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Author: Mialy Razafindralambo
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
Contexte : Pour améliorer les inégalités et les problématiques d'accès au soin au sein des maisons de santé pluri-professionnelles, un nouveau métier d'assistant médical a été proposé par le gouvernement dans le cadre du projet « ma santé 2022 ». Or l'assistant médical est une tierce personne du colloque singulier. La consultation tripartie influe sur le déroulement de la consultation qui peut susciter un impact sur la relation du médecin-patient et la pratique de la médecine générale au cabinet. L'objectif : Analyser les effets de la présence de l'assistant médical sur la qualité de la prise en charge et de l'accompagnement, selon le point de vue des patients. Méthode : Il s'agit d'une étude qualitative s'inspirant de l'analyse phénoménologique. Pour être inclus, le patient devrait être majeur, avoir consulté son médecin généraliste et l'assistant médical au sein d'une maison de santé pluridisciplinaire de Haut de France. Les données ont été recueillies par des entretiens individuels semi-dirigés. Résultat : Les patients attendaient de leur médecin qu'ils leur procurent les besoins essentiels au quotidien tels que le besoin d'être nourri, d'être en sécurité, celui d'appartenance et d'être estimé. Différents modes de relation entre le patient et le médecin se présentaient: ce dernier se devait d'être paternaliste, en partenariat, amical et en confrontation. Les mêmes types de relations se retrouvaient chez l'assistant médical. Selon les participants, l'assistant médical constitue une ressource supplémentaire du cabinet, seconde le médecin pour lui décharger des parties administratives et réguler les urgences. Aussi il joue l'intermédiaire entre le patient et le médecin. Certains participants se méfiaient de l'assistant médical, car ils n'avaient pas confiance. D'autres faisaient abstraction de leur présence au cours d'une consultation au cabinet. Conclusion : Selon les attentes des patients, l'assistant médical pourrait être un atout du cabinet. Mais leurs avis sont partagés sur le fait qu'il ne pouvait remplacer le médecin quant à la prise de décision thérapeutique du patient. Par ailleurs la présence de l'assistant médical pouvait dénaturer la relation médecin-patient.
Author: Mialy Razafindralambo
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
Contexte : Pour améliorer les inégalités et les problématiques d'accès au soin au sein des maisons de santé pluri-professionnelles, un nouveau métier d'assistant médical a été proposé par le gouvernement dans le cadre du projet « ma santé 2022 ». Or l'assistant médical est une tierce personne du colloque singulier. La consultation tripartie influe sur le déroulement de la consultation qui peut susciter un impact sur la relation du médecin-patient et la pratique de la médecine générale au cabinet. L'objectif : Analyser les effets de la présence de l'assistant médical sur la qualité de la prise en charge et de l'accompagnement, selon le point de vue des patients. Méthode : Il s'agit d'une étude qualitative s'inspirant de l'analyse phénoménologique. Pour être inclus, le patient devrait être majeur, avoir consulté son médecin généraliste et l'assistant médical au sein d'une maison de santé pluridisciplinaire de Haut de France. Les données ont été recueillies par des entretiens individuels semi-dirigés. Résultat : Les patients attendaient de leur médecin qu'ils leur procurent les besoins essentiels au quotidien tels que le besoin d'être nourri, d'être en sécurité, celui d'appartenance et d'être estimé. Différents modes de relation entre le patient et le médecin se présentaient: ce dernier se devait d'être paternaliste, en partenariat, amical et en confrontation. Les mêmes types de relations se retrouvaient chez l'assistant médical. Selon les participants, l'assistant médical constitue une ressource supplémentaire du cabinet, seconde le médecin pour lui décharger des parties administratives et réguler les urgences. Aussi il joue l'intermédiaire entre le patient et le médecin. Certains participants se méfiaient de l'assistant médical, car ils n'avaient pas confiance. D'autres faisaient abstraction de leur présence au cours d'une consultation au cabinet. Conclusion : Selon les attentes des patients, l'assistant médical pourrait être un atout du cabinet. Mais leurs avis sont partagés sur le fait qu'il ne pouvait remplacer le médecin quant à la prise de décision thérapeutique du patient. Par ailleurs la présence de l'assistant médical pouvait dénaturer la relation médecin-patient.
Author: Lionel Labadens
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Introduction : En France, l'accès aux soins de la population est une problématique grandissante. Les soins primaires sont devenus une priorité. Le dernier plan de santé a introduit le nouveau métier d'assistant médical afin de favoriser un meilleur accès aux soins des patients, assurer de meilleures conditions d'exercice et rechercher davantage d'efficience. L'objectif de cette recherche est d'explorer les représentations des assistants médicaux et des internes de médecine générale sur la nouvelle organisation des cabinets de médecine générale libérale employant des assistants médicaux. Méthode : Etude qualitative par entretiens semi-dirigés réalisés par visioconférence auprès de cinq assistants médicaux et six internes de médecine générale bretons. Résultats : L'assistant médical permet une diminution de la charge mentale du médecin concernant la gestion de son cabinet et lui permet de libérer du temps médical pour sa consultation. Le travail d'équipe apparaît bénéfique, mais la réorganisation de la consultation ne s'accorde pas avec les habitudes et les conceptions de l'ensemble des internes interrogés. Le gain de temps octroyé par le travail de l'assistant accorde au médecin la possibilité de prendre en soins plus de patients. L'accès aux soins apparaît facilité. En revanche, certains médecins dénoncent une baisse de la qualité des consultations en faveur de la quantité. Conclusion : La réorganisation des soins primaires en France oriente vers de nouveaux modèles organisationnels. L'assistant médical en France dispose depuis peu d'une formation validée cependant le cadre légal de la profession n'est pas encore établi. L'adaptation du poste aux spécificités de terrain est essentielle afin de conserver les bénéfices attendus ce métier dit « intermédiaire ». Des études complémentaires sur l'efficience des soins prodigués apparait comme une piste de recherche utile.
Author: Héctor Aguilar Camín
Publisher: Univ of TX + ORM
ISBN: 0292757077
Category : History
Languages : en
Pages : 439
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Book Description
An authoritative and comprehensive history of post-revolutionary Mexico by two of the country’s leading intellectuals. Héctor Aguilar Camín and Lorenzo Meyer set out to fill a void in the literature on Mexican history: the lack of a single text to cover the history of Mexico during the twentieth century. In the Shadow of the Mexican Revolution, covers the Mexican Revolution itself, the gradual consolidation of institutions, the Cárdenas regime, the “Mexican economic miracle” and its subsequent collapse, and the recent transition toward a new historical period. The authors explore Mexico’s turbulent recent history as it becomes increasingly intertwined with that of the United States. First published in Spanish as A la sombra de la Revolución Mexicana, this English-language edition offers US readers an intelligent and accessible study of their neighbor to the south.
Author: Andrea Maloney Schara
Publisher:
ISBN: 9780615928791
Category : Families
Languages : en
Pages : 318
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Book Description
"Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.
Author: Alberto Pilotto
Publisher: Springer
ISBN: 3319625039
Category : Medical
Languages : en
Pages : 182
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Book Description
This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly. The early chapters cover the main elements and scope of the comprehensive geriatric approach and explain the pathways of care from screening and case finding through to in-depth assessment and treatment planning. Subsequent chapters review the evidence of how best to apply the multidimensional assessment and management approach in defined healthcare settings and within specific clinical areas, such as cancer and surgery. Finally, the education and training challenges are reviewed and the prospects for future clinical service and research in this important field are examined. The book is very timely given the recent advances in application of this approach, which reflect the growing international realization that older people are “core business” in many clinical areas where the role of specialist geriatric medicine has hitherto been limited. Accordingly, the book will be relevant to a wide range of clinicians. The authorship comprises many of the best known and widely published experts in their respective fields.
Author: Michael L. Wehmeyer
Publisher: Charles C Thomas Publisher
ISBN: 0398083584
Category : Autonomy (Psychology)
Languages : en
Pages : 340
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Book Description
This text provides a comprehensive overview of three theoretical perspectives proposed during the past decade addressing the self-determination construct as it applies to the field of special education. The three models were selected primarily because they have focused on defining and categorizing self-determination for all students with disabilities, including students with mental retardation and other cognitive disabilities. These models are intended to provide students and practitioners a solid grounding in self-determination theory. All models have been evaluated among students with cognitive disabilities but are applicable to all students with or without disabilities. The authors research each model and have applied their own theoretical framework to special education, ensuring that interventions to promote skills like problem solving, goal setting, decision making, and self-advocacy are in place for all students. By reading this text, the reader will gain a solid, theoretically based foundation in understanding the self-determination construct which ultimately supports the development of instructional interventions that enable students with disabilities to become self-determined. It will be useful as a text in upper undergraduate and graduate courses in special education, psychology, social work/welfare, general education, vocational rehabilitation and disability studies.
Author: Anselm Leonard Strauss
Publisher: Transaction Publishers
ISBN: 9781412834391
Category : Medical
Languages : en
Pages : 330
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Book Description
Today we face the painful reality of the prevalence of chronic, rather than acute, diseases. The technologies developed to manager long-term, incurable illnesses have radically and irrevocably altered the organizational structure of health care, presenting us with a frequently bewildering array of medical specialties. Social Organization of Medical Work offers essential insight into this new era of health care. Through richly documented, often gripping case studies, Anselm Strauss and his co-authors show us exactly how health workers are confronting the problems created by chronic disease and coping with today's highly technologized hospitals. They guide us through the various hospital work sites, describing in detail the kinds of tasks performed by medical personnel, the interactions of staff members with each other and with patients, and the overall resulting patient treatment and response. Focusing on the concept of illness trajectory, the authors vividly illustrate the complex, contingent nature of modern medical work. For example, open heart surgery keeps ill persons alive and may even improve them symptomatically, but those who do survive must face an uncertain future in terms of the physiological consequences of the surgery and the drugs required. They also have to adjust t altered lifestyles. In the new introduction, Anselm Strauss discusses the continuing importance of this work to sociologists, medical scholars, and medical professionals.
Author: Karrie A. Shogren
Publisher: Springer
ISBN: 3319590669
Category : Psychology
Languages : en
Pages : 379
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Book Description
This handbook examines the wide-ranging applications of positive psychology in the field of intellectual and developmental disabilities. It discusses the change in perceptions of disability and the shifting use of traditional deficit-based treatments. It presents evidence-based approaches and strategies that promote individuals’ strengths and capacities and as well as provide supports and services to enhance quality of life. Chapters address medical and psychological aspects in intellectual and developmental disabilities, such as mindfulness, motivation, physical well-being, and self-regulation. The book also discusses uses of assessment practices in evaluating interventions and client outcomes. In addition, it explores ways practitioners, with positive psychology, can focus on what a person is capable of achieving, thereby leading to more effective approaches to care and treatment. Topics featured in the Handbook include: Translating the quality of life concept into practice. The Casual Agency Theory and its implications for understanding self-determination. The Mindfulness-Based Individualized Support Plan (MBISP) and its use in providing support to people with intellectual and developmental disabilities. The unique role that friendship plays to people’s lives and social well-being. Supported Decision-Making (SDM) as an alternative to guardianship. A positive psychology approach to aging and retirement. The Handbook of Positive Psychology in Intellectual and Developmental Disabilities is a must-have resource for researchers, professors, and graduate students as well as clinicians and related professionals in clinical child and school psychology, behavioral therapy, social work, applied behavioral analysis, recreational therapy, occupational therapy, education, speech and language pathology, psychiatry, clinical medicine, and nursing.
Author: Helle Johannessen
Publisher: Berghahn Books
ISBN: 9781845450267
Category : Health & Fitness
Languages : en
Pages : 224
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Book Description
Nowadays a plethora of treatment technologies is available to the consumer, each employing a variety of concepts of the body, self, sickness and healing. This volume explores the options, strategies and consequences that are both relevant and necessary for patients and practitioners who are manoeuvring this medical plurality. Although wideranging in scope and covering areas as diverse as India, Ecuador, Ghana and Norway, central to all contributions is the observation that technologies of healing are founded on socially learned and to some extent fluid experiences of body and self.
Author: Brendan Coolsaet
Publisher: Hotei Publishing
ISBN: 9004293213
Category : Law
Languages : en
Pages : 434
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Book Description
The adoption of the Nagoya Protocol on Access and Benefit-sharing to the Convention on Biological Diversity in 2010 is a major landmark for the global governance of genetic resources and traditional knowledge. The way in which it will be translated into practice will however depend on the concrete implementation in national country legislation across the world. Implementing the Nagoya Protocol compares existing ABS regimes in ten European countries, including one non-EU member and one EU candidate country, and critically explores several cross-cutting issues related to the implementation of the Nagoya Protocol in the EU. Gathering some of the most professional and widely acclaimed experts in ABS issues, this book takes a major step towards filling a gap in the vast body of literature on national and regional implementation of global commitments regarding ABS and traditional knowledge.
