Book Description
Introduction : La dette de la Sécurité Sociale en 2014 s'élève à 129,8 milliards d'euros. L' arrivée du médicament générique sur le marché français s' inscrit dans ce contexte de difficultés socio-économiques et a permis de générer une économie de près de 13,4 milliards d' euros entre 2000 et 2012. Il ne fait pourtant pas l'unanimité auprès des patients qui le pensent moins efficace, plus dangereux. La délivrance d'une information est donc indispensable à sa bonne diffusion et acceptation. Mais qui sont les patients majoritairement réfractaires à leur prescription ? Existe-t-il des facteurs influençant ce refus? L'objectif de cette étude est de mettre en évidence les facteurs socio-démographiques (SD) associés au refus. Méthodologie: Une enquête déclarative a été menée d'août à octobre 2014 dans 5 cabinets de médecine générale de la ville de Sète (Hérault). Un questionnaire, comportant des questions sur le refus ou non de la prescription du médicament générique et certaines caractéristiques SD, était rempli par tous les patients de plus de 18 ans, volontaires se présentant en consultation quel que soit le motif. Une différence des caractéristiques SD était mise en évidence entre le groupe pour et le groupe contre les médicaments génériques à l'aide du Chi 2. Le logiciel Epilnfo 7 a été utilisé pour l'analyse statistique. Résultats: Sur les 506 patients ayant volontairement répondu au questionnaire, 29,3 % refusaient la prescription de médicaments génériques. Les facteurs associés à ce refus étaient: être une femme: OR= I,98, IC95 [1 ,24 - 3,17],70 p =0.0044; avoir plus de 60 ans: OR=1.82, IC95 [1.20-2.78], p=0.0058; ne pas avoir fait d'études supérieures: OR= 1.57, IC95 [1.06-2.42], p=0.042. Conclusion: Le médicament générique est une source d'économie importante. Néanmoins, presque un patient sur 3 déclare les refuser. Le médecin généraliste doit fournir une information adaptée à chaque profil, afin que la substitution soit mieux acceptée. Par ailleurs, le rôle du médicament générique en tant qu'acteur de soins primaires et de santé publique, doit être renforcé par les pouvoirs publics
Author: David HouŽto Publisher: Lulu.com ISBN: 1291761152 Category : Reference Languages : fr Pages : 327
Book Description
Le terme promotion de la santé en Afrique, près de 30 ans après l'adoption de la Charte d'Ottawa, continue d'avoir des connotations complètement hors du sens que lui confère cette charte. Cela n'est pas étonnant quand on sait que la notion de santé dans ce contexte africain équivaut à la lutte contre la maladie à travers les soins de santé dispensés par des professionnels de la santé dans des formations sanitaires et les hôpitaux. L'évolution que connait le continent depuis quelques décennies est de donner un peu plus de place à la communauté à travers les relais communautaires dans une participation communautaire vidée de son contenu, car le pouvoir n'est jamais passé entre les mains des communautés.C'est au vu de tout ceci que le présent ouvrage à sa raison d'être pour expliquer les fondements de l'autonomisation communautaire et de la promotion de la santé avec leur importance pour la région africaine en proie aux mauvais indicateurs de santé comparativement aux autres régions du monde.
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.
Author: Publisher: UNICEF ISBN: 9280643762 Category : Business & Economics Languages : en Pages : 244
Book Description
This Child-Friendly Schools (CFS) Manual was developed during three-and-a-half years of continuous work, involving the United Nations Children's Fund education staff and specialists from partner agencies working on quality education. It benefits from fieldwork in 155 countries and territories, evaluations carried out by the Regional Offices and desk reviews conducted by headquarters in New York. The manual is a part of a total resource package that includes an e-learning package for capacity-building in the use of CFS models and a collection of field case studies to illustrate the state of the art in child-friendly schools in a variety of settings.
Author: Houghton Mifflin Company Publisher: Wentworth Press ISBN: 9781010370277 Category : History Languages : en Pages : 132
Book Description
This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
Author: Wolfgang Stroebe Publisher: Thomson Brooks/Cole ISBN: Category : Medical Languages : en Pages : 308
Book Description
Which behavior patterns are detrimental to one's health? Which mechanisms mediate the impact of stressful events on health? Stroebe and Stroebe explore such questions and offer an integrative approach that combines psychological, economic, and environmental interventions to reduce behavioral risk factors. This unique approach moves away from purely biomedical models of illness and addresses two major factors detrimental to health and well-being: (1) health-impairing behaviors and (2) stressful life events.
Author: Maria-Luisa Escobar Publisher: Brookings Institution Press ISBN: 0815705468 Category : Social Science Languages : en Pages : 239
Book Description
Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance-based care is key to the public policy debate of whether to extend insurance to low-income populationsand if so, how to do itor to serve them through other means.
Author: Jean-Michel Valantin Publisher: Anthem Press ISBN: 1843311704 Category : Armed Forces in motion pictures Languages : en Pages : 174
Book Description
A concerned investigation of the curious relationship between Hollywood and the US Department of Defense that exposes some distressing collaborations.
Author: Adriane Lutringer
Author: David HouŽto
Author: Julius Kuhl
Author: 
Author: R. Brian Haynes
Author: Houghton Mifflin Company
Author: Wolfgang Stroebe
Author: Maria-Luisa Escobar
Author: American Society of Health System Pharmacists
Author: Jean-Michel Valantin