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Adaptabilité de médecins de premier recours en ambulatoire face à la pandémie COVID-19

Adaptabilité de médecins de premier recours en ambulatoire face à la pandémie COVID-19 PDF Author: Alexis Belio
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

Book Description
Contexte : la pandémie COVID-19 a brutalement bouleversé l'activité socio-politico-économique de l'ensemble de la planète. Les professionnels de santé de premier recours en ambulatoire ont été en première ligne au cours de l'année 2020. Matériel et méthode : à travers une étude quantitative, observationnelle et descriptive auprès de 138 participants, nous avons évalué comment les médecins généralistes libéraux en région PACA se sont adaptés. Nous nous sommes intéressés à la réorganisation de leurs cabinets, à la mise en place des gestes barrières pour renforcer les règles d'hygiène (individuelles et collectives). Nous avons étudié les prescriptions dans la prise en charge et le suivi des malades. Les objectifs secondaires ont comparé cette adaptation en fonction de l'âge des praticiens et selon leur mode d'activité. Résultats : cette étude révèle une baisse de l'activité de soin sur l'ensemble de l'année 2020 mais surtout lors du 1er confinement. On retrouve une adaptation forte des médecins en termes d'asepsie des locaux et du matériel. Le lavage des mains est devenu plus fréquent désormais. La protection des soignants par les masques s'est révélée très insuffisante en début d'année 2020. La pratique de la téléconsultation a été en plein essor. Les antalgiques de palier I ont été les médicaments les plus utilisés alors que les palier II, anticoagulants, corticoïdes, bêtalactamines ou encore macrolides ont parfois été nécessaires. Les bilans biologiques standards et le scanner thoracique ont été les examens les plus demandés. Conclusion : ce travail a mis en lumière les points clés de l'adaptabilité de la médecine générale en ambulatoire mais aussi ses faiblesses dans le contexte de situations sanitaire exceptionnelle. Cette adaptabilité s'est faite rapidement et la compréhension de ces points clés pourrait permettre de mieux répondre face à une nouvelle crise sanitaire.

Adaptabilité de médecins de premier recours en ambulatoire face à la pandémie COVID-19

Adaptabilité de médecins de premier recours en ambulatoire face à la pandémie COVID-19 PDF Author: Alexis Belio
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

Book Description
Contexte : la pandémie COVID-19 a brutalement bouleversé l'activité socio-politico-économique de l'ensemble de la planète. Les professionnels de santé de premier recours en ambulatoire ont été en première ligne au cours de l'année 2020. Matériel et méthode : à travers une étude quantitative, observationnelle et descriptive auprès de 138 participants, nous avons évalué comment les médecins généralistes libéraux en région PACA se sont adaptés. Nous nous sommes intéressés à la réorganisation de leurs cabinets, à la mise en place des gestes barrières pour renforcer les règles d'hygiène (individuelles et collectives). Nous avons étudié les prescriptions dans la prise en charge et le suivi des malades. Les objectifs secondaires ont comparé cette adaptation en fonction de l'âge des praticiens et selon leur mode d'activité. Résultats : cette étude révèle une baisse de l'activité de soin sur l'ensemble de l'année 2020 mais surtout lors du 1er confinement. On retrouve une adaptation forte des médecins en termes d'asepsie des locaux et du matériel. Le lavage des mains est devenu plus fréquent désormais. La protection des soignants par les masques s'est révélée très insuffisante en début d'année 2020. La pratique de la téléconsultation a été en plein essor. Les antalgiques de palier I ont été les médicaments les plus utilisés alors que les palier II, anticoagulants, corticoïdes, bêtalactamines ou encore macrolides ont parfois été nécessaires. Les bilans biologiques standards et le scanner thoracique ont été les examens les plus demandés. Conclusion : ce travail a mis en lumière les points clés de l'adaptabilité de la médecine générale en ambulatoire mais aussi ses faiblesses dans le contexte de situations sanitaire exceptionnelle. Cette adaptabilité s'est faite rapidement et la compréhension de ces points clés pourrait permettre de mieux répondre face à une nouvelle crise sanitaire.

Setting Priorities in Health Care

Setting Priorities in Health Care PDF Author: M. Malek
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 360

Book Description
The dual problems of securing access to health care and containing the increasing costs of health care delivery bring the issue of prioritization to the forefront of health care debates. This study discusses the implications and consequences of allocating priorities to certain groups.

Health Workforce Policies in OECD Countries

Health Workforce Policies in OECD Countries PDF Author: OECD
Publisher: Org. for Economic Cooperation & Development
ISBN: 9789264239500
Category : Medical personnel
Languages : en
Pages : 0

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

Organizing Smart Buildings and Cities

Organizing Smart Buildings and Cities PDF Author: Elisabetta Magnaghi
Publisher: Springer Nature
ISBN: 3030606074
Category : Computers
Languages : en
Pages : 190

Book Description
The United Nations included sustainable cities and communities in its 2030 SDGs. Cities and, on a smaller scale, neighborhoods, building managers and firms are now adopting technologies and information systems to help achieve the energy, economic, social and environmental transition. This volume gathers contributions on the key organizational success factors for this transition. To do so, it analyzes the role of information systems, use of data, and technological assistance solutions from multiple perspectives. The goal is to develop a framework that can successfully apply information systems to organizational and environmental issues for smart cities and smart buildings. Accordingly, the book addresses living-lab experiment evaluation techniques, and provides critical analyses of the role of the environment, context and users’ behavioral responses. In addition, it discusses key questions on the efficient management of resources, need for appropriate IT solutions, and employing co-creation with users to improve planning and organization.

Animal Health: General principles

Animal Health: General principles PDF Author: Archie Hunter
Publisher: CTA; MacMillan
ISBN: 9780333612026
Category : Animal health
Languages : en
Pages : 167

Book Description
Animal Health Volume 1 is a practical guide for anyone involved with maintaining and establishing the health of animals in tropical and sub-tropical regions. It comprehensively explains the causes of animal diseases, how they spread and the means available for their control. The handbook should be used in conjunction with Volume 2: Specific Diseases which is already published.

Central Banking in Turbulent Times

Central Banking in Turbulent Times PDF Author: Francesco Papadia
Publisher: Oxford University Press
ISBN: 0192528874
Category : Business & Economics
Languages : en
Pages : 347

Book Description
Central banks came out of the Great Recession with increased power and responsibilities. Indeed, central banks are often now seen as 'the only game in town', and a place to put innumerable problems vastly exceeding their traditional remit. These new powers do not fit well, however, with the independence of central banks, remote from the democratic control of government. Central Banking in Turbulent Times examines fundamental questions about the central banking system, asking whether the model of an independent central bank devoted to price stability is the final resting point of a complex development that started centuries ago. It dissects the hypothesis that the Great Recession has prompted a reassessment of that model; a renewed emphasis on financial stability has emerged, possibly vying for first rank in the hierarchy of objectives of central banks. This raises the risk of dilemmas, since the Great Recession brought into question implicit assumptions that the pursuit of price stability would also lead to financial stability. In addition, the border between monetary and fiscal policy was blurred both in the US and in Europe. Central Banking in Turbulent Times asks whether the model prevailing before the Great Recession has been irrevocably altered. Are we entering, as Charles Goodhart has hypothesized, into the 'fourth epoch' of central banking? Are changes to central banks part of a move away from the global liberal order that seemed to have prevailed at the turn of the century? Central Banking in Turbulent Times seeks to answer these questions as it examines how changes can allow for the maintenance of price stability, while adapting to the long-term consequences of the Great Recession.

Deviced!

Deviced! PDF Author: Doreen Dodgen-Magee
Publisher: Rowman & Littlefield Publishers
ISBN: 9781538115848
Category : Technological innovations
Languages : en
Pages : 0

Book Description
Americans engage with screens for more than ten hours a day, changing our brains, our relationships, and our personal lives. Here, Dodgen-Magee illuminates the effects of device overuse, and offers wisdom gleaned from personal stories, research, and anecdotes from youth, paren...

Human Resources For Health In Europe

Human Resources For Health In Europe PDF Author: Dubois, Carl-Ardy
Publisher: McGraw-Hill Education (UK)
ISBN: 0335218555
Category : Education
Languages : en
Pages : 273

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.

Alternative Food Networks

Alternative Food Networks PDF Author: David Goodman
Publisher: Routledge
ISBN: 113664122X
Category : Business & Economics
Languages : en
Pages : 352

Book Description
Farmers’ markets, veggie boxes, local foods, organic products and Fair Trade goods – how have these once novel, "alternative" foods, and the people and networks supporting them, become increasingly familiar features of everyday consumption? Are the visions of "alternative worlds" built on ethics of sustainability, social justice, animal welfare and the aesthetic values of local food cultures and traditional crafts still credible now that these foods crowd supermarket shelves and other "mainstream" shopping outlets? This timely book provides a critical review of the growth of alternative food networks and their struggle to defend their ethical and aesthetic values against the standardizing pressures of the corporate mainstream with its "placeless and nameless" global supply networks. It explores how these alternative movements are "making a difference" and their possible role as fears of global climate change and food insecurity intensify. It assesses the different experiences of these networks in three major arenas of food activism and politics: Britain and Western Europe, the United States, and the global Fair Trade economy. This comparative perspective runs throughout the book to fully explore the progressive erosion of the interface between alternative and mainstream food provisioning. As the era of "cheap food" draws to a close, analysis of the limitations of market-based social change and the future of alternative food economies and localist food politics place this book at the cutting-edge of the field. The book is thoroughly informed by contemporary social theory and interdisciplinary social scientific scholarship, formulates an integrative social practice framework to understand alternative food production-consumption, and offers a unique geographical reach in its case studies.

Environmental Justice

Environmental Justice PDF Author: Brendan Coolsaet
Publisher: Routledge
ISBN: 0429639163
Category : Business & Economics
Languages : en
Pages : 413

Book Description
Environmental Justice: Key Issues is the first textbook to offer a comprehensive and accessible overview of environmental justice, one of the most dynamic fields in environmental politics scholarship. The rapidly growing body of research in this area has brought about a proliferation of approaches; as such, the breadth and depth of the field can sometimes be a barrier for aspiring environmental justice students and scholars. This book therefore is unique for its accessible style and innovative approach to exploring environmental justice. Written by leading international experts from a variety of professional, geographic, ethnic, and disciplinary backgrounds, its chapters combine authoritative commentary with real-life cases. Organised into four parts—approaches, issues, actors and future directions—the chapters help the reader to understand the foundations of the field, including the principal concepts, debates, and historical milestones. This volume also features sections with learning outcomes, follow-up questions, references for further reading and vivid photographs to make it a useful teaching and learning tool. Environmental Justice: Key Issues is the ideal toolkit for junior researchers, graduate students, upper-level undergraduates, and anyone in need of a comprehensive introductory textbook on environmental justice.