Rôle des acteurs associatifs dans les soins aux patients précaires

Rôle des acteurs associatifs dans les soins aux patients précaires PDF Author: Chloé Argentin
Publisher:
ISBN:
Category :
Languages : fr
Pages : 6

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Book Description
En 1997, l'association rouennaise Soins Pour Tous a été créée sur l'initiative de quelques bénévoles infirmiers, médecins et pharmaciens. L'objectif de cette association était d'apporter une aide à une partie de la population qui n'accédait pas au système de soins. En 2006, l'association continue son action. C'est une des seules unités mobiles en France à proposer des soins aux sans domiciles fixe, dans la rue, la nuit. Cette population est peu explorée, et le travail médical associatif est peu connu. Nos résultats d'études sur huit ans, montrent qu'il n'existe pas de pathologies spécifiques de la précarité ou de la grande exclusion. Les pathologies rencontrées sont la plupart du temps évoluées du fait des obstacles à l'accès aux soins encore existant, obstacles institutionnels ou propres à l'individu. La prise en charge du patient précaire est spécifique car elle nécessite de repenser la prise en charge classique basée sur la notion d'efficacité thérapeutique et d'inventer un nouveau lien thérapeutique. Ce lien spécifique nécessite de la part du soignant une compréhension des processus de transfert et contre-transfert et la notion d'objet transitionnel. Cependant, la prise en charge des patients désocialisés par les associations pose le problème d'une prise en charge ponctuelle et elle-même précaire car soumis aux disponibilités des bénévoles, aux subventions, aux différents dons. Cette précarité subie une fois de plus par les précaires d'entre nous doit-elle se perpétuer et pérenniser ainsi un système excluant? On peut envisager la remise en place de structures basées sur le concept de dispensaire, d'accès libre, sous forme de dépendances du service publique et en lien avec l'hôpital. Ces structures existent, elles sont représentées par les PASS. Il suffit d'une volonté politique afin d'offrir aux plus précaires une structure cadrante, accueillante, permettant un accès aux soins effectifs, loins des obstacles institutionnels et individuels.

Rôle des acteurs associatifs dans les soins aux patients précaires

Rôle des acteurs associatifs dans les soins aux patients précaires PDF Author: Chloé Argentin
Publisher:
ISBN:
Category :
Languages : fr
Pages : 6

Get Book Here

Book Description
En 1997, l'association rouennaise Soins Pour Tous a été créée sur l'initiative de quelques bénévoles infirmiers, médecins et pharmaciens. L'objectif de cette association était d'apporter une aide à une partie de la population qui n'accédait pas au système de soins. En 2006, l'association continue son action. C'est une des seules unités mobiles en France à proposer des soins aux sans domiciles fixe, dans la rue, la nuit. Cette population est peu explorée, et le travail médical associatif est peu connu. Nos résultats d'études sur huit ans, montrent qu'il n'existe pas de pathologies spécifiques de la précarité ou de la grande exclusion. Les pathologies rencontrées sont la plupart du temps évoluées du fait des obstacles à l'accès aux soins encore existant, obstacles institutionnels ou propres à l'individu. La prise en charge du patient précaire est spécifique car elle nécessite de repenser la prise en charge classique basée sur la notion d'efficacité thérapeutique et d'inventer un nouveau lien thérapeutique. Ce lien spécifique nécessite de la part du soignant une compréhension des processus de transfert et contre-transfert et la notion d'objet transitionnel. Cependant, la prise en charge des patients désocialisés par les associations pose le problème d'une prise en charge ponctuelle et elle-même précaire car soumis aux disponibilités des bénévoles, aux subventions, aux différents dons. Cette précarité subie une fois de plus par les précaires d'entre nous doit-elle se perpétuer et pérenniser ainsi un système excluant? On peut envisager la remise en place de structures basées sur le concept de dispensaire, d'accès libre, sous forme de dépendances du service publique et en lien avec l'hôpital. Ces structures existent, elles sont représentées par les PASS. Il suffit d'une volonté politique afin d'offrir aux plus précaires une structure cadrante, accueillante, permettant un accès aux soins effectifs, loins des obstacles institutionnels et individuels.

Social Organization of Medical Work

Social Organization of Medical Work PDF 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.

 PDF Author:
Publisher: Odile Jacob
ISBN: 2738178022
Category :
Languages : en
Pages : 225

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Book Description


Acting in Anaesthesia

Acting in Anaesthesia PDF Author: Dawn Goodwin
Publisher: Cambridge University Press
ISBN: 0521882060
Category : Medical
Languages : en
Pages : 209

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Book Description
In recent years, evidence-based medicine (EBM), clinical governance and professional accountability have become increasingly significant in shaping the organisation and delivery of healthcare. However, these notions all build upon and exemplify the idea of human-centred, individual action. In this book, Dawn Goodwin suggests that such models of practice exaggerate the extent to which practitioners are able to predict and control the circumstances and contingencies of healthcare. Drawing on ethnographic material, Goodwin explores the way that 'action' unfolds in a series of empirical cases of anaesthetic and intensive care practice. Anaesthesia configures a relationship between humans, machines and devices that transforms and redistributes capacities for action and thereby challenges the figure of a rational, intentional, acting individual. This book elucidates the ways in which various entities (machines, tools, devices and unconscious patients as well as healthcare practitioners) participate, and how actions become legitimate and accountable.

Patient Engagement

Patient Engagement PDF Author: Marie-Pascale Pomey
Publisher: Springer Nature
ISBN: 3030141012
Category : Medical
Languages : en
Pages : 317

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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.

Accessibility and Active Offer

Accessibility and Active Offer PDF Author: Marie Drolet
Publisher: University of Ottawa Press
ISBN: 0776625659
Category : Medical
Languages : en
Pages : 377

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Book Description
It is imperative that we train leaders who are able to intervene efficiently with service users and to support a better organization of the workplace. It is especially important to look at the many issues related to postsecondary training and human resources, such as recruiting and keeping these leading professionals. Accessibility and Active Offer thus combines theory and empirical data to help future professionals understand the workplace issues of accessibility and active offer of minority-language services. This English-language adaptation of Accessibilité et offre active features an additional chapter by Richard Bourhis on issues specific to Anglophone communities in Québec. This multidisciplinary collective work is the first to unite researchers in health, social work, sociology, political science, public administration, law and education, in order to gain more thorough knowledge of linguistic issues in health and social services, as well as of active offer of French-language services. Published in English.

Altering Frontiers

Altering Frontiers PDF Author: Corinne Grenier
Publisher: John Wiley & Sons
ISBN: 1786307073
Category : Business & Economics
Languages : en
Pages : 72

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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.

Learning from the Slums for the Development of Emerging Cities

Learning from the Slums for the Development of Emerging Cities PDF Author: Jean-Claude Bolay
Publisher: Springer
ISBN: 3319317946
Category : Social Science
Languages : en
Pages : 241

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Book Description
This book deals with slums as a specific question and a central focus in urban planning. It radically reverses the official version of the history of world cities as narrated during decades: slums are not at the margin of the contemporary process of urbanization; they are an integral part of it. Taking slums as its central focus and regarding them as symptomatic of the ongoing transformations of the city, the book moves to the very heart of the problem in urban planning. The book presents 16 case studies that form the basis for a theory of the slum and a concrete development manual for the slum. The interdisciplinary approach to analysing slums presented in this volume enables researchers to look at social and economic dimensions as well as at the constructive and spatial aspects of slums. Both at the scientific and the pedagogical level, it allows one to recognize the efforts of the slum’s residents, key players in the past, and present development of their neighborhoods, and to challenge public and private stakeholders on priorities decided in urban planning, and their mismatches when compared to the findings of experts and the demands of users. Whether one is a planner, an architect, a developer or simply an inhabitant of an emerging city, the presence of slums in one’s environment – at the same time central and nonetheless incongruous – makes a person ask questions. Today, it is out of the question to be satisfied with the assumption of the marginality of slums, or of the incongruous nature of their existence. Slums are now fully part of the urban landscape, contributing to the identity and the urbanism of cities and their stakeholders.

Vulnerable

Vulnerable PDF Author: Colleen M. Flood
Publisher: University of Ottawa Press
ISBN: 077663643X
Category : Social Science
Languages : en
Pages : 850

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Book Description
The novel coronavirus SARS-CoV-2, which causes the disease known as COVID-19, has infected people in 212 countries so far and on every continent except Antarctica. Vast changes to our home lives, social interactions, government functioning and relations between countries have swept the world in a few months and are difficult to hold in one’s mind at one time. That is why a collaborative effort such as this edited, multidisciplinary collection is needed. This book confronts the vulnerabilities and interconnectedness made visible by the pandemic and its consequences, along with the legal, ethical and policy responses. These include vulnerabilities for people who have been harmed or will be harmed by the virus directly and those harmed by measures taken to slow its relentless march; vulnerabilities exposed in our institutions, governance and legal structures; and vulnerabilities in other countries and at the global level where persistent injustices harm us all. Hopefully, COVID-19 will forces us to deeply reflect on how we govern and our policy priorities; to focus preparedness, precaution, and recovery to include all, not just some. Published in English with some chapters in French.

Politics, Property and Production in the West African Sahel

Politics, Property and Production in the West African Sahel PDF Author: Tor Arve Benjaminsen
Publisher: Nordic Africa Institute
ISBN: 9789171064769
Category : Business & Economics
Languages : en
Pages : 342

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Book Description
Through a number of case studies from the West African Sahel, this book links and explores natural resources management from the perspectives of politics, property and production.