Download or read book Pourquoi les patients viennent consulter nombreux aux urgences written by Dorra Ben Youssef and published by . This book was released on 2012 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: Depuis leur création, dans le milieu des années 60, les services des urgences n'ont cessé de voir leur activité croître d'années en années. Une étude DREES montre que seuls 20 % des passages aux urgences sont suivis d'une hospitalisation. La problématique de l'engorgement des urgences a suscité plusieurs études et enquêtes afin d'essayer d'appréhender le profil des usagers qui s'adressent aux urgences hospitalières pour des motifs de recours relevant de la médecine générale. L'objet de cette thèse est de faire un état des lieux sur une revue de la littérature francophone. Trois études ont été retenues : l'étude nationale DREES, une étude réalisée aux urgences de Nancy et une étude réalisée aux urgences de Nanterre. L'analyse de ces études montre que les patients qui ont recours aux urgences sont des patients jeunes, qui travaillent et qui ont une bonne couverture sociale. Les structures des urgences générales et pédiatriques voient leur mission glisser vers la médecine de proximité, ce qui pose le problème de la prise en charge de la consultation non programmée.
Download or read book Pourquoi les patients vont ils aux urgences au lieu de solliciter la permanence des soins tude observationnelle descriptive transversale au sein des services d urgence du CHU de Bordeaux site Pellegrin et du CH d Agen written by Maximilien Guerry and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Pourquoi les patients consultent-ils les Urgences plutôt que le médecin généraliste ou le médecin de garde? Méthode : Enquête par questionnaire auprès de tous les patients admis aux Urgences du CHU de Bordeaux et du CH d'Agen les 20 et 25 octobre 2015. Résultats : Sur 333 patients inclus dans l'étude, 43,3% pensaient que leur problème était grave, 41,67% sont venus car l'hôpital est ouvert 24 heures sur 24, 27,78% sont venus car leur médecin n'était pas disponible, 27,43% sont venus car tout est faisable sur place, et 16,67% sont venus par habitude des Urgences. 19,79 % des patients pensaient que les médecins généralistes ne prenaient pas en charge le type de problème qu'ils présentaient. 2,08% sont venus pour la gratuité des soins. 60,76% déclaraient ne pas savoir comment joindre le médecin de garde. Discussion : Les données retrouvées dans cette enquête sont concordantes avec la littérature internationale. Les patients viennent aux Urgences pour la praticité, par habitude, par méconnaissance du système de permanence des soins et des capacités de soins du médecin généraliste. La motivation financière n'est pas au premier plan Conclusion : De nombreux patients viennent aux Urgences sans avis médical préalable. Il semble nécessaire d'éduquer les patients, de limiter l'accès spontané aux Urgences tout en favorisant la régulation par le SAMU-Centre 15.
Download or read book Pourquoi les patients viennent ils aux urgences written by Olivier Tilak and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : Depuis leur création, l’activité des services d’urgences ne cesse de croitre. Ils doivent aujourd’hui faire face à des phénomènes d’engorgement. Objectifs de l’étude : Examen des caractéristiques socio-démographiques, trajectoires et motivations de recours aux urgences des usagers, et des représentations qu’ils se font de ce service. L’étude cherche à définir différents profils de patients selon ces déterminants. Protocole : Etude prospective, descriptive et observationnelle d’une cohorte d usagers. Lieu de l’étude : Etude monocentrique menée au sein du Service des Urgences du C.H.Douai. Matériels et méthodes : Etude incluant tous les patients admis administrativement dans le service, à l’exception de ceux transférés depuis un autre service ou un autre hôpital. Sur 7 journées, 1064 patients ont pu être inclus dans cette étude. Critère de jugement principal : L’établissement de différents profils d’usagers d'un service d'urgence de centre hospitalier général selon les représentations qu'ils s'en font, leurs motivations et trajectoires de recours, et leurs caractéristiques socio-démographiques. Résultats : Cinq profils discriminants ont pu être définis : Les patients admis suite à intervention de la police, les patients difficilement interrogeables, les patients en état « grave », les patients âgés, et les patients adressés par un médecin. Conclusions : L’analyse des caractéristiques socio-démographiques des patients, de leurs trajectoires et motivations de recours aux urgences et des représentations qu’ils en ont, permet de définir différents profils d’usagers. Face à l’engorgement des urgences, ces constatations locales sont une aide pour adapter l’organisation du service à sa population de patients.
Download or read book PROMOTION DE LA SANTE ET AUTONOMISATION DANS LE CONTEXTE AFRICAIN written by David HouŽto and published by Lulu.com. This book was released on 2014-02-26 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Welcome to the United States written by and published by . This book was released on 2007 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Environmental Scanning and Sustainable Development written by Nicolas Lesca and published by John Wiley & Sons. This book was released on 2013-01-24 with total page 341 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work is an initial exploration of the relationship between scanning and sustainable development. In ten chapters, the authors examine the application, characteristics and implementation of scanning oriented toward sustainable development. Thus the work offers some answers to the questions “what is sustainable scanning?”, “what new issues does it raise for management practice and management science?”, “what forms can it take?” and “how...?”
Download or read book Speed Management written by European Conference of Ministers of Transport and published by OECD Publishing. This book was released on 2006-10-13 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: Speeding is the number one road safety problem in a large number of OECD/ECMT countries. It is responsible for around one third of the current, unacceptably high levels of road fatalities. Speeding has an impact not only on accidents but also on the ...
Download or read book Medicare Prospective Payment and the Shaping of U S Health Care written by Rick Mayes and published by JHU Press. This book was released on 2006-12-20 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.
Download or read book Corpus Linguistics and the Web written by Marianne Hundt and published by Rodopi. This book was released on 2007 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using the Web as Corpus is one of the recent challenges for corpus linguistics. This volume presents a current state-of-the-arts discussion of the topic. The articles address practical problems such as suitable linguistic search tools for accessing the www, the question of register variation, or they probe into methods for culling data from the web. The book also offers a wide range of case studies, covering morphology, syntax, lexis, as well as synchronic and diachronic variation in English. These case studies make use of the two approaches to the www in corpus linguistics - web-as-corpus and web-for-corpus-building. The case studies demonstrate that web data can provide useful additional evidence for a broad range of research questions.
Download or read book Clinical Management of Patients with Viral Haemorrhagic Fever written by World Health Organization and published by World Health Organization. This book was released on 2016-05-03 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in March 2014 under the title "Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for West Africa".
Download or read book Discourse In Educational And Social Research written by Maclure, Maggie and published by McGraw-Hill Education (UK). This book was released on 2003-03-01 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: WINNER: 2004 AESA Critics' Choice Award "With wonderful clarity Maggie MacLure shows how deconstructionism opens new avenues of critical inquiry and understanding for educational researchers. In exposing the hidden, ideological side of terms like clarity, certainty, mastery, and relevance she allows us to see schooling and educational policy in new ways. In so doing she allows us to imagine classrooms as liberating, pedagogical places, as places where new forms of desire, knowledge, and learning take place" Norman K. Denzin, University of Illinois at Urbana-Champaign This book is both practical and provocative. It demonstrates the insights and the challenges of a discourse-based orientation to educational and social research. Drawing on a variety of educational and social science 'texts' - including press articles, life history interviews, parent-teacher consultations, policy debates and ethnographies - the author shows how knowledge, power, identities and realities are constructed and problematised in discourse. The book also deals with research itself as discursive practice, examining the texts that qualitative researchers produce and consume: reports, monographs, journal articles. Practical examples are included for researchers and graduate students wishing to 'interrogate' their own data from a discourse perspective. The author develops a critical awareness of the researcher's role as writer/reader of texts. The book makes the case for 'discursive literacy' in research. While its primary allegiances are to poststructuralism and deconstruction, it draws from a wide range of disciplines, including interaction sociology, feminist ethnography, literary theory, critical discourse analysis and art history. What holds the book together is the persistent question: how to do educational research and social research within a 'crisis of representation' that has unsettled the relationship between words and worlds?
Download or read book Collection of Essays by Legal Advisers of States Legal Advisers of International Organizations and Practitioners in the Field of International Law written by United Nations. Office of Legal Affairs and published by United Nations Publications. This book was released on 1999 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: The world has changed radically since 1989, when the General Assembly declared the period from 1990 to 1999 as the United Nations Decade of International Law. During that time, the international community claimed some major achievements as reflected by the adoption of conventions and treaties. This publication presents a collection of essays from legal advisers of States and international organizations, all of whom are among those committed to promoting respect for international law. Their contribution provides a practical perspective on international law, viewed from the standpoint of those involved in its formation, application and administration.
Download or read book Gender National Security and Counter terrorism written by Margaret L. Satterthwaite and published by Routledge. This book was released on 2013 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: From its inception, the "War on Terror" has been a heavily gendered endeavour. A careful examination of counter-terrorism campaigns outside the current "War on Terror," reveals that such national security efforts also have a complex, but often unexplored, relationship to gender. This edited volume brings together scholars from various disciplines to consider, from a human rights perspective, the many ways in which gender interacts with counter-terrorism and national security efforts by modern states. The book provides a systematic overview of the key intersections between gender and counter-terrorism considering what it means to take a gendered human rights approach to counter-terrorism measures, the patterns that emerge from such an approach, and the human rights tools that can be utilized in this endeavour. The book includes case studies of specific countries including Pakistan, Sri Lanka and the USA, exploring the intersections of gender and counter-terrorism in the specific country context, drawing both country-specific and general conclusions. It goes on to examine the narratives and common assumptions at work in the counter-terrorism context and the gendered impacts of specific policies, analyzing through a gender lens the counter-terrorism efforts associated with the post-9/11 "War on Terror" as well as other campaigns against terrorism.
Download or read book Corpus written by Jean-Luc Nancy and published by Fordham Univ Press. This book was released on 2009-08-25 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: How have we thought “the body”? How can we think it anew? The body of mortal creatures, the body politic, the body of letters and of laws, the “mystical body of Christ”—all these (and others) are incorporated in the word Corpus, the title and topic of Jean-Luc Nancy’s masterwork. Corpus is a work of literary force at once phenomenological, sociological, theological, and philosophical in its multiple orientations and approaches. In thirty-six brief sections, Nancy offers us at once an encyclopedia and a polemical program—reviewing classical takes on the “corpus” from Plato, Aristotle, and Saint Paul to Descartes, Hegel, Husserl, and Freud, while demonstrating that the mutations (technological, biological, and political) of our own culture have given rise to the need for a new understanding of the body. He not only tells the story of this cultural change but also explores the promise and responsibilities that such a new understanding entails. The long-awaited English translation is a bold, bravura rendering. To the title essay are added five closely related recent pieces—including a commentary by Antonia Birnbaum—dedicated in large part to the legacy of the “mind-body problem” formulated by Descartes and the challenge it poses to rethinking the ancient problems of the corpus. The last and most poignant of these essays is “The Intruder,” Nancy’s philosophical meditation on his heart transplant. The book also serves as the opening move in Nancy’s larger project called “The deconstruction of Christianity.”
Download or read book Acting in Anaesthesia written by Dawn Goodwin and published by Cambridge University Press. This book was released on 2009-02-16 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book PHTLS French Secours et soins prehospitaliers aux traumatises Huitieme Edition written by NAEMT, and published by Jones & Bartlett Learning. This book was released on 2016-05-26 with total page 745 pages. Available in PDF, EPUB and Kindle. Book excerpt: PHTLS Secours et soins préhospitaliers aux traumatisés, Huitième Édition est le programme mondial d'éducation de traumatologie et préhospitalière éprouvé le plus important de la NAEMT.
