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Motivations et Obstacles au Comportement de Prévention des Médecins Généralistes envers leur propre Santé

Motivations et Obstacles au Comportement de Prévention des Médecins Généralistes envers leur propre Santé PDF Author: Carole Berger
Publisher:
ISBN:
Category :
Languages : fr
Pages : 110

Book Description
Objectifs : Notre objectif principal était d'identifier les motivations et obstacles au changement du comportement de prévention des médecins généralistes envers leur propre santé afin d'améliorer leur prise en charge médicale. Notre objectif secondaire était de proposer un outil simple, pouvant être utilisé au cours d'une consultation de prévention pour améliorer le comportement de prévention des médecins généralistes envers leur propre santé. Méthode : Nous avons effectué une enquête qualitative par entretiens semi-dirigés auprès de 20 médecins généralistes de la Vienne. La saturation a été atteinte au 17ème entretien. Le corpus a été analysé selon les méthodes de l'analyse thématique avec le logiciel N Vivo par deux chercheurs à partir des entretiens retranscrits par écrit. Résultats : Les motivations et les obstacles trouvés au comportement de prévention des médecins généralistes envers leur propre santé ont été classés en trois domaines : environnemental, professionnel et personnel. Pour en faciliter la perception et l'utilisation nous les avons présentés sous forme d'un tableau récapitulatif. Nous avons créé un outil simple, synthèse de nos résultats et de nos recherches bibliographiques menées notamment sur le modèle du changement de comportement de Proschaska et DiClemente et de la méthode reconnue de l'Entretien Motivationnel, visant à faciliter la réalisation d'une consultation dédiée au comportement de prévention d'un soignant et à la rendre plus efficace. Discussion : La discussion montre que dès le stade de la prévention, les médecins présentent une grande ambivalence dans la prise en charge de leur santé. De même les obstacles rencontrés dans le cadre de la pathologie sont fréquemment déjà présents au stade de la prévention. Sur le plan des motivations comme sur celui des freins, l'influence du statut de médecin est très importante. Toutefois celles de sa personnalité et de son environnement matériel et affectif ne sont pas à négliger et tendent à nous rappeler que le médecin est avant tout une personne qui nécessite, au même titre que le patient lambda, une prise en charge dans sa globalité. Conclusion : En matière de prévention, la prise en charge d'un soignant nécessite subtilité et rigueur. L'écoute empathique et l'absence de jugement sont indispensables pour accepter l'ambivalence et rouler avec les résistances de cette population particulière. Une approche globale selon le modèle biopsychosocial de Engel facilite l'expression des obstacles et motivations au changement de comportement. Le support à la consultation de prévention d'un soignant que nous proposons pour améliorer la prise en charge du comportement de prévention des médecins généralistes envers leur propre santé doit maintenant être testé.

Motivations et Obstacles au Comportement de Prévention des Médecins Généralistes envers leur propre Santé

Motivations et Obstacles au Comportement de Prévention des Médecins Généralistes envers leur propre Santé PDF Author: Carole Berger
Publisher:
ISBN:
Category :
Languages : fr
Pages : 110

Book Description
Objectifs : Notre objectif principal était d'identifier les motivations et obstacles au changement du comportement de prévention des médecins généralistes envers leur propre santé afin d'améliorer leur prise en charge médicale. Notre objectif secondaire était de proposer un outil simple, pouvant être utilisé au cours d'une consultation de prévention pour améliorer le comportement de prévention des médecins généralistes envers leur propre santé. Méthode : Nous avons effectué une enquête qualitative par entretiens semi-dirigés auprès de 20 médecins généralistes de la Vienne. La saturation a été atteinte au 17ème entretien. Le corpus a été analysé selon les méthodes de l'analyse thématique avec le logiciel N Vivo par deux chercheurs à partir des entretiens retranscrits par écrit. Résultats : Les motivations et les obstacles trouvés au comportement de prévention des médecins généralistes envers leur propre santé ont été classés en trois domaines : environnemental, professionnel et personnel. Pour en faciliter la perception et l'utilisation nous les avons présentés sous forme d'un tableau récapitulatif. Nous avons créé un outil simple, synthèse de nos résultats et de nos recherches bibliographiques menées notamment sur le modèle du changement de comportement de Proschaska et DiClemente et de la méthode reconnue de l'Entretien Motivationnel, visant à faciliter la réalisation d'une consultation dédiée au comportement de prévention d'un soignant et à la rendre plus efficace. Discussion : La discussion montre que dès le stade de la prévention, les médecins présentent une grande ambivalence dans la prise en charge de leur santé. De même les obstacles rencontrés dans le cadre de la pathologie sont fréquemment déjà présents au stade de la prévention. Sur le plan des motivations comme sur celui des freins, l'influence du statut de médecin est très importante. Toutefois celles de sa personnalité et de son environnement matériel et affectif ne sont pas à négliger et tendent à nous rappeler que le médecin est avant tout une personne qui nécessite, au même titre que le patient lambda, une prise en charge dans sa globalité. Conclusion : En matière de prévention, la prise en charge d'un soignant nécessite subtilité et rigueur. L'écoute empathique et l'absence de jugement sont indispensables pour accepter l'ambivalence et rouler avec les résistances de cette population particulière. Une approche globale selon le modèle biopsychosocial de Engel facilite l'expression des obstacles et motivations au changement de comportement. Le support à la consultation de prévention d'un soignant que nous proposons pour améliorer la prise en charge du comportement de prévention des médecins généralistes envers leur propre santé doit maintenant être testé.

Cultural Consultation

Cultural Consultation PDF Author: Laurence J. Kirmayer
Publisher: Springer Science & Business Media
ISBN: 1461476151
Category : Psychology
Languages : en
Pages : 365

Book Description
Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.

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.

Contemporary Criminological Issues

Contemporary Criminological Issues PDF Author: Carolyn Côté-Lussier
Publisher: University of Ottawa Press
ISBN: 0776628720
Category : Social Science
Languages : en
Pages : 396

Book Description
Contemporary Criminological Issues tackles some of today’s most pressing social issues, from the criminalization of Indigenous peoples to interpersonal violence, border control, and armed conflicts. This book advances cutting-edge theories and methods, with the aim of moving beyond the scholarship that reproduces insecurity and exclusion. The breadth of approaches encompasses much of the current critical criminological scholarship, serving as a counterpoint to the growth of managerial and administrative criminologies and the rise of explicitly exclusionary and punitive state policies and practices with respect to ‘crime’ and ‘security.’ This edited collection featuring two books, one in English and one in French, includes important contributions to knowledge and public policy by eminent experts and emerging scholars. This book is published in English.

Comprehensive Cervical Cancer Control

Comprehensive Cervical Cancer Control PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547006
Category : Health & Fitness
Languages : en
Pages : 284

Book Description
Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.

Buyology

Buyology PDF Author: Martin Lindstrom
Publisher: Currency
ISBN: 0385523890
Category : Business & Economics
Languages : en
Pages : 274

Book Description
NEW YORK TIMES BESTSELLER • “A fascinating look at how consumers perceive logos, ads, commercials, brands, and products.”—Time How much do we know about why we buy? What truly influences our decisions in today’s message-cluttered world? In Buyology, Martin Lindstrom presents the astonishing findings from his groundbreaking three-year, seven-million-dollar neuromarketing study—a cutting-edge experiment that peered inside the brains of 2,000 volunteers from all around the world as they encountered various ads, logos, commercials, brands, and products. His startling results shatter much of what we have long believed about what captures our interest—and drives us to buy. Among the questions he explores: • Does sex actually sell? • Does subliminal advertising still surround us? • Can “cool” brands trigger our mating instincts? • Can our other senses—smell, touch, and sound—be aroused when we see a product? Buyology is a fascinating and shocking journey into the mind of today's consumer that will captivate anyone who's been seduced—or turned off—by marketers' relentless attempts to win our loyalty, our money, and our minds.

Revisiting Moroccan Migrations

Revisiting Moroccan Migrations PDF Author: Mohammed Berriane
Publisher: Routledge
ISBN: 1317215303
Category : Political Science
Languages : en
Pages : 232

Book Description
Over the 20th century, Morocco has become one of the world’s major emigration countries. But since 2000, growing immigration and settlement of migrants from sub-Saharan Africa, the Middle East, and Europe confronts Morocco with an entirely new set of social, cultural, political and legal issues. This book explores how continued emigration and increasing immigration is transforming contemporary Moroccan society, with a particular emphasis on the way the Moroccan state is dealing with shifting migratory realities. The authors of this collective volume embark on a dialogue between theory and empirical research, showcasing how contemporary migration theories help understanding recent trends in Moroccan migration, and, vice-versa, how the specific Moroccan case enriches migration theory. This perspective helps to overcome the still predominant Western-centric research view that artificially divide the world into ‘receiving’ and ‘sending’ countries and largely disregards the dynamics of and experiences with migration in countries in the Global South. This book was previously published as a special issue of The Journal of North African Studies.

Oxford Textbook of Palliative Medicine

Oxford Textbook of Palliative Medicine PDF Author: Nathan I. Cherny
Publisher: Oxford University Press, USA
ISBN: 0199656096
Category : Medical
Languages : en
Pages : 1281

Book Description
Emphasising the multi-disciplinary nature of palliative care the fourth edition of this text also looks at the individual professional roles that contribute to the best-quality palliative care.

Madness and Social Representations

Madness and Social Representations PDF Author: Denise Jodelet
Publisher: Univ of California Press
ISBN: 9780520078666
Category : Psychology
Languages : en
Pages : 324

Book Description
A striking account of a colony for the mentally ill that forces a reconsideration of madness in society. What happens when the mentally ill are not isolated from society but are instead welcomed into it and invited to take a place in the fabric of the community? Are fear and rejection replaced by the understanding and sympathy often engendered by familiarity? Or are the barriers between the sane and the mad only strengthened? We have experienced a taste of this scenario in the U.S. in the last decade with the new emphasis on de-institutionalization, but Denise Jodelet takes us to an extraordinary community in France where the mentally ill have assumed a visible and prominent role for more than seventy years. The small French town of Ainay-le-Ch�teau and its environs are the site of a "family colony" for men, established in 1900. Here the patients ("lodgers") live with ordinary families ("foster parents"), hold jobs, and are free to move about the countryside. Jodelet's chronicle of daily life in the colony is made rich and vivid by extensive ethnographic material as she unravels a complex set of relationships, ultimately finding that while some of the barriers between the "other" and the larger society have been overcome, new ones have arisen in their place. This unique social experiment provides invaluable social and cultural insights, illuminating many fundamental issues in psychology, psychiatry, and sociology.

Contemporary Indonesian Fashion

Contemporary Indonesian Fashion PDF Author: Alessandra Lopez y Royo
Publisher: Bloomsbury Publishing
ISBN: 1350061328
Category : Design
Languages : en
Pages : 255

Book Description
Indonesian fashion has undergone a period of rapid growth over the last three decades. This book explores how through years of social, political, and cultural upheaval, the country's fashion has moved away from “colonial fashion” and “national dress” to claim its own distinct identity as contemporary fashion in a global world. With specific reference to women's wear, Contemporary Indonesian Fashion explores the diversity and complexity of the country's sartorial offerings, which weave together local textile traditions like batik and ikat-making with contemporary narratives. The book questions concepts of “tradition” and “modernity” in the developing world, taking stock of the elite consumption of luxury brands and the large-scale manufacturing of fast fashion, and introduces us to the rise of new trends such as busana muslim (or “modest wear”), creating a portrait of a vibrant and growing national and, increasingly, international, industry. Exploring clothing in shopping malls, on the catwalk, in magazines, and online, the book examines how Indonesian fashion is made, presented, and consumed, combining research in Indonesia with analysis and personal reflection. Contemporary Indonesian Fashion ultimately questions the deeply entrenched eurocentrism of "global fashion", simultaneously interrogating current homogenizing beauty and body image discourses posited as universal, by pointing to absences, silences, and erasures as reflected by contemporary Indonesian fashion- hence the "looking glass" of the title. Aptly illustrated, the book offers a new perspective on a rapidly developing new fashion capital, Jakarta.