Comment les médecins généralistes perçoivent l'évolution de leurs pratiques en soins palliatifs PDF Download

Author: Florent Jauzion
Publisher:
ISBN:
Category :
Languages : fr
Pages : 148

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Author: Océane Dantec
Publisher:
ISBN:
Category :
Languages : fr
Pages : 366

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Introduction : Les soins palliatifs à domicile interrogent toujours autant les médecins généralistes malgré de nombreuses évolutions législatives, visant à guider leurs pratiques. Quels sont aujourd'hui les besoins ressentis par les médecins généralistes isséens dans le vécu de leurs pratiques palliatives à domicile ? Matériel et méthodes : Une étude qualitative d'approche phénoménologique a été menée, sous forme d'entretiens individuels semi-dirigés auprès de médecins généralistes d'Issy-Les-Moulineaux, entre mai 2017 et janvier 2019. Résultats : 11 médecins généralistes isséens ont été interrogés : 7 femmes et 4 hommes, âgés de 29 à 67 ans, tous libéraux. Cette étude a permis de mettre en avant la relation médecin-malade en soins palliatifs, en décrivant la place du médecin généraliste, le type de relation et le cadre de soin. La prise en charge se faisait en plusieurs temps : discerner le « passage » en soins palliatifs, décider de la prise en charge, accepter et faire accepter l'absence de guérison et enfin se détacher de l'accompagnement. Des besoins essentiels autour de ces prises en charge ont pu être identifiés : un partenariat étroit avec une équipe experte en ville et des paramédicaux investis, une collaboration efficiente avec les services sociaux et hospitaliers, et le besoin de disposer d'un espace neutre d'échanges de pratiques. Conclusion : Cette étude propose des pistes d'amélioration pour les soins palliatifs à domicile, en ciblant spécifiquement les besoins exprimés par les médecins généralistes à travers leurs expériences de soins. Elle guidera également un projet associatif communal.

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

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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.

Author: Doreen Oneschuk
Publisher: Oxford University Press
ISBN: 0191628727
Category : Medical
Languages : en
Pages : 430

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Palliative care is now an integral part of the undergraduate medical curriculum. Medical education across the board is adopting a case-based approach. This book uses a series of cases to illustrate critical points in palliative medicine. The case-studies have been carefully chosen to reflect real life clinical practice. The contributors illustrate, through the case studies, the desired skills, attitudes, and knowledge required in this field of medicine. Since publication of the second edition, many approaches to palliative care have been further refined and developed. Ongoing research has led to the improved use of existing medications, and the development of several new treatments. More is known about the psychosocial existential distress experienced by patients and their families resulting in an improved understanding by health care providers of how best to approach and assist those affected by advanced illness, and more is known about methadone and other medications with emerging uses. The third edition of this highly popular book continues to offer a panoramic view of palliative care. It introduces a number of new topics including Neurological Disorders, The Last Days, and Palliative Sedation.

Author: Eric Topol
Publisher: Basic Books
ISBN: 0465094473
Category : Medical
Languages : en
Pages : 386

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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: Irene Papanicolas
Publisher: McGraw-Hill Education (UK)
ISBN: 033524727X
Category : Medical
Languages : en
Pages : 418

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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: Council of Europe
Publisher: Council of Europe
ISBN: 9789287100979
Category : Political Science
Languages : fr
Pages : 96

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Annex and addenda 1 and 2:.

Author: Dawn Goodwin
Publisher: Cambridge University Press
ISBN: 0521882060
Category : Medical
Languages : en
Pages : 209

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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:
Publisher: Radcliffe Publishing
ISBN: 9781857759761
Category : Medical audit
Languages : en
Pages : 208

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Clinical audit is at the heart of clinical governance. Provides the mechanisms for reviewing the quality of everyday care provided to patients with common conditions like asthma or diabetes. Builds on a long history of doctors, nurses and other healthcare professionals reviewing case notes and seeking ways to serve their patients better. Addresses the quality issues systematically and explicitly, providing reliable information. Can confirm the quality of clinical services and highlight the need for improvement. Provides clear statements of principle about clinical audit in the NHS.

Author: Colin M. Parkes
Publisher:
ISBN:
Category : Family & Relationships
Languages : en
Pages : 360

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