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Author: Claire Brunet
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
INTRODUCTION : En France, il était difficile d'avoir une vue d'ensemble de la morbidité en soins primaires des bénéficiaires de la Couverture Maladie Universelle Complémentaire (CMU-C). L'objectif de l'étude était de décrire les fréquences des motifs de consultation en médecine générale des bénéficiaires de la CMU-C et de les comparer au reste de la population. METHODES : Cette étude est nichée au sein de l'étude ECOGEN, pilotée par le Collège National des Généralistes Enseignants. Cette étude, transversale, nationale, a été menée dans 128 cabinets de médecine générale. Cinquante-quatre internes ont recueilli les données de 20781 consultations pendant 5 mois, sur la base de la Classification Internationale des Soins Primaires. Les bénéficiaires de la CMU-C étaient appariés à des non-bénéficiaires sur 4 critères. La fréquence des différents motifs de consultation a été analysée puis comparée entre les deux groupes. RESULTATS : La différence entre les fréquences des motifs de consultation n'était pas statistiquement significative entre les deux groupes, sauf pour les motifs d'ordre psychologique qui étaient plus fréquents pour les bénéficiaires de la CMU-C (p=0.035). Ils consultaient significativement plus pour des demandes de procédures d'ordre psychologique (p=1.07.10-5) mais moins pour des symptômes et plaintes de ce type (p=0.0026). CONCLUSION : Les bénéficiaires de la CMU-C se distinguent donc peu du reste de la population par leurs motifs de consultation. Cependant, ils consultent plus le médecin généraliste pour des motifs d'ordre psychologique, pouvant être directement liés au contexte de précarité socioéconomique et au coût élevé des psychothérapies.
Author: Claire Brunet
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
INTRODUCTION : En France, il était difficile d'avoir une vue d'ensemble de la morbidité en soins primaires des bénéficiaires de la Couverture Maladie Universelle Complémentaire (CMU-C). L'objectif de l'étude était de décrire les fréquences des motifs de consultation en médecine générale des bénéficiaires de la CMU-C et de les comparer au reste de la population. METHODES : Cette étude est nichée au sein de l'étude ECOGEN, pilotée par le Collège National des Généralistes Enseignants. Cette étude, transversale, nationale, a été menée dans 128 cabinets de médecine générale. Cinquante-quatre internes ont recueilli les données de 20781 consultations pendant 5 mois, sur la base de la Classification Internationale des Soins Primaires. Les bénéficiaires de la CMU-C étaient appariés à des non-bénéficiaires sur 4 critères. La fréquence des différents motifs de consultation a été analysée puis comparée entre les deux groupes. RESULTATS : La différence entre les fréquences des motifs de consultation n'était pas statistiquement significative entre les deux groupes, sauf pour les motifs d'ordre psychologique qui étaient plus fréquents pour les bénéficiaires de la CMU-C (p=0.035). Ils consultaient significativement plus pour des demandes de procédures d'ordre psychologique (p=1.07.10-5) mais moins pour des symptômes et plaintes de ce type (p=0.0026). CONCLUSION : Les bénéficiaires de la CMU-C se distinguent donc peu du reste de la population par leurs motifs de consultation. Cependant, ils consultent plus le médecin généraliste pour des motifs d'ordre psychologique, pouvant être directement liés au contexte de précarité socioéconomique et au coût élevé des psychothérapies.
Author: Maxime Maisonneuve
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
Afin d'extraire les leviers qui amélioreront la gestion de la douleur en médecine générale, l'étape préalable semblait être l'identification et la description du critère douleur au sein de la consultation du médecin généraliste. Ce travail est une étude épidémiologique descriptive et analytique ancillaire de l'Etude Ecogen. Les motifs de consultation (MC), résultats de consultation (RC) et procédures de soins (PC) ont été codés selon la classification internationale des soins primaires, version 2 (CISP-2). Les objectifs étaient de définir la fréquence du Motif « douleur » en médecine générale, dépeindre la population ayant consulté pour ce motif et décrire le contenu de cette consultation. 18647 patients ont été inclus. Parmi ces 18647 consultations, 6715 présentaient au moins un motif douloureux, soit 36%. Le sex-ratio s'élevait à 1.6 femmes pour un homme (p
Author: Laurence J. Kirmayer
Publisher: Springer Science & Business Media
ISBN: 1461476151
Category : Psychology
Languages : en
Pages : 365
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Book Description
Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.
Author: Harry Guess
Publisher: BMJ Books
ISBN: 9780727915948
Category : Medical
Languages : en
Pages : 346
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Book Description
Based on a meeting in November 2000, this book brings together researchers from a wide range of disciplines to examine the biological, behavioral, social, cultural and ethical aspects related to the placebo effect. Perspectives on the necessity for including a placebo in randomized clinical trials will also be examined. This is the first attempt to examine the evidence-base of the placebo effect and will provide important information for clinicans.
Author: International Development Research Centre (Canada)
Publisher: IDRC
ISBN: 088936852X
Category : Cover crops
Languages : en
Pages : 319
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Book Description
Cover Crops in West Africa Contributing to Sustainable Agriculture
Author: Roger D. Wimmer
Publisher: Wadsworth Publishing Company
ISBN: 9780534647186
Category : Social Science
Languages : en
Pages : 468
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Book Description
MASS MEDIA RESEARCH begins with an overview of mass communication research and ethics of research. It then explores each major approach to research, including qualitative research, content analysis, survey research, longitudinal research, and experimental research. The text continues with a section on data analysis and concludes with a forward-looking section on research applications, covering such topics as research in print and electronic media and on the Internet.
Author: Stefan Gössling
Publisher: Edward Elgar Publishing
ISBN:
Category : Business & Economics
Languages : en
Pages : 312
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Book Description
This study addresses the interplay between tourism development and local environments on tropical islands. The book is written from the perspective of a political ecologist.
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: Benoit Cordelier
Publisher: John Wiley & Sons
ISBN: 1786304686
Category : Technology & Engineering
Languages : en
Pages : 258
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Book Description
ECHNOLOGICAL PROSPECTS AND SOCIAL APPLICATIONS SET Coordinated by Bruno Salgues There are many controversies with respect to health crisis management: the search for information on symptoms, misinformation on emerging treatments, massive use of collaborative tools by healthcare professionals, deployment of applications for tracking infected patients. The Covid-19 crisis is a relevant example about the need for research in digital communications in order to understand current health info communication. After an overview of the challenges of digital healthcare, this book offers a critical look at the organizational and professional limits of ICT uses for patients, their caregivers and healthcare professionals. It analyzes the links between ICT and ethics of care, where health communication is part of a global, humanistic and emancipating care for patients and caregivers. It presents new digitized means of communicating health knowledge that reveal, thanks to the Internet, a competition between biomedical expert knowledge and experiential secular knowledge.
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.
