Download or read book Les lettres d adressage des g n ralistes vers les sp cialistes written by Thomas Cartier and published by . This book was released on 2010 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: CONTEXTE : La coordination entre soins primaires et secondaires nécessite des moyens de communication interprofessionnelle. Historiquement, les lettres d'adressage, de réponse et de sortie d'hospitalisation remplissent ce rôle et restent actuellement les principaux vecteurs d'informations. Ceci est d'autant plus crucial dans les systèmes de soins avec gatekeeping où les lettres d'adressage permettent réglementairement aux patients d'aller consulter un spécialiste. L'information contenue dans ces lettres peut être évaluée selon des critères de qualité médicale, littéraire et administrative. OBJECTIFS : Evaluer la qualité du contenu des lettres d'adressages issues des médecins généralistes et établir des comparaisons entre pays et entre spécialités destinataires. METHODES : Une revue systématique de la littérature est entreprise à la recherche de collections publiées de lettres d'adressage, analysées quant à leur qualité. RESULTATS : 176 études correspondent aux critères de la revue systématique. Pour 63 d'entre elles, le texte intégral n'a pu être récupéré et pour 34, les données présentes ne sont pas exploitables. Au final, 44 études ont pu être analysées numériquement et 5 autres ont fourni des critères d'évaluation pour les lettres d'adressages. Leur contenu apparaît globalement pauvre. Les items médicaux les plus souvent présents sont le motif d'adressage (81,60 %), l'histoire de la maladie (68,71 %), les antécédents personnels (51,44 %). Toutes les études sauf 6 proviennent de systèmes de soins avec gatekeeping. CONCLUSION : II paraît pertinent d'aborder la question de la coordination et des pratiques de soins primaires sous l'angle du contenu des lettres d'adressage, mais il existe des limites à cette approche. L'exercice pourrait s'avérer intéressant dans le cadre de l'évaluation des pratiques professionnelles et de la formation médicale initiale.

Download or read book Proposition d un courrier d adressage type apr s analyse de la qualit des courriers d adressage des m decins g n ralistes dans le service de m decine interne du centre hospitalier d Epernay et valuation de l adh sion des m decins g n ralistes du bassin d Epernay par questionnaire written by Geoffrey Rigollet and published by . This book was released on 2019 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Le courrier médical est le principal outil de communication entre les médecins. Des critères de rédaction indispensables à la prise en charge optimale des patients ont été définis. L'objectif de cette étude était, dans un premier temps, d'évaluer la qualité des courriers d'adressage de médecins généralistes dans le service de Médecine Générale et Interne du Centre Hospitaliser d'Epernay sur 3 mois ; puis dans un deuxième temps, d'analyser l'adhésion des médecins généralistes du bassin d'Epernay à un courrier type créé à partir des premiers résultats. Matériel et méthode : Il s'agit d'une étude rétrospective, descriptive, monocentrique réalisée du 01/09/2017 au 31/11/2017. Tous les dossiers présentant un courrier d'adressage ont été étudiés. Pour la seconde partie de l'étude, il s'agit d'une analyse descriptive de questionnaires envoyés aux médecins accompagnés du courrier type proposé, entre juin et novembre 2018. Résultats : Au total 137 courriers ont été analysés. Presque 90% étaient considérés comme lisibles. Les antécédents complets du patient étaient mentionnés dans 62,7% des cas. Le traitement était manquant dans la moitié des cas. Le contexte psychosocial du patient était majoritairement absent. L'examen clinique était décrit dans un tiers des lettres et une demande du médecin généraliste était clairement formulée dans 30,7% des courriers. Puis 68 questionnaires ont été envoyés, avec un taux de réponse de 45,6%. 28 questionnaires ont pu être analysés. 53,6% des médecins ont déclaré avoir utilisé le courrier type. 95,8% des médecins étaient satisfaits de l'exhaustivité des données intégrées dans le courrier. 87,5% trouvaient que cet outil était reproductible d'un patient à l'autre, 86,7% le recommandaient. D'après plusieurs médecins, le modèle proposé était plus adapté aux personnes âgées et/ou dépendantes. Le format papier semblait être un frein à l'utilisation du courrier proposé pour certains des médecins contactés. Conclusion : La qualité et l'exhaustivité des données transmises dans les courriers d'adressage des médecins généralistes au service de Médecine Générale et Interne d'Epernay restent hétérogènes. L'utilisation d'un courrier type commun pré rempli pourrait être une solution pour améliorer nos pratiques locales. L'intégration d'un tel outil dans les logiciels de travail pourrait permettre une adhésion optimale des médecins généralistes.

Download or read book Analyse qualitative et implication des lettres des m decins g n ralistes dans la prise en charge des patients adress s aux urgences written by Soraya Mokhtari and published by . This book was released on 2018 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Le courrier d'adressage du médecin généraliste, d'un patient aux urgences, permet d'assurer une continuité des soins de qualité. Le but de notre étude est d'analyser la « valeur informative » de ces lettres d'adressage et de s'intéresser secondairement, au délai de prise en charge, à la concordance diagnostique, ainsi qu'au taux d'hospitalisation des patients adressés aux urgences. Matériel et Méthode : Il s'agit d'une étude observationnelle réalisée aux urgences de l'hôpital de Beaujon durant l'hiver 2017-2018, incluant tous les patients munis d'une lettre d'adressage. Pour chaque lettre, nous avons établi un score de « valeur informative » (VI) allant de 0 à 17 points, correspondant à la somme des informations médicales jugées indispensables. Une lettre dite de « qualité » était définie par un score de VI supérieur ou égal à 8. Les lettres étaient classées en 4 groupes: VI faible (0 à 3), modérée (4 à 7), bonne (8 à 11) et excellente (12 à >15) afin de corréler cette valeur avec différents paramètres : les délais de prise en charge, le taux de concordance diagnostique et d'hospitalisation. Résultats : Sur les 204 courriers analysés, 70,6% des lettres étaient « de qualité ». La VI moyenne était de 9,2 (IC95%: 8,6- 9,7) et la médiane de 9. Entre la prise en charge par 1'urgentiste et le premier acte médical prescrit, le délai moyen était d'autant plus court que la VI était forte. Cependant sur le temps de prise en charge total moyen, aucune différence entre les groupes n'a été observé. Plus la lettre avait une VI importante, plus le taux de concordance diagnostique était élevé. Il ne semblait pas y avoir d'influence de la VI sur le taux d'hospitalisation. Conclusion : La majorité des lettres avait une forte VI et était donc de « qualité ». Plus la VI était forte, plus le délai entre la prise en charge par l'urgentiste et le premier acte médical prescrit était court et plus la concordance diagnostique était élevée. Cette étude devrait sensibiliser les médecins à l'importance d'une lettre à forte VI afin d'optimiser la prise en charge aux urgences.

Download or read book The Rule of Law in International Affairs written by Ian Brownlie and published by Martinus Nijhoff Publishers. This book was released on 1998-08-26 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume consists of a carefully edited version of the General Course on Public International Law delivered at the Hague Academy of International Law to commemorate the fiftieth anniversary of the foundation of the United Nations. The author brings to them not only his background of academic distinction, but his experience as a practitioner concerned with major international legal issues. The rule of law in international affairs is a question of perennial concern but it is of greater moment these days for a number of reasons. The active agenda of the Security Council and its relative solidarity creates a paradox. Its increased political power is a source of hope but the modalities of the exercise of power present problems of principle and of legal concern. Another area of concern is the International Court, which has had a successful record since the early eighties and provides one of the guarantees of the maintenance of legality. Recent successes of the Court include the effective resolution of the territorial dispute between Chad and Libya. The general level of compliance with its decisions by States is impressive. Yet its success is matched not by encouragement and enhancement of its facilities but by United Nations financial constraints which hinder its work and, ultimately, may threaten its independence in relation to the political organs of the United Nations.

Download or read book A Research Agenda for Entrepreneurial Cognition and Intention written by Malin Brännback and published by Edward Elgar Publishing. This book was released on 2018-01-26 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Research Agenda for Entrepreneurial Cognition and Intention suggests new directions and approaches to study the internal thought processes of entrepreneurs by examining areas that have been under-researched, ignored or overlooked.

Download or read book Vulnerability to Drug Abuse written by Meyer Glantz and published by Amer Psychological Assn. This book was released on 1992 with total page 533 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text offers insights into the complex and disturbing questions of drug abuse by examining the range of factors that affect vulnerability, focusing specifically on factors and patterns associated with the transition from drug use to drug abuse.

Download or read book Entrepreneurship As Practice written by Neil Aaron Thompson and published by Routledge. This book was released on 2021-08-19 with total page 133 pages. Available in PDF, EPUB and Kindle. Book excerpt: This innovative book takes seriously the ordinary activities of entrepreneurship and maps out new pathways for scholars to understand the nature, properties, and implications of studying practices for entrepreneurship studies. Entrepreneurship is neither an art nor a science, but a bundle of practices, as Peter Drucker once observed. Curiously however, academic research on entrepreneurship mostly abstracts away from practical activity. In contrast, Entrepreneurship As Practice takes ordinary activities of entrepreneurship seriously by mapping out new pathways for scholars to consider the everyday practices through which entrepreneurship occurs. Each chapter draws on contemporary theories of practice to illuminate the nature, properties, and implications of studying the practices of entrepreneurship. The chapters in this book were originally published as a special issue of the journal Entrepreneurship & Regional Development.

Download or read book Resilience and Development written by Meyer D. Glantz and published by Springer Science & Business Media. This book was released on 2006-04-11 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leading experts review the research on resilience and represent the diverse perspectives and opinions found among both scientists and practitioners in the field. Although the chapters are written to the standards expected by researchers, they are equally useful for program developers and others in applied fields seeking science-based information on the topic. This book is a unique resource in keeping with the growing interest in resilience both in research and interventions.

Download or read book Epidemiologic Trends in Drug Abuse December 2001 Proceedings of the Community Epidemiology Work Group written by and published by . This book was released on 2002 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Epidemiologic Trends in Drug Abuse written by National Institute on Drug Abuse. Community Epidemiology Work Group and published by . This book was released on 2001 with total page 454 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Entrepreneurial Process and Social Networks written by Alain Fayolle and published by Edward Elgar Publishing. This book was released on 2016-07-27 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: Entrepreneurship is undoubtedly a social process and creating a firm requires both the mobilization of social networks and the use of social capital. This book addresses the gap that exists between the need to take these factors into consideration and the understanding of how network relationships are developed and transformed across the venturing process.

Download or read book Handbook of Research on Elderly Entrepreneurship written by Adnane Maâlaoui and published by Springer. This book was released on 2019-04-26 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook introduces readers to the concept of elderly entrepreneurship, and analyzes key issues concerning individuals and institutions. In addition, it presents theoretical and empirical studies exploring the reasons why elderly persons choose to pursue entrepreneurship, despite their advanced age. To investigate this comparatively new entrepreneurial phenomenon, the contributors address psychological, sociological and gerontological aspects, and share unique interdisciplinary insights. The book’s chapters are methodologically diverse, and the scale of analysis ranges from individual cases to country-level patterns. At a time when the world’s major economies are facing a demographic challenge due to ageing populations, elderly entrepreneurship may provide new economic opportunities and motivate more inclusive policymaking.

Download or read book What Kids Need to Succeed written by Peter L. Benson and published by Free Spirit Publishing. This book was released on 2012-05-07 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: Researchers at Minneapolis-based Search Institute have identified 40 Developmental Assets that all kids need in their lives—good things like family support, a caring neighborhood, and resistance skills. Communities across the nation have embraced the book’s quick-read, commonsense suggestions for helping kids lead healthy, productive, positive lives and stay out of trouble. This revised and updated third edition draws on findings from a 2010 survey of about 90,000 kids (grades 6–12) from communities across the United States. The new data confirms the power of Developmental Assets in young people’s lives, reflecting updated levels of assets young people experience as well as the power that assets have to prevent high-risk behaviors and increase thriving behaviors.

Download or read book Handbook of Research On Entrepreneurship written by Alain Fayolle and published by Edward Elgar Publishing. This book was released on 2014-05-30 with total page 449 pages. Available in PDF, EPUB and Kindle. Book excerpt: This indispensable Handbook offers a fresh look at entrepreneurship research, addressing what we already know, and what we still need to know, in the field. Over the course of 17 chapters, a collaboration of 24 highly-regarded researchers, expe

Download or read book Entrepreneurship and Family Business written by Jerome A. Katz and published by Emerald Group Publishing. This book was released on 2010-06-23 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deals with the issue of entrepreneurship and family business. This title considers the issues, problems, contexts, or processes that make a family firm more entrepreneurial. It covers topics such as the emergence and growth of family businesses, and the use of entrepreneurial policies, practices and strategies by family firms.

Download or read book Everything in Its Place written by David B. Audretsch and published by Oxford University Press, USA. This book was released on 2015 with total page 179 pages. Available in PDF, EPUB and Kindle. Book excerpt: Every city, region, and state wants to improve. However, while the field of strategic management exists in business schools to guide firms and organizations, no such analogous field exists for places. Everything in Its Place weaves together theories, empirical evidence, and case studies from a broad spectrum of scholarly disciplines and combines them with insights and experiences garnered from practitioners and policy makers to provide a systematic framework for guiding and informing the strategic management of places.

Download or read book Playing with Form written by Alexander Alland and published by Columbia University Press. This book was released on 1983 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: The development of the child's ability to draw is an inherently fascinating and complex subject. Many theories have been proposed to explain this development, but until now o on has undertaken a cross-cultural, controlled study of children in the act of drawing. "Playing with Form" is the first empirical study of children drawing in diverse cultures. Alexander Alland, Jr. spent eight months observing and filming children six cultures - Japan, Bali, Taiwan, Ponape, France, and the U.S. - as they drew. Attempting to determine the accuracy of current generalizations about the development of drawing skills as well as to understand the step-by step process of drawing, Alland amassed 240 drawings (100 of which are reproduced here) by children ranging from two to eight years old. The author uses this wealth of primary material to dispute much current thinking about children's drawing, particular theories about specific universal stages of development. While he does suggest some general rules which underlie the process of drawing, Alland argues that cultural differences reflect rules which are specific to the culture in which children' "play with form". An invaluable first step toward understanding the exact role culture plays in the development of style in children's drawing, "Playing with Form" will be of fundamental interest to anthropologists, developmental psychologists, art historians, and elementary school teachers. -- back cover