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Author: Emilie Boisdin
Publisher:
ISBN:
Category :
Languages : fr
Pages : 156
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Book Description
Introduction : La déprescription est une démarche active, bénéfique pour le patient, mais dont les déterminants sont peu connus. L'hypothèse de travail de cette étude prospective était la suivante : nous pensions que les médecins généralistes souhaitaient simplifier leurs ordonnances mais qu'ils se heurtaient à des freins que nous souhaitions connaître. L'objectif était donc d'étudier leur comportement face à la déprescription. Méthodes : Nous avons procédé en deux phases. Une première étape consistait à tester et modifier notre méthodologie initiale, grâce à la collaboration de 5 médecins. La seconde a été de solliciter 100 médecins généralistes par courrier, pour répondre à un questionnaire préalable et observer leur pratique de la déprescription sur 3 jours. Résultats : Quarante sept médecins généralistes ont fourni les données complètes nécessaires à l'étude. Le questionnaire préalable a mis en évidence une sous-utilisation des outils d'aide à la déprescription. 249 ordonnances ont été concernées. Les médecins ont souhaité déprescrire 314 médicaments, ils y sont parvenus dans 65,5% des cas. Les médicaments psychotropes étaient les plus fréquemment l'objet de souhait de déprescription (85 médicaments) avec pourtant le plus faible taux de succès (32,9%). Les principaux arguments ayant motivé la déprescription étaient l'absence d'indication (16,2%), l'excès de médicaments (15,7%) et la présence d'un effet indésirable (13,4%). Les échecs de déprescription étaient majoritairement dus au refus du patient (43,5%). II y avait un lien significatif entre l'âge du médecin et le ratio déprescription réelle/souhaits (p
Author: Emilie Boisdin
Publisher:
ISBN:
Category :
Languages : fr
Pages : 156
Get Book Here
Book Description
Introduction : La déprescription est une démarche active, bénéfique pour le patient, mais dont les déterminants sont peu connus. L'hypothèse de travail de cette étude prospective était la suivante : nous pensions que les médecins généralistes souhaitaient simplifier leurs ordonnances mais qu'ils se heurtaient à des freins que nous souhaitions connaître. L'objectif était donc d'étudier leur comportement face à la déprescription. Méthodes : Nous avons procédé en deux phases. Une première étape consistait à tester et modifier notre méthodologie initiale, grâce à la collaboration de 5 médecins. La seconde a été de solliciter 100 médecins généralistes par courrier, pour répondre à un questionnaire préalable et observer leur pratique de la déprescription sur 3 jours. Résultats : Quarante sept médecins généralistes ont fourni les données complètes nécessaires à l'étude. Le questionnaire préalable a mis en évidence une sous-utilisation des outils d'aide à la déprescription. 249 ordonnances ont été concernées. Les médecins ont souhaité déprescrire 314 médicaments, ils y sont parvenus dans 65,5% des cas. Les médicaments psychotropes étaient les plus fréquemment l'objet de souhait de déprescription (85 médicaments) avec pourtant le plus faible taux de succès (32,9%). Les principaux arguments ayant motivé la déprescription étaient l'absence d'indication (16,2%), l'excès de médicaments (15,7%) et la présence d'un effet indésirable (13,4%). Les échecs de déprescription étaient majoritairement dus au refus du patient (43,5%). II y avait un lien significatif entre l'âge du médecin et le ratio déprescription réelle/souhaits (p
Author: Christine Duflos
Publisher:
ISBN:
Category :
Languages : fr
Pages : 270
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Book Description
Author: OECD
Publisher: Org. for Economic Cooperation & Development
ISBN: 9789264239500
Category : Medical personnel
Languages : en
Pages : 0
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Book Description
Foreword and Acknowledgments -- Executive summary -- Key findings -- Analytical framework of health labour markets -- Trends in health labour markets and policy priorities to address workforce issues -- Education and training for doctors and nurses: What's happening with numerus clausus policies? -- Trends and policies affecting the international migration of doctors and nurses to OECD countries -- Geographic imbalances in the distribution of doctors and health care services in OECD countries -- Skills use and skills mismatch in the health sector: What do we know and what can be done
Author: Oreste Gentilini
Publisher: Springer Nature
ISBN: 3030247627
Category : Medical
Languages : en
Pages : 218
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Book Description
This contributed book covers all aspects concerning the clinical scenario of breast cancer in young women, providing physicians with the latest information on the topic. Young women are a special subset of patients whose care requires dedicated expertise. The book, written and edited by internationally recognized experts who have been directly involved in the international consensus guidelines for breast cancer in young women, pays particular attention to how the disease and its planned treatment can be effectively communicated to young patients. Highly informative and carefully structured, it provides both theoretical and practice-oriented insight for practitioners and professionals involved in the different phases of treatment, from diagnosis to intervention, to follow-up – without neglecting the important role played by prevention.
Author: Yasser Khazaal
Publisher: Frontiers Media SA
ISBN: 2889454967
Category : Video games in education
Languages : en
Pages : 311
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Book Description
Recent years have seen important developments in the computer and game industry, including the emergence of the concept of serious games. It is hypothesized that tools such as games, virtual reality, or applications for smartphones may foster learning, enhance motivation, promote behavioral change, support psychotherapy, favor empowerment, and improve some cognitive functions. Computers and games may create supports for training or help people with cognitive, emotional, or behavioral change. Games take various formats, from board games to informatics to games with interactive rules of play. Similarly, computer tools may vary widely in format, from self-help or assisted computerized training to virtual reality or applications for smartphones. Some tools that may be helpful for mental health were specifically designed for that goal, whereas others were not. Gamification of computer-related products and games with a numeric format tend to reduce the gap between games and computers tools and increase the conceptual synergy in such fields. Games and computer design share an opportunity for creativity and innovation to help create, specifically design, and assess preventive or therapeutic tools. Computers and games share a design conception that allows innovative approaches to overcome barriers of the real world by creating their own rules. Yet, despite the potential interest in such tools to improve treatment of mental disorders and to help prevent them, the field remains understudied and information is under-disseminated in clinical practice. Some studies have shown, however, that there is potential interest and acceptability of tools that support various vehicles, rationales, objectives, and formats. These tools include traditional games (e.g., chess games), popular electronic games, board games, computer-based interventions specifically designed for psychotherapy or cognitive training, virtual reality, apps for smartphones, and so forth. Computers and games may offer a true opportunity to develop, assess, and disseminate new prevention and treatment tools for mental health and well-being. Currently, there is a strong need for state-of-the-art information to answer questions such as the following: Why develop such tools for mental health and well-being? What are the potential additions to traditional treatments? What are the best strategies or formats to improve the possible impact of these tools? Are such tools useful as a first treatment step? What is the potential of a hybrid model of care that combines traditional approaches with games and/or computers as tools? What games and applications have already been designed and studied? What is the evidence from previous studies? How can such tools be successfully designed for mental health and well-being? What is rewarding or attractive for patients in using such treatments? What are the worldwide developments in the field? Are some protocols under development? What are the barriers and challenges related to such developments? How can these tools be assessed, and how can the way that they work, and for whom, be measured? Are the potential benefits of such products specific, or can these additions be attributed to nonspecific factors? What are the users’ views on such tools? What are the possible links between such tools and social networks? Is there a gap between evidence-based results and market development? Are there any quality challenges? What future developments and studies are needed in the field?
Author: Irene Papanicolas
Publisher: McGraw-Hill Education (UK)
ISBN: 033524727X
Category : Medical
Languages : en
Pages : 418
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Book Description
International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.
Author: Dubois, Carl-Ardy
Publisher: McGraw-Hill Education (UK)
ISBN: 0335218555
Category : Education
Languages : en
Pages : 273
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Book Description
This book analyses how the current regulatory processes and practices related to key aspects of the management of the health professions may facilitate or inhibit the development of effective responses to challenges facing health care systems in Europe. The authors document how health care systems in Europe are confronting existing challenges in relation to the health workforce and identify the strategies that are likely to be most effective in optimizing the management of health professionals in the future.
Author: Linda Diann Urden
Publisher: Saunders
ISBN:
Category : Medical
Languages : en
Pages : 1242
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Book Description
Focusing on critical care nursing, this full-color text provides an examination of the important aspects of critical care nursing. It is organized in ten units around alterations in body systems.
Author: Marcel Gauchet
Publisher: Princeton University Press
ISBN: 1400822874
Category : Philosophy
Languages : en
Pages : 352
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Book Description
How the insane asylum became a laboratory of democracy is revealed in this provocative look at the treatment of the mentally ill in nineteenth-century France. Political thinkers reasoned that if government was to rest in the hands of individuals, then measures should be taken to understand the deepest reaches of the self, including the state of madness. Marcel Gauchet and Gladys Swain maintain that the asylum originally embodied the revolutionary hope of curing all the insane by saving the glimmer of sanity left in them. Their analysis of why this utopian vision failed ultimately constitutes both a powerful argument for liberalism and a direct challenge to Michel Foucault's indictment of liberal institutions. The creation of an artificial environment was meant to encourage the mentally ill to live as social beings, in conditions that resembled as much as possible those prevailing in real life. The asylum was therefore the first instance of a modern utopian community in which a scientifically designed environment was supposed to achieve complete control over the minds of a whole category of human beings. Gauchet and Swain argue that the social domination of the inner self, far from being the hidden truth of emancipation, represented the failure of its overly optimistic beginnings. Madness and Democracy combines rich details of nineteenth-century asylum life with reflections on the crucial role of subjectivity and difference within modernism. Its final achievement is to show that the lessons learned from the failure of the asylum led to the rise of psychoanalysis, an endeavor focused on individual care and on the cooperation between psychiatrist and patient. By linking the rise of liberalism to a chapter in the history of psychiatry, Gauchet and Swain offer a fascinating reassessment of political modernity.
Author: Neil L. Schechter
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781726443
Category : Medical
Languages : en
Pages : 924
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Book Description
This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.
