 0465094473
Category : Medical
Languages : en
Pages : 386
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Book Description
The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.
Author: Marie-Pascale Pomey
Publisher: Springer Nature
ISBN: 3030141012
Category : Medical
Languages : en
Pages : 317
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Book Description
Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.
Author: Corinne Grenier
Publisher: John Wiley & Sons
ISBN: 1786307073
Category : Business & Economics
Languages : en
Pages : 72
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Book Description
How can healthcare systems be transformed by reimagining their multiple silos to favor processes and practices that are more responsive to local, horizontal initiatives? Altering Frontiers analyzes numerous experiences, using a multidisciplinary approach, paying attention to certain actors, collectives and organizational arrangements. Through this work, levers are identified that promote lasting transformation: recognizing the legitimacy of the practices of many who are often "invisible"; trusting those who know their intervention territory; investing in methodological support; taking advantage of tools and procedures such as instruments for strategic and managerial discussion; and developing the capacity to absorb innovative ideas and experiences that circulate within the environment.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9789241544825
Category : Analgesia
Languages : en
Pages : 74
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Book Description
The second edition of a guide, which introduced a simple, yet highly effective method for the relief of cancer pain. Thoroughly revised and updated, the new edition further refines the WHO method, which advocates the use of a small number of relatively inexpensive drugs, including morphine. Revisions draw on experiences with millions of patients around the world as well as new knowledge about the specific pain syndromes unique to cancer. Completely new are chapters describing the international system by which morphine and other opioids are made available for medical purposes. The book has two parts. Part one provides a practical guide to the relief of cancer pain, concentrating on drug treatment as the mainstay of pain management. The most extensive section sets out detailed guidelines for the selection and prescribing of non-opioid analgesics, opioid analgesics, drugs for neuropathic pain, and adjuvant drugs for the treatment of adverse effects, the enhancement of pain relief and the management of concomitant psychological disturbances. Information ranges from explanations of how specific drugs work, through the precautions to take in the presence of certain disorders, to a list of factors that influence the effectiveness of opioids. Concerning the use of opioids, readers are reminded that psychological dependence does not occur in cancer patients and that the only correct dose of morphine is the one that relieves the pain. Part two provides a guide to opioid availability. A discussion of the reasons why opioids continue to be underprescribed or difficult to obtain is followed by an explanation of the Single Convention on Narcotic Drugs.
Author: World Health Organization
Publisher:
ISBN: 9789241548120
Category : Medical
Languages : en
Pages : 166
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Book Description
These guidelines have been developed to support countries to relieve pain in their paediatric populations. These guidelines address persisting pain in children caused by conditions such as cancer, HIV/AIDS, sickle-cell disease, burns, trauma, and phantom limb pain. Recommendations -- developed following a careful and transparent appraisal of available evidence -- are presented for the pharmacological treatment of mild, moderate and severe pain. The guidelines include chapters on the various systems used to classify pain and on the evaluation of pain, which reviews the available tools for routine pain measurement in children. Provision of sustainable pain relief within health care systems is covered in a separate chapter. Since morphine and other opioid analgesics -- required for the relief of moderate-to-severe pain in children -- are listed under the 1961 UN Single Convention on Narcotic Drugs, the new guidelines include an annex explaining the Convention's requirements for the handling and procurement of opioid analgesics for the relief of pain.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241545720
Category : Medical
Languages : en
Pages : 90
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Book Description
Cervical cancer is the second most common cancer among women worldwide, with 80 per cent of deaths occurring in developing countries. It is an important area for cancer control programmes because of the burden of the disease and the potential for effective prevention via screening. This publication is based on a comprehensive consultation undertaken by WHO in 2001, involving leading experts in the field of cancer epidemiology, screening and treatment. It focuses on the current situation in low and middle income countries, discusses the efficacy of screening methods available, and assesses potential future developments.
