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Le sentiment d'obligation de prescription chez le médecin généraliste

Le sentiment d'obligation de prescription chez le médecin généraliste PDF Author: Sami Bourbia
Publisher:
ISBN:
Category :
Languages : fr
Pages : 144

Book Description
Titre : le sentiment d'obligation de prescription chez le médecin généraliste : origines, mécanismes ett représentations à travers une étude qualitative. Introduction : en France, 90% des consultations donnent lieu à une prescription de médicaments. Certains médecins généralistes déclarent se sentir obligés de prescrire à la fin d'une consultation. Notre étude avait pour but d'étudier les caractéristiques de ce sentiment d'obligation Méthode : cette étude est une étude qualitative avec une approche par théorisation ancrée. Les données ont été recueillies à partir de 11 entretiens individuels semi-dirigés réalisés auprès de médecins généralistes entre avril et aout 2021. Résultats : le médecin se sent obligé de prescrire en réaction à des pressions et influences exercées sur lui, par le patient, les confrères, les médias, les laboratoires. Cette contrainte à la prescription a des conséquences délétères sur le médecin. Ce sentiment d'obligation nait aussi d'une consumérisation de la relation médecin-malade. Utiliser « le remède-médecin » en écoutant et en rassurant le patient permet de remplacer l'ordonnance. Eduquer le patient et prendre des décisions partagées avec lui permet également de se libérer de cette obligation de prescription. Recevoir des enseignements ciblés sur la communication avec le patient pourrait aider les médecins. La réalisation de campagnes d'information à destination du grand public pourrait réduire les pressions subies par les médecins. Conclusion : les médecins subissent des pressions qui créent chez eux un sentiment d'obligation de prescription. Favoriser l'éducation et l'écoute du patient permet de lutter contre ce sentiment d'obligation. Etudier le contenu et l'impact d'une intervention auprès des patients pourrait aider à résoudre ce problème.

Le sentiment d'obligation de prescription chez le médecin généraliste

Le sentiment d'obligation de prescription chez le médecin généraliste PDF Author: Sami Bourbia
Publisher:
ISBN:
Category :
Languages : fr
Pages : 144

Book Description
Titre : le sentiment d'obligation de prescription chez le médecin généraliste : origines, mécanismes ett représentations à travers une étude qualitative. Introduction : en France, 90% des consultations donnent lieu à une prescription de médicaments. Certains médecins généralistes déclarent se sentir obligés de prescrire à la fin d'une consultation. Notre étude avait pour but d'étudier les caractéristiques de ce sentiment d'obligation Méthode : cette étude est une étude qualitative avec une approche par théorisation ancrée. Les données ont été recueillies à partir de 11 entretiens individuels semi-dirigés réalisés auprès de médecins généralistes entre avril et aout 2021. Résultats : le médecin se sent obligé de prescrire en réaction à des pressions et influences exercées sur lui, par le patient, les confrères, les médias, les laboratoires. Cette contrainte à la prescription a des conséquences délétères sur le médecin. Ce sentiment d'obligation nait aussi d'une consumérisation de la relation médecin-malade. Utiliser « le remède-médecin » en écoutant et en rassurant le patient permet de remplacer l'ordonnance. Eduquer le patient et prendre des décisions partagées avec lui permet également de se libérer de cette obligation de prescription. Recevoir des enseignements ciblés sur la communication avec le patient pourrait aider les médecins. La réalisation de campagnes d'information à destination du grand public pourrait réduire les pressions subies par les médecins. Conclusion : les médecins subissent des pressions qui créent chez eux un sentiment d'obligation de prescription. Favoriser l'éducation et l'écoute du patient permet de lutter contre ce sentiment d'obligation. Etudier le contenu et l'impact d'une intervention auprès des patients pourrait aider à résoudre ce problème.

The Violence of Modernity

The Violence of Modernity PDF Author: Debarati Sanyal
Publisher: JHU Press
ISBN: 1421429292
Category : Literary Criticism
Languages : en
Pages : 289

Book Description
The Violence of Modernity turns to Charles Baudelaire, one of the most canonical figures of literary modernism, in order to reclaim an aesthetic legacy for ethical inquiry and historical critique. Works of modern literature are commonly theorized as symptomatic responses to the trauma of history. In a climate that tends to privilege crisis over critique, Debarati Sanyal argues that it is urgent to rethink literary experience in terms that recall its contestatory potential. Examining Baudelaire's poems afresh, she shifts the focus of critical attention toward an account of modernism as an active engagement with violence, specifically the violence of history in nineteenth-century France. Sanyal analyzes a literary current that uses the traditional hallmarks of modernism—irony, intertextuality, self-reflexivity, and formalism—to challenge the historical violence of modernity. Baudelaire and the committed ironists writing in his wake teach us how to read and resist the violence of history, and thereby to challenge the melancholy tenor of our contemporary "wound culture." In a series of provocative readings, Sanyal presents Baudelaire's poetry as an aesthetic form that contests historical violence through rhetorical strategies of complicity, counterviolence, and critique. The book develops a new account of Baudelaire's significance as a modernist by dislodging him both from his traditional status as a practitioner of "art for art's sake" and from his more recent incarnation as the poet of trauma. Following her extended analysis of Baudelaire's poetry, Sanyal in later chapters considers a number of authors influenced by his strategies—including Rachilde, Virginie Despentes, Albert Camus, and Jean-Paul Sartre—to examine the relevance of their interventions for our current climate of trauma and terror. The result is a study that underscores how Baudelaire's legacy continues to energize literary engagements with the violence of modernity.

Empires, Nations, and Natives

Empires, Nations, and Natives PDF Author: Benoît de L'Estoile
Publisher: Duke University Press
ISBN: 0822387107
Category : Social Science
Languages : en
Pages : 351

Book Description
Empires, Nations, and Natives is a groundbreaking comparative analysis of the interplay between the practice of anthropology and the politics of empires and nation-states in the colonial and postcolonial worlds. It brings together essays that demonstrate how the production of social-science knowledge about the “other” has been inextricably linked to the crafting of government policies. Subverting established boundaries between national and imperial anthropologies, the contributors explore the role of anthropology in the shifting categorizations of race in southern Africa, the identification of Indians in Brazil, the implementation of development plans in Africa and Latin America, the construction of Mexican and Portuguese nationalism, the genesis of “national character” studies in the United States during World War II, the modernizing efforts of the French colonial administration in Africa, and postcolonial architecture. The contributors—social and cultural anthropologists from the Americas and Europe—report on both historical and contemporary processes. Moving beyond controversies that cast the relationship between scholarship and politics in binary terms of complicity or autonomy, they bring into focus a dynamic process in which states, anthropological knowledge, and population groups themselves are mutually constructed. Such a reflexive endeavor is an essential contribution to a critical anthropological understanding of a changing world. Contributors: Alban Bensa, Marcio Goldman, Adam Kuper, Benoît de L’Estoile, Claudio Lomnitz, David Mills, Federico Neiburg, João Pacheco de Oliveira, Jorge Pantaleón, Omar Ribeiro Thomaz, Lygia Sigaud, Antonio Carlos de Souza Lima, Florence Weber

The Politics of War Trauma

The Politics of War Trauma PDF Author: Jolande Withuis
Publisher: Amsterdam University Press
ISBN: 9052603715
Category : History
Languages : en
Pages : 385

Book Description
This study compares the policies and attitudes toward the health consequences of World War II in eleven European countries: Austria, Belgium, Denmark, East Germany, France, Italy, Luxembourg, the Netherlands, Norway, Poland, and West Germany. It shows the remarkably asynchronous development in these countries of health care financing and treatment for war survivors, and of the patients’ perception of their own health. Using an innovative and multidisciplinary approach, Withuis and Mooij analyze postwar health care in the context of the European political climate at that time.

Dictionary of Foreign Quotations

Dictionary of Foreign Quotations PDF Author: Robert Collison
Publisher: Springer
ISBN: 1349048984
Category : Literary Criticism
Languages : en
Pages : 415

Book Description


Suicide

Suicide PDF Author: Danuta Wasserman
Publisher: Oxford University Press
ISBN: 0191026832
Category : Medical
Languages : en
Pages : 449

Book Description
Approximately one million people worldwide commit suicide each year, and at least ten times as many attempt suicide. A considerable number of these people are in contact with members of the healthcare sector, and encounters with suicidal individuals form a common part of the everyday work of many healthcare professionals. Suicide: An unnecessary death examines the pharmacological, psychotherapeutic, and psychosocial measures adopted by psychiatrists, GPs, and other health-care staff, and emphasizes the need for a clearer psychodynamic understanding of the self if patients are to be successfully recognized, diagnosed, and treated. Drawing on the latest research by leading international experts in the field of suicidology, this new edition provides clinicians with an accessible summary of the latest research into suicide and its prevention. The abundance of new literature can make it difficult for those whose clinical practice involves daily contact with suicidal patients to devote sufficient time to penetrating the research and, accordingly, apply new findings in their clinical practice. In light of the WHO Mental Health Action Plan 2013-2020, this new edition is a timely contribution to the field, and a vital and rapid overview, that will increase awareness of suicide prevention methods.

Biosocialities, Genetics and the Social Sciences

Biosocialities, Genetics and the Social Sciences PDF 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.

Parliamentary Oversight of the Security Sector

Parliamentary Oversight of the Security Sector PDF Author: Philipp Fluri
Publisher: DCAF
ISBN: 8683543102
Category : Legislative oversight
Languages : en
Pages : 209

Book Description


Perspectives of Law and Culture on the End-of-life Legislations in France, Germany, India, Italy and United Kingdom

Perspectives of Law and Culture on the End-of-life Legislations in France, Germany, India, Italy and United Kingdom PDF Author: Stéphanie Rohlfing-Dijoux
Publisher: Nomos Verlagsgesellschaft
ISBN: 9783848754922
Category : Advance directives (Medical care)
Languages : en
Pages : 0

Book Description
Présentation de l'éditeur : "The interactions between law and culture in addressing the legal problems at the end of a life are currently being discussed in many countries. The discourse on this issue should be multidisciplinary, taking into account its legal, medical, ethical, philosophical and anthropological aspects. The concepts designed to manage the legal problems that occur when a life comes to an end are closely linked to the culture of each country. For this reason, countries with different cultural backgrounds have been selected for this comparative end-of-life study. In France, Germany and Italy, which have a continental legal system, the United Kingdom, which has a common law system, and India, the various religions and cultures exert an important influence on the modernisation of the legislation in this respect. The book deals with recent legislative changes and developments in the countries surveyed."

Action Control

Action Control PDF Author: Julius Kuhl
Publisher: Springer Science & Business Media
ISBN: 3642697461
Category : Psychology
Languages : en
Pages : 432

Book Description
"It is not thought as such that can move anything, but thought which is for the sake of something and is practical." This discerning insight, which dates back more than 2000years to Aristotle, seems to have been ignored by most psycholo gists. For more than 40years theories of human action have assumed that cogni tion and action are merely two sides of the same coin. Approaches as different as S-O-R behaviorism,social learning theory, consistency theories,and expectancy value theories of motivation and decision making have one thing in common: they all assume that "thought (or any other type of cognition) can move any thing," that there is a direct path from cognition to behavior. In recent years, we have become more and more aware of the complexities in volved in the relationship between cognition and behavior. People do not always do what they intend to do. Aside from several nonpsychological factors capable of reducing cognition-behavior consistency, there seems to be a set of complex psychological mechanisms which intervene between action-related cognitions, such as beliefs, expectancies, values, and intentions,and the enactment of the be havior suggested by those cognitions. In our recent research we have focused on volitional mechanismus which presumably enhance cognition-behavior consistency by supporting the main tenance of activated intentions and prevent them from being pushed aside by competing action tendencies.