Data en santé : cas particulier des bases de données européennes de consommation de médicaments en soins ambulatoires PDF Download
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Book Description
Contexte L'usage qui est fait des médicaments reflète à la fois l'état de santé d'une population et ses habitudes de consommation. C'est également un enjeu politique lié au coût généré pour les Etats en matière de remboursements. D'un pays à l'autre il existe des variabilités en terme de consommation médicamenteuse. Une manière d'améliorer l'utilisation du médicament, notamment en soins ambulatoires, est d'étudier celle-ci en France par rapport à d'autres pays. Cela nécessite l'accès à des bases de données internationales pertinentes. Méthode La recherche internet de bases de données directement accessibles en ligne et les demandes d'informations envoyées par courriels auprès des institutions nationales possiblement concernées des 31 pays membres de l'Espace Economique Européen ont permis d'établir un état des lieux de ces bases de données. Celui-ci synthétise leur accessibilité, les sources utilisées pour la récupération des données et les types de traitements concernés. De plus l'étude recherchait parmi les bases de données celles utilisant la classification et l'unité de comparaison mises en place par l'Organisation Mondiale de la Santé pour une analyse objective des délivrances de médicaments. Résultats Il n'a été trouvé aucune information pour 3 pays (Malte, Grèce, Roumanie) sur les 31 étudiés. Les informations trouvées sur le Luxembourg, la Lettonie et la Bulgarie n'étaient pas assez fiables pour être retenues. Sur les 25 pays restants seuls dix diffusent publiquement leurs données de consommation, neuf autres privilégiant un accès sur requête auprès des autorités concernées. Douze bases de données européennes ne concernent que les traitements prescrits et remboursés, excluant ainsi un pan entier d'usage des médicaments (prescrits non remboursés et automédication). Enfin, si 16 bases de données nationales comparent leurs données en utilisant le système de l'OMS, ce n'est pas le cas des autres tels que la France. Celle-ci analyse la consommation de médicaments en nombre de boîtes vendues et en coûts générés, biaisant la comparabilité internationale. Conclusion A l'heure où l'ouverture des données de santé fait débat, les politiques nationales influent sur l'accessibilité des informations disponibles pour le public et les chercheurs. Pourtant, un accès facilité aux données de santé ne relevant pas d'une atteinte aux données personnelles présente un intérêt pour la conduite d'études de Santé Publique.
Book Description
Contexte L'usage qui est fait des médicaments reflète à la fois l'état de santé d'une population et ses habitudes de consommation. C'est également un enjeu politique lié au coût généré pour les Etats en matière de remboursements. D'un pays à l'autre il existe des variabilités en terme de consommation médicamenteuse. Une manière d'améliorer l'utilisation du médicament, notamment en soins ambulatoires, est d'étudier celle-ci en France par rapport à d'autres pays. Cela nécessite l'accès à des bases de données internationales pertinentes. Méthode La recherche internet de bases de données directement accessibles en ligne et les demandes d'informations envoyées par courriels auprès des institutions nationales possiblement concernées des 31 pays membres de l'Espace Economique Européen ont permis d'établir un état des lieux de ces bases de données. Celui-ci synthétise leur accessibilité, les sources utilisées pour la récupération des données et les types de traitements concernés. De plus l'étude recherchait parmi les bases de données celles utilisant la classification et l'unité de comparaison mises en place par l'Organisation Mondiale de la Santé pour une analyse objective des délivrances de médicaments. Résultats Il n'a été trouvé aucune information pour 3 pays (Malte, Grèce, Roumanie) sur les 31 étudiés. Les informations trouvées sur le Luxembourg, la Lettonie et la Bulgarie n'étaient pas assez fiables pour être retenues. Sur les 25 pays restants seuls dix diffusent publiquement leurs données de consommation, neuf autres privilégiant un accès sur requête auprès des autorités concernées. Douze bases de données européennes ne concernent que les traitements prescrits et remboursés, excluant ainsi un pan entier d'usage des médicaments (prescrits non remboursés et automédication). Enfin, si 16 bases de données nationales comparent leurs données en utilisant le système de l'OMS, ce n'est pas le cas des autres tels que la France. Celle-ci analyse la consommation de médicaments en nombre de boîtes vendues et en coûts générés, biaisant la comparabilité internationale. Conclusion A l'heure où l'ouverture des données de santé fait débat, les politiques nationales influent sur l'accessibilité des informations disponibles pour le public et les chercheurs. Pourtant, un accès facilité aux données de santé ne relevant pas d'une atteinte aux données personnelles présente un intérêt pour la conduite d'études de Santé Publique.
Author: Ellen M. Immergut Publisher: CUP Archive ISBN: 9780521413350 Category : Medical Languages : en Pages : 374
Book Description
A comparative analysis of the politics of national health insurance in Sweden, France and Switzerland, showing how the Swedes have developed the most 'socialized' health system in Western Europe, the Swiss the most 'privatized' and the French a conflict-ridden compromise between the two.
Author: Giovanna Gatti Publisher: Springer ISBN: 3319163787 Category : Medical Languages : en Pages : 91
Book Description
This book explains how telemedicine can offer solutions capable of improving the care and survival rates of cancer patients and can also help patients to live a normal life in spite of their condition. Different fields of application – community, hospital and home based – are examined, and detailed attention is paid to the use of tele-oncology in rural/extreme rural settings and in developing countries. The impact of new technologies and the opportunities afforded by the social web are both discussed. The concluding chapters consider eLearning in relation to cancer care and assess the scope for education to improve prevention. No medical condition can shatter people’s lives as cancer does today and the need to develop strategies to reduce the disease burden and improve quality of life is paramount. Readers will find this new volume in Springer’s TELe Health series to be a rich source of information on the important contribution that can be made by telemedicine in achieving these goals.
Author: Irene Papanicolas Publisher: McGraw-Hill Education (UK) ISBN: 033524727X Category : Medical Languages : en Pages : 418
Book Description
International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.
Author: Eddy K. A. van Doorslaer Publisher: OUP Oxford ISBN: Category : Business & Economics Languages : en Pages : 450
Book Description
Presents the results of research which has been facilitated by funding from the European Community and hopes to represent a significant contribution to knowledge about equity in the finance and delivery of health care in 10 countries.
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: Peter Haddad Publisher: Oxford University Press ISBN: 0198527489 Category : Medical Languages : en Pages : 334
Book Description
Pharmacotherapy is an important part of the treatment of major phychiatric disorders. Although psychiatric drugs can have benefits for patients, adverse syndromes are common, causing distress for patients. This book will help psychiatrists, GPs pharmacists and nurses manage adverse syndromes associated with psychiatric drugs.
Author: Eric C. Strain Publisher: ISBN: Category : Medical Languages : en Pages : 360
Book Description
Throughout the world, hundreds of thousands of people are addicted to opiates. The human, economic, and societal costs of this addiction are staggering: more than one-quarter of prison inmates are incarcerated for drug offenses and there has been a dramat.
Author: Rechel, Bernd Publisher: McGraw-Hill Education (UK) ISBN: 0335245676 Category : Education Languages : en Pages : 282
Book Description
"This book can be read by anyone with an interest in migration and health, whether as an advocate for migrants health, as a student in a health profession, researcher or policy maker. It provides an ample orientation to the field in the European context. Among other important raised issues, it underlines an all too often neglected fact; health is a human right. By involving broad issues and problem areas from a variety of perspectives, the volume illustrates that migration and health is a field that can not be allocated to a single discipline." Carin Bjrngren Cuadra, Senior Lecturer, Malm University, Sweden Migrants make up a growing share of European populations. However, all too often their situation is compounded by problems with accessing health and other basic services. There is a need for tailored health policies, but robust data on the health needs of migrants and how best these needs can be met are scarce. Written by a collaboration of authors from three key international organisations (the European Observatory on Health Systems and Policies, the EUPHA Section on Migrant and Ethnic Minority Health, and the International Organization for Migration), as well as leading researchers from across Europe, the book thoroughly explores the different aspects of migration and health in the EU and how they can be addressed by health systems. Structured into five easy-to-follow sections, the volume includes: Contributions from experts from across Europe Key topics such as: access to human rights and health care; health issues faced by migrants; and the national and European policy response so far Conclusions drawn from the latest available evidence Comprehensive information on different aspects of health and migration and how they can best be addressed by health systems is still not easy to find. This book addresses this shortfall and will be of major value to researchers, students, policy-makers and practitioners concerned with migration and health in an increasingly diverse Europe.
Author: World Health Organization Publisher: World Health Organization ISBN: 9241563877 Category : Business & Economics Languages : en Pages : 71
Book Description
This publication is a comprehensive assessment of leading risks to global health. It provides detailed global and regional estimates of premature mortality, disability and loss of health attributable to 24 global risk factors.--Publisher's description.
Author: Florie Martinez-Courant
Author: Florie Martinez-Courant
Author: Ellen M. Immergut
Author: Giovanna Gatti
Author: Irene Papanicolas
Author: Eddy K. A. van Doorslaer
Author: Eric Topol
Author: Peter Haddad
Author: Eric C. Strain
Author: Rechel, Bernd
Author: World Health Organization