Les attentes du patient chronique en termes de relation médicale lors d'une consultation aux urgences

Les attentes du patient chronique en termes de relation médicale lors d'une consultation aux urgences PDF Author: Valentin Lozach
Publisher:
ISBN:
Category :
Languages : fr
Pages : 104

Get Book Here

Book Description
La satisfaction est un critère décisif dans le fonctionnement de l'institution de santé. Autant pour l'accréditation mais également pour estimer la qualité d'un service. Les patients chroniques sont des patients habitués des services d'urgence. Ils sont également habitués à vivre avec leur maladie. L'intérêt de ce travail est de savoir si les patients chroniques aident les médecins urgentistes dans leur propre prise en charge aux urgences. Nous avons réalisé une étude qualitative avec analyse catégorielle. Le référentiel CanMEDs a été utilisé pour les catégories. Les patients ont été recrutés jusqu'à saturation des données dans le service d'urgence de l'hôpital Pasteur 2. Treize patients ont été analysés dont 7 femmes et 6 hommes. Deux analyses catégorielles ont été réalisées. Une analyse médicale et une analyse par une patiente partenaire. Les résultats montrent qu'aucun patient ne se porte expert de sa propre prise en charge aux urgences. Les patients chroniques interrogés se centrent sur des dimensions plus triviales telles qu'une information donnée, le confort aux urgences ou l'attente. En conclusion, il est intéressant de noter qu'aucun patient dans l'étude ne prend en charge sa propre consultation comme on pourrait le voir dans les pays anglo-saxons. La notion de patient partenaire en expansion en France devrait permettre une meilleure position d'expert des patients pour leur propre prise en charge.

Les attentes du patient chronique en termes de relation médicale lors d'une consultation aux urgences

Les attentes du patient chronique en termes de relation médicale lors d'une consultation aux urgences PDF Author: Valentin Lozach
Publisher:
ISBN:
Category :
Languages : fr
Pages : 104

Get Book Here

Book Description
La satisfaction est un critère décisif dans le fonctionnement de l'institution de santé. Autant pour l'accréditation mais également pour estimer la qualité d'un service. Les patients chroniques sont des patients habitués des services d'urgence. Ils sont également habitués à vivre avec leur maladie. L'intérêt de ce travail est de savoir si les patients chroniques aident les médecins urgentistes dans leur propre prise en charge aux urgences. Nous avons réalisé une étude qualitative avec analyse catégorielle. Le référentiel CanMEDs a été utilisé pour les catégories. Les patients ont été recrutés jusqu'à saturation des données dans le service d'urgence de l'hôpital Pasteur 2. Treize patients ont été analysés dont 7 femmes et 6 hommes. Deux analyses catégorielles ont été réalisées. Une analyse médicale et une analyse par une patiente partenaire. Les résultats montrent qu'aucun patient ne se porte expert de sa propre prise en charge aux urgences. Les patients chroniques interrogés se centrent sur des dimensions plus triviales telles qu'une information donnée, le confort aux urgences ou l'attente. En conclusion, il est intéressant de noter qu'aucun patient dans l'étude ne prend en charge sa propre consultation comme on pourrait le voir dans les pays anglo-saxons. La notion de patient partenaire en expansion en France devrait permettre une meilleure position d'expert des patients pour leur propre prise en charge.

Corpus Linguistics and the Web

Corpus Linguistics and the Web PDF Author: Marianne Hundt
Publisher: Rodopi
ISBN: 9042021284
Category : Computers
Languages : en
Pages : 313

Get Book Here

Book Description
Using the Web as Corpus is one of the recent challenges for corpus linguistics. This volume presents a current state-of-the-arts discussion of the topic. The articles address practical problems such as suitable linguistic search tools for accessing the www, the question of register variation, or they probe into methods for culling data from the web. The book also offers a wide range of case studies, covering morphology, syntax, lexis, as well as synchronic and diachronic variation in English. These case studies make use of the two approaches to the www in corpus linguistics - web-as-corpus and web-for-corpus-building. The case studies demonstrate that web data can provide useful additional evidence for a broad range of research questions.

Geriatric Emergency Medicine

Geriatric Emergency Medicine PDF Author: Christian Nickel
Publisher: Springer
ISBN: 331919318X
Category : Medical
Languages : en
Pages : 398

Get Book Here

Book Description
This book discusses all important aspects of emergency medicine in older people, identifying the particular care needs of this population, which all too often remain unmet. The up-to-date and in-depth coverage will assist emergency physicians in identifying patients at risk for adverse outcomes, in conducting appropriate assessment,and in providing timely and adequate care. Particular attention is paid to the commonpitfalls in emergency management andmeans of avoiding them. Between 1980 and 2013, the number of older patients in emergency departmentsworldwide doubled. Compared with younger patients, older people suffer from more comorbidities, a higher mortality rate, require more complex assessment and diagnostic testing, and tend to stay longer in the emergency department. This book, written by internationally recognized experts in emergency medicine and geriatrics, not only presents the state of the art in the care of this population but also underlines the increasing need for adequate training and development in the field.

Parliamentary Oversight of the Security Sector

Parliamentary Oversight of the Security Sector PDF Author: Philipp Fluri
Publisher: DCAF
ISBN: 8683543102
Category : Legislative oversight
Languages : en
Pages : 209

Get Book Here

Book Description


Sickle Cell Pain

Sickle Cell Pain PDF Author: Samir K. Ballas
Publisher: Lippincott Williams & Wilkins
ISBN: 1496331834
Category : Medical
Languages : en
Pages : 1004

Get Book Here

Book Description
Sickle Cell Pain is a panoramic, in-depth exploration of every scientific, human, and social dimension of this cruel disease. This comprehensive, definitive work is unique in that it is the only book devoted to sickle cell pain, as opposed to general aspects of the disease. The 752-page book links sickle cell pain to basic, clinical, and translational research, addressing various aspects of sickle pain from molecular biology to the psychosocial aspects of the disease. Supplemented with patient narratives, case studies, and visual art, Sickle Cell Pain’s scientific rigor extends through its discussion of analgesic pharmacology, including abuse-deterrent formulations. The book also addresses in great detail inequities in access to care, stereotyping and stigmatization of patients, the implications of rapidly evolving models of care, and recent legislation and litigation and their consequences.

The Ebola Epidemic in West Africa

The Ebola Epidemic in West Africa PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309450063
Category : Medical
Languages : en
Pages : 137

Get Book Here

Book Description
The most recent Ebola epidemic that began in late 2013 alerted the entire world to the gaps in infectious disease emergency preparedness and response. The regional outbreak that progressed to a significant public health emergency of international concern (PHEIC) in a matter of months killed 11,310 and infected more than 28,616. While this outbreak bears some unique distinctions to past outbreaks, many characteristics remain the same and contributed to tragic loss of human life and unnecessary expenditure of capital: insufficient knowledge of the disease, its reservoirs, and its transmission; delayed prevention efforts and treatment; poor control of the disease in hospital settings; and inadequate community and international responses. Recognizing the opportunity to learn from the countless lessons of this epidemic, the National Academies of Sciences, Engineering, and Medicine convened a workshop in March 2015 to discuss the challenges to successful outbreak responses at the scientific, clinical, and global health levels. Workshop participants explored the epidemic from multiple perspectives, identified important questions about Ebola that remained unanswered, and sought to apply this understanding to the broad challenges posed by Ebola and other emerging pathogens, to prevent the international community from being taken by surprise once again in the face of these threats. This publication summarizes the presentations and discussions from the workshop.

Dying for Growth

Dying for Growth PDF Author: Jim Yong Kim
Publisher:
ISBN:
Category : Poor
Languages : en
Pages : 736

Get Book Here

Book Description
Is economic growth killing the poor? The Institute for Health and Social Justice brings us the answers in Dying for Growth. An extraordinary collection of fourteen hard-hitting case studies from Haiti to the US, Dying for Growth exposes the interests behind a system that consigns a fifth of the world's population to live (and die) on less than a dollar a day. Rooted in the lives of people waging heart-wrenching struggles against a new, systemic form of poverty, these studies don't just document inequality -- they pinpoint its underlying causes.Looking at the effects of international restructuring strategies on the poor, the increasing control trans-national corporations exert over world health, and the impact of U.S. drug policy on global inequality, Dying for Growth debunks the myths of global capitalism, including: Myth: Throwing loans at developing nations will cure poverty.Fact: As shown in Sickness Amidst Recovery: Public Debt and Private Suffering in a Peruvian Shanty Town, loans can make things worse.Myth: Getting rid of big government automatically improves the standard of living.Fact: Cutting services can lead to calamity, as detailed in Neoliberal Economic Policy, State Desertion and the Russian Health Crisis. Myth: The free market is a panacea.Fact: There's nothing liberating about modern capitalism, as demonstrated in 'Todo Bajo Control': The Costs of 'Free' Trade to Mexican Maquiladora Workers.Dying for Growth concludes with an extensive section on alternatives to standard models. Included is a chapter on health and revolution in Cuba, The Threat of a Good Example, and a plan for action, Pragmatic Solidarity: What You Can Do.With passionrarely found in works of comparable analytic rigor, Dying for Growth tells the stories of people trapped in the machine of growth, and compels readers to recognize that the problem of inequality is not one of insufficient resources, nor even of inefficiency -- the problem is power.

The Patient Will See You Now

The Patient Will See You Now PDF Author: Eric Topol
Publisher: Basic Books
ISBN: 0465094473
Category : Medical
Languages : en
Pages : 386

Get Book Here

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.

Clinical Management of Patients with Viral Haemorrhagic Fever

Clinical Management of Patients with Viral Haemorrhagic Fever PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241549602
Category : Medical
Languages : en
Pages : 203

Get Book Here

Book Description
First published in March 2014 under the title "Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for West Africa".

Health System Performance Comparison: an Agenda for Policy, Information and Research

Health System Performance Comparison: an Agenda for Policy, Information and Research PDF Author: Irene Papanicolas
Publisher: McGraw-Hill Education (UK)
ISBN: 033524727X
Category : Medical
Languages : en
Pages : 418

Get Book Here

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.