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Book Description
Introduction : Un des enjeux majeurs de la prise en charge des patients est la transmission des informations entre médecins hospitalier et médecins de ville. Un des outils principaux de la continuité de soins est le courrier de fin d'hospitalisation. Pour palier a ces limites la Haute Autorité de Santé (HAS) a publié de nouvelles recommandations en 2014 sur le contenu et la mise en forme du document avec les nouveaux outils électroniques. La prise en charge de la population gériatrique nécessite une coordination ville/hôpital particulièrement efficace. Objectif : Cet étude évalue la satisfaction des médecins généralistes vis-à-vis du courrier de fin d'hospitalisation dans trois services de gériatrie aigüe d'Ile de France. Méthode : Un questionnaire de satisfaction a été envoyé avec le courrier de sortie aux médecins traitants des patients sortant d'hospitalisation entre le 4 Mai 2017 et le 6 décembre 2017 des services de gériatrie aigue de l'hôpital Rothschild, l'hôpital Bretonneau et l'hôpital Simone Veil. Les questionnaires étaient retournés par le médecin dans une enveloppe réponse. Le critère de jugement principal était le taux de satisfaction des médecins généraliste sur la qualité du courrier de fin d'hospitalisation. Résultats : Le taux de satisfactions sur la qualité du courrier de fin d'hospitalisation était de 94%. Les critères de jugement secondaires ont aussi recueilli des taux de satisfaction similaire. Conclusion : Les médecins généralistes sont satisfaits de la qualité du courrier de sortie suivant les recommandations de l'HAS. Cependant l'on retrouve un délai de réception toujours perçus comme trop long par les médecins traitant (taux de satisfaction de 71%) et le souhait d'une communication directe entre les médecins de ville et les médecins hospitalier.
Book Description
Introduction : Un des enjeux majeurs de la prise en charge des patients est la transmission des informations entre médecins hospitalier et médecins de ville. Un des outils principaux de la continuité de soins est le courrier de fin d'hospitalisation. Pour palier a ces limites la Haute Autorité de Santé (HAS) a publié de nouvelles recommandations en 2014 sur le contenu et la mise en forme du document avec les nouveaux outils électroniques. La prise en charge de la population gériatrique nécessite une coordination ville/hôpital particulièrement efficace. Objectif : Cet étude évalue la satisfaction des médecins généralistes vis-à-vis du courrier de fin d'hospitalisation dans trois services de gériatrie aigüe d'Ile de France. Méthode : Un questionnaire de satisfaction a été envoyé avec le courrier de sortie aux médecins traitants des patients sortant d'hospitalisation entre le 4 Mai 2017 et le 6 décembre 2017 des services de gériatrie aigue de l'hôpital Rothschild, l'hôpital Bretonneau et l'hôpital Simone Veil. Les questionnaires étaient retournés par le médecin dans une enveloppe réponse. Le critère de jugement principal était le taux de satisfaction des médecins généraliste sur la qualité du courrier de fin d'hospitalisation. Résultats : Le taux de satisfactions sur la qualité du courrier de fin d'hospitalisation était de 94%. Les critères de jugement secondaires ont aussi recueilli des taux de satisfaction similaire. Conclusion : Les médecins généralistes sont satisfaits de la qualité du courrier de sortie suivant les recommandations de l'HAS. Cependant l'on retrouve un délai de réception toujours perçus comme trop long par les médecins traitant (taux de satisfaction de 71%) et le souhait d'une communication directe entre les médecins de ville et les médecins hospitalier.
Author: OECD Publisher: OECD Publishing ISBN: 9264266410 Category : Languages : en Pages : 306
Book Description
Countries could potentially spend significantly less on health care with no impact on health system performance, or on health outcomes. This report reviews strategies put in place by countries to limit ineffective spending and waste.
Author: Andrea Maloney Schara Publisher: ISBN: 9780615928791 Category : Families Languages : en Pages : 318
Book Description
"Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.
Author: Nicolas Lesca Publisher: John Wiley & Sons ISBN: 1118601920 Category : Political Science Languages : en Pages : 341
Book Description
This work is an initial exploration of the relationship between scanning and sustainable development. In ten chapters, the authors examine the application, characteristics and implementation of scanning oriented toward sustainable development. Thus the work offers some answers to the questions “what is sustainable scanning?”, “what new issues does it raise for management practice and management science?”, “what forms can it take?” and “how...?”
Author: Sahra Gibbon Publisher: Routledge ISBN: 1134144725 Category : Health & Fitness Languages : en Pages : 387
Book Description
Biosocialities, Genetics and the Social Sciences explores the social, cultural and economic transformations that result from innovations in genomic knowledge and technology. This pioneering collection uses Paul Rabinow’s concept of biosociality to chart the shifts in social relations and ideas about nature, biology and identity brought about by developments in biomedicine. Based on new empirical research, it contains chapters on genomic research into embryonic stem cell therapy, breast cancer, autism, Parkinson’s and IVF treatment, as well as on the expectations and education surrounding genomic research. It covers four main themes: novel modes of identity and identification, such as genetic citizenship the role of institutions, ranging from disease advocacy organizations and voluntary organizations to the state the production of biological knowledge, novel life-forms, and technologies the generation of wealth and commercial interests in biology. Including an afterword by Paul Rabinow and case studies on the UK, US, Canada, Germany, India and Israel, this book is key reading for students and researchers of the new genetics and the social sciences – particularly medical sociologists, medical anthropologists and those involved with science and technology studies.
Author: Peter D. O. Davies Publisher: CRC Press ISBN: 0429586493 Category : Medical Languages : en Pages : 482
Book Description
Completely updated and revised, Clinical Tuberculosis continues to provide the TB practitioner-whether in public health, laboratory science or clinical practice-with a synoptic and definitive account of the latest methods of diagnosis, treatment and control of this challenging and debilitating disease.New in the Fifth Edition:Gamma interferon-based
Author: Dawn Goodwin Publisher: Cambridge University Press ISBN: 0521882060 Category : Medical Languages : en Pages : 209
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.
Author: Eric Topol Publisher: Basic Books ISBN: 0465094473 Category : Medical Languages : en Pages : 386
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: Jeanne-Elisabeth Bedry-Bernascon
Author: Jeanne-Elisabeth Bedry-Bernascon
Author: OECD
Author: Andrea Maloney Schara
Author: Nicolas Lesca
Author: Sahra Gibbon
Author: 
Author: Peter D. O. Davies
Author: Dawn Goodwin
Author: Eliot Freidson
Author: Eric Topol