Motivations de venue aux urgences pédiatriques médicales du CHU de Rouen PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Motivations de venue aux urgences pédiatriques médicales du CHU de Rouen PDF full book. Access full book title Motivations de venue aux urgences pédiatriques médicales du CHU de Rouen by Corinne Kucharski. Download full books in PDF and EPUB format.
Author: Corinne Kucharski
Publisher:
ISBN:
Category :
Languages : fr
Pages : 216
Get Book Here
Book Description
Objectifs : analyser les motifs de recours aux urgences médicales pédiatriques de Rouen, les urgences étant toujours surchargées et apporter des solutions en fonction. Méthodes : étude réalisée du 5 au 19 août 2006 une semaine de 21h à 9 h, la 2 ème semaine de 9 h à 21 h analysant les caractéristiques socio-démographiques de 368 enfants ainsi que les motifs modes, diagnostics de consultation, suivi médical habituel et comportement en cas d'urgence. Résultats: ce sont majoritairement des enfants compris entre 1 et 3 ans issus de familles biparentales, avec des parents trentenaires de niveau scolaire moyen, dont au moins l' un des parent travaille. Ils sont amenés dans la journée et en soirée à 50,27% par la mère seule. Ces familles ont des enfants uniques pour 1 tiers des cas, viennent pour la 1 ère fois( 44%) aux urgences. Elles viennent principalement de Rouen et son agglomération et s'adressent spontanément essentiellement pour fièvre, vomissements, dyspnée au bout de 24 heures d'évolution. Les principaux cadres diagnostics sont la GEA 16,3%, les viroses 7,06%, les bronchiolites.71 % retourneront chez eux. Les enfants ont un suivi médical habituel ( le médecin traitant pour plus de 80%) et un tiers par le pédiatre. Les principaux motifs invoqués sont l'aggravation des signes 39,4%, puis l'inefficacité des traitements 26,08%, la compétence du CHU 23,36. Les attentes des familles sont multiples, elles souhaitent:avoir un diagnostic 43,47 %, être rassurées 33,15 %, êtres soulagées 32,33 .17,1 % ont consulté leur médecin le jour de leur venue aux urgences, 7,03 % l'ont appelé. Dans 15,21 % des cas, il leur a été conseillé de venir aux urgences pédiatriques pour l3,33 % avec une lettre . 49 % des patients adressés par le médecin traitant sont hospitalisés. Conclusion : les enfants viennent essentiellement pour des motifs provenant de la médecine libérale qui ne nécessitent pas le recours à un service hospitalier. Il faut donc offrir un maximum de plages horaires aux parents, éduquer la population sur ce qui nécessite d'être différé et la possibilité pour le médecin de pouvoir adresser l'enfant sans transiter par les urgences .Ceci passera par une meilleure coordination entre médecins libéraux -régulation téléphonique et une amélioration du système de permanence des soins associant médecins libéraux régulateurs, services des urgences hospitalières et les maisons médicales.
Author: Corinne Kucharski
Publisher:
ISBN:
Category :
Languages : fr
Pages : 216
Get Book Here
Book Description
Objectifs : analyser les motifs de recours aux urgences médicales pédiatriques de Rouen, les urgences étant toujours surchargées et apporter des solutions en fonction. Méthodes : étude réalisée du 5 au 19 août 2006 une semaine de 21h à 9 h, la 2 ème semaine de 9 h à 21 h analysant les caractéristiques socio-démographiques de 368 enfants ainsi que les motifs modes, diagnostics de consultation, suivi médical habituel et comportement en cas d'urgence. Résultats: ce sont majoritairement des enfants compris entre 1 et 3 ans issus de familles biparentales, avec des parents trentenaires de niveau scolaire moyen, dont au moins l' un des parent travaille. Ils sont amenés dans la journée et en soirée à 50,27% par la mère seule. Ces familles ont des enfants uniques pour 1 tiers des cas, viennent pour la 1 ère fois( 44%) aux urgences. Elles viennent principalement de Rouen et son agglomération et s'adressent spontanément essentiellement pour fièvre, vomissements, dyspnée au bout de 24 heures d'évolution. Les principaux cadres diagnostics sont la GEA 16,3%, les viroses 7,06%, les bronchiolites.71 % retourneront chez eux. Les enfants ont un suivi médical habituel ( le médecin traitant pour plus de 80%) et un tiers par le pédiatre. Les principaux motifs invoqués sont l'aggravation des signes 39,4%, puis l'inefficacité des traitements 26,08%, la compétence du CHU 23,36. Les attentes des familles sont multiples, elles souhaitent:avoir un diagnostic 43,47 %, être rassurées 33,15 %, êtres soulagées 32,33 .17,1 % ont consulté leur médecin le jour de leur venue aux urgences, 7,03 % l'ont appelé. Dans 15,21 % des cas, il leur a été conseillé de venir aux urgences pédiatriques pour l3,33 % avec une lettre . 49 % des patients adressés par le médecin traitant sont hospitalisés. Conclusion : les enfants viennent essentiellement pour des motifs provenant de la médecine libérale qui ne nécessitent pas le recours à un service hospitalier. Il faut donc offrir un maximum de plages horaires aux parents, éduquer la population sur ce qui nécessite d'être différé et la possibilité pour le médecin de pouvoir adresser l'enfant sans transiter par les urgences .Ceci passera par une meilleure coordination entre médecins libéraux -régulation téléphonique et une amélioration du système de permanence des soins associant médecins libéraux régulateurs, services des urgences hospitalières et les maisons médicales.
Author: Marie Rigal-Lachkar (autrice d'une thèse d'exercice de médecine).)
Publisher:
ISBN:
Category :
Languages : fr
Pages : 186
Get Book Here
Book Description
Author: Corinne Grenier
Publisher: John Wiley & Sons
ISBN: 1786307073
Category : Business & Economics
Languages : en
Pages : 72
Get Book Here
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: Marie-Pascale Pomey
Publisher: Springer Nature
ISBN: 3030141012
Category : Medical
Languages : en
Pages : 317
Get Book Here
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:
Publisher:
ISBN: 9781433820632
Category : Psychoanalysis
Languages : en
Pages :
Get Book Here
Book Description
"In Relational Psychodynamic Psychotherapy Supervision, guest expert supervisor, Dr. Joan E. Sarnat, demonstrates and discusses this approach to supervision. The goal of relational psychodynamic supervision is to create a more experiential, participatory, and relationship-focused form of supervision, one that not only provides usable psychotherapeutic knowledge and skills, but also facilitates the emotional and relational development that is essential to becoming an effective psychodynamic psychotherapist. In this video, Sarnat and her supervisee engage in a supervisory session, and host Dr. Hanna Levenson interviews them about their work together, exploring the constructs of this model and the nature of the supervisory relationship. In the session, Dr. Sarnat's supervisee conveys that she is frustrated by how her patient is discounting her during the termination phase of therapy. By becoming aware of and working with her own feelings of frustration within the session, Dr. Sarnat demonstrates the art of using a reenactment to help the supervisee deepen her awareness and thereby facilitate the therapy."--
Author: Takehide Asano
Publisher: Springer Science & Business Media
ISBN: 4431544844
Category : Medical
Languages : en
Pages : 270
Get Book Here
Book Description
In response to persistent donor organ shortages, organs from marginal donors, such as expanded criteria donors (ECD) and donation after cardiac death (DCD) donors, are now accepted and have been successfully transplanted, reducing the waiting times for transplantation. Especially in Japan, transplantation of DCD kidneys has a relatively long history because of the difficulty or lack of national consensus in accepting brain death, which has made it possible to accumulate considerable clinical experience. Thus, the current organ shortage has stimulated interest in the use of marginal donors for transplantation. On the other hand, however, it is known that these organs have a high rate of delayed graft function and a more complicated postoperative course. These drawbacks have created the greatest clinical challenge in transplantation to date because of the current shortage and limitations of donors using ECD and DCD. This book, prepared by distinguished authorities in their fields, is intended for clinicians and researchers. It highlights the use of marginal donors as a comparatively novel source of transplantation organs and provides a thorough overview of marginal donors from their historical origins to recent clinical applications, including the state-of-the-art science of organ/donor management, procurement, and preservation. Also provided is valuable information on ABO-incompatible donors which extend the availability of donor sources. Each chapter offers an individual analysis of the optimal requirements for the safe management and preservation of organs, including the heart, lung, liver, kidney, pancreas, and pancreatic islets.
Author: European Federation for Medical Informatics
Publisher: IOS Press
ISBN: 1614991014
Category : Medical
Languages : en
Pages : 1284
Get Book Here
Book Description
Medical informatics and electronic healthcare have many benefits to offer in terms of quality of life for patients, healthcare personnel, citizens and society in general. But evidence-based medicine needs quality information if it is to lead to quality of health and thus to quality of life. This book presents the full papers accepted for presentation at the MIE2012 conference, held in Pisa, Italy, in August 2012. The theme of the 2012 conference is ‘Quality of Life through Quality of Information’. As always, the conference provides a unique platform for the exchange of ideas and experiences among the actors and stakeholders of ICT supported healthcare. The book incorporates contributions related to the latest achievements in biomedical and health informatics in terms of major challenges such as interoperability, collaboration, coordination and patient-oriented healthcare at the most appropriate level of care. It also offers new perspectives for the future of biomedical and health Informatics, critical appraisal of strategies for user involvement, insights for design, deployment and the sustainable use of electronic health records, standards, social software, citizen centred e-health, and new challenges in rehabilitation and social care informatics. The topics presented are interdisciplinary in nature and will be of interest to a variety of professionals; physicians, nurses and other allied health providers, health informaticians, engineers, academics and representatives from industry and consultancy in the various fields.
Author: J. Mantas
Publisher: IOS Press
ISBN: 1643681850
Category : Medical
Languages : en
Pages : 1184
Get Book Here
Book Description
For several years now, both eHealth applications and digitalization have been seen as fundamental to the new era of health informatics and public health. The current pandemic situation has also highlighted the importance of medical informatics for the scientific process of evidence-based reasoning and decision making at all levels of healthcare. This book presents the accepted full papers, short papers, and poster papers delivered as part of the 31st Medical Informatics in Europe Conference (MIE 2021), held virtually from 29-31 May 2021. MIE 2021 was originally due to be held in Athens, Greece, but due to the continuing pandemic situation, the conference was held as a virtual event. The 261 papers included here are grouped into 7 chapters: biomedical data, tools and methods; supporting care delivery; health and prevention; precision medicine and public health; human factors and citizen centered digital health; ethics, legal and societal aspects; and posters. Providing a state-of-the-art overview of medical informatics from around the world, the book will be of interest to all those working with eHealth applications and digitalization to improve the delivery of healthcare today.
Author: Deborah M. Christensen
Publisher:
ISBN: 9781635930351
Category : Medical
Languages : en
Pages :
Get Book Here
Book Description
"The oncology nurse navigator is one of the few roles in nursing in which an individual nurse is accountable for and invested in providing patient-centered care throughout an entire disease trajectory. This book provides novice nurse navigators and those developing or working in navigation programs with an overview of the role of the nurse navigator in cancer care and outlines the development of a navigation program, the skills and training needed to work as a nurse navigator, methods to evaluate outcomes, and issues related to assisting patients with specific types of cancers"--
Author:
Publisher:
ISBN:
Category : Biotechnology
Languages : en
Pages : 378
Get Book Here
Book Description
