Etude Des Facteurs Medicaux Et Sociaux Influencant Labsence De Declaration Du Medecin Traitant Chez Des Patients Consultant En Medecine Generale De Ville Et Hospitaliere

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Les facteurs socio-démographiques influençant le refus de médicaments génériques par les patients en médecine de ville

Author : Adriane Lutringer
Publisher :
ISBN 13 :
Total Pages : 9 pages
Book Rating : 4.:/5 (14 download)

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Book Synopsis Les facteurs socio-démographiques influençant le refus de médicaments génériques par les patients en médecine de ville by : Adriane Lutringer

Download or read book Les facteurs socio-démographiques influençant le refus de médicaments génériques par les patients en médecine de ville written by Adriane Lutringer and published by . This book was released on 2015 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

Accès aux droits communs des patients consultant à la PASS hospitalière de Saint-Denis et évaluation du suivi en médecine générale

Author : Jessica Zibelle-Olivier
Publisher :
ISBN 13 :
Total Pages : 268 pages
Book Rating : 4.:/5 (12 download)

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Book Synopsis Accès aux droits communs des patients consultant à la PASS hospitalière de Saint-Denis et évaluation du suivi en médecine générale by : Jessica Zibelle-Olivier

Download or read book Accès aux droits communs des patients consultant à la PASS hospitalière de Saint-Denis et évaluation du suivi en médecine générale written by Jessica Zibelle-Olivier and published by . This book was released on 2019 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : la Seine-Saint-Denis est caractérisée par une population jeune à forte croissance mais « pauvre ». C'est un département qui accueille de nombreuses personnes de nationalité étrangère. Objectifs : ce travail de recherche décrit les résultats d'obtention des droits sociaux et le recours au médecin généraliste après une consultation aux Urgences, par les patients consultant à la PASS de l'hôpital Delafontaine à Saint- Denis. Matériel et méthode : il s'agit d'une étude quantitative, descriptive, prospective et analytique univariée et multivariée, qui concerne les patients consultant aux Urgences de juillet à novembre 2018, associés à la création d'un dossier à la PASS. Les patients sont rappelés trois mois après leur consultation pour évaluer leur accès aux droits sociaux et leur suivi en ville par un généraliste. Résultat : 285 patients sont intégrés dans l'étude : ce sont majoritairement des hommes (67%), entre 20 et 40 ans (57%), originaires d'Afrique Sub-saharienne (30%) et du Maghreb (29%), en situation irrégulière (60%), sans revenus (45%), familialement isolés (65%), en France depuis plus de trois mois (67%) et sans couverture sociale (80%). Parmi ces 285 patients, 110 ont pu être contactés à trois mois : 10% n'ont pas de procédure de couverture sociale en cours. 38% ont des droits ouverts. 61% ne consultent pas de médecin de ville. 20% sont suivis par un médecin généraliste et 17% le sont dans le cadre des consultations « précarité » de la PASS dédiée. Discussion et conclusion : la PASS des Urgences permet l'ouverture des droits mais ne permet pas l'accès au système de santé classique (suivi par un médecin généraliste). Pour améliorer la prise en charge globale des personnes sans droits, l'orientation vers un généraliste après un passage aux Urgences, via une PASS dédiée systématique, semble nécessaire pour éviter les consultations multiples aux Urgences et permettre de débuter un suivi généraliste sans attendre l'AME ou la CMU.

Tribal Wisdom for Business Ethics

Author : Grace Ann Rosile
Publisher : Emerald Group Publishing Limited
ISBN 13 : 9781786352880
Total Pages : 0 pages
Book Rating : 4.3/5 (528 download)

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Book Synopsis Tribal Wisdom for Business Ethics by : Grace Ann Rosile

Download or read book Tribal Wisdom for Business Ethics written by Grace Ann Rosile and published by Emerald Group Publishing Limited. This book was released on 2016-11-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, leading native and non-native scholars present a fascinating view of American Indian tribal values and indigenous cultures. This 'Tribal Wisdom' offers an ethic of business practice that is relationship-based and community-oriented, fostering a harmonious web of life which includes the natural environment.

"No Choice But to Deny who I Am"

Author : Wendy Isaack
Publisher :
ISBN 13 : 9781623135621
Total Pages : 72 pages
Book Rating : 4.1/5 (356 download)

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Book Synopsis "No Choice But to Deny who I Am" by : Wendy Isaack

Download or read book "No Choice But to Deny who I Am" written by Wendy Isaack and published by . This book was released on 2018 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:

One Health, 2nd Edition

Author : Jakob Zinsstag
Publisher : CABI
ISBN 13 : 1789242576
Total Pages : 459 pages
Book Rating : 4.7/5 (892 download)

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Book Synopsis One Health, 2nd Edition by : Jakob Zinsstag

Download or read book One Health, 2nd Edition written by Jakob Zinsstag and published by CABI. This book was released on 2020-09-30 with total page 459 pages. Available in PDF, EPUB and Kindle. Book excerpt: One Health, the concept of combined veterinary and human health, has now expanded beyond emerging infectious diseases and zoonoses to incorporate a wider suite of health issues. Retaining its interdisciplinary focus which combines theory with practice, this new edition illustrates the contribution of One Health collaborations to real-world issues such as sanitation, economics, food security and vaccination programmes. It includes more non-infectious disease issues and climate change discussion alongside revised case studies and expanded methodology chapters to draw out implications for practice. Promoting an action-based, solutions-oriented approach, One Health: The Theory and Practice of Integrated Health Approaches highlights the lessons learned for both human and animal health professionals and students.

Safer Childbirth?

Author : Marjorie Tew
Publisher :
ISBN 13 : 9781853434266
Total Pages : 0 pages
Book Rating : 4.4/5 (342 download)

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Book Synopsis Safer Childbirth? by : Marjorie Tew

Download or read book Safer Childbirth? written by Marjorie Tew and published by . This book was released on 1998 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the text's first edition, Marjorie Tew showed through her painstaking statistical analysis of perinatal mortality rates for hospital and home, that for some women hospital birth might actually be more dangerous than home birth. These findings and further compelling evidence gathered by the House of Commons Health Committee in 1992 should have revolutionized the direction of maternity care. This third edition considers the evidence on which the recommended changes in policy were made and the implications of implementing them.

The Practice of Family Medicine

Author : David Frew Coulter
Publisher : Churchill Livingstone
ISBN 13 :
Total Pages : 440 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Practice of Family Medicine by : David Frew Coulter

Download or read book The Practice of Family Medicine written by David Frew Coulter and published by Churchill Livingstone. This book was released on 1971 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Risk

Author : Deborah Lupton
Publisher : Psychology Press
ISBN 13 : 0415183340
Total Pages : 201 pages
Book Rating : 4.4/5 (151 download)

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Book Synopsis Risk by : Deborah Lupton

Download or read book Risk written by Deborah Lupton and published by Psychology Press. This book was released on 1999 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this lively and engaging introduction to one of today's major sociocultural concepts, Deborah Lupton examines why risk has come to such prominence recently.

The Social Psychology of Minorities

Author : Henri Tajfel
Publisher :
ISBN 13 :
Total Pages : 20 pages
Book Rating : 4.:/5 (475 download)

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Book Synopsis The Social Psychology of Minorities by : Henri Tajfel

Download or read book The Social Psychology of Minorities written by Henri Tajfel and published by . This book was released on 1992 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Ahfs Drug Information 2020

Author : American Society of Health System Pharmacists
Publisher :
ISBN 13 : 9781585286119
Total Pages : 840 pages
Book Rating : 4.2/5 (861 download)

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Book Synopsis Ahfs Drug Information 2020 by : American Society of Health System Pharmacists

Download or read book Ahfs Drug Information 2020 written by American Society of Health System Pharmacists and published by . This book was released on 2020 with total page 840 pages. Available in PDF, EPUB and Kindle. Book excerpt:

De-Centering Sexualities

Author : David Shuttleton
Publisher : Routledge
ISBN 13 : 1134648243
Total Pages : 311 pages
Book Rating : 4.1/5 (346 download)

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Book Synopsis De-Centering Sexualities by : David Shuttleton

Download or read book De-Centering Sexualities written by David Shuttleton and published by Routledge. This book was released on 2000 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book of critical rural geography breaks new ground by drawing attention to sex and sexualities outside the metropolis. It explores sexualities and sexual experiences in a variety of rural and marginal spaces with international contributions from a wide range of disciplines. These include: literary and cultural studies, lesbian and gay studies, geography, history and law. Among the topics uncovered are:* a lesbian in rural England* sexual life in rural Wales* sexuality in rural South Africa * scandal in the American South: sex, race and politics* nature and homosexualit.

Balancing Jobs and Family Life

Author : Halcyone H. Bohen
Publisher : Philadelphia : Temple University Press
ISBN 13 : 9780877221999
Total Pages : 362 pages
Book Rating : 4.2/5 (219 download)

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Book Synopsis Balancing Jobs and Family Life by : Halcyone H. Bohen

Download or read book Balancing Jobs and Family Life written by Halcyone H. Bohen and published by Philadelphia : Temple University Press. This book was released on 1981 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt: Monograph on the effects of flexible hours of work on conflicting demands of parenting and employment (esp. Of married women woman workers) in the USA - based on a survey of civil servants in Washington D.C., considers sociological aspects and psychological aspects, the influence of traditional sexual division of labour, the effect on quality of working life, child care, job satisfaction, etc., and explains research methodology (incl. Data collecting and data analysis). Bibliography pp. 257 to 329 and tables.

Organisational Resilience

Author : Ran Bhamra
Publisher : CRC Press
ISBN 13 : 1498766749
Total Pages : 220 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Organisational Resilience by : Ran Bhamra

Download or read book Organisational Resilience written by Ran Bhamra and published by CRC Press. This book was released on 2015-10-05 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: An eternal dilemma for all organizations, and one that a considerable portion of management schools are set up to address, is how to become and stay competitive. Organisational Resilience: Concepts, Integration, and Practice brings together, for the first time, key works that describe the scope and nature of resilience and provides direction to tak

History of the Breast

Author : Marilyn Yalom
Publisher : Ballantine Books
ISBN 13 : 9780345388940
Total Pages : 356 pages
Book Rating : 4.3/5 (889 download)

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Book Synopsis History of the Breast by : Marilyn Yalom

Download or read book History of the Breast written by Marilyn Yalom and published by Ballantine Books. This book was released on 1998-03-31 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this provocative, pioneering, and wholly engrossing cultural history, noted scholar Marilyn Yalom explores twenty-five thousand years of ideas, images, and perceptions of the female breast--in religion, psychology, politics, society, and the arts. Through the centuries, the breast has been laden with hugely powerful and contradictory meanings. There is the "good breast" of reverence and life, the breast that nourishes infants and entire communities, as depicted in ancient idols, fifteenth-century Italian Madonnas, and representations of equality in the French Revolution. Then there is the "bad breast" of Ezekiel's wanton harlots, Shakespeare's Lady Macbeth, and the torpedo-breasted dominatrix, symbolizing enticement and aggression. Yalom examines these contradictions--and illuminates the implications behind them. A fascinating, astute, and richly allusive journey from Paleolithic goddesses to modern day feminists, A History of the Breast is full of insight and surprises. As Yalom says, "I intend to make you think about women's breasts as you never have before." In this, she succeeds brilliantly.

Refugees in Extended Exile

Author : Jennifer Hyndman
Publisher : Taylor & Francis
ISBN 13 : 1317209710
Total Pages : 183 pages
Book Rating : 4.3/5 (172 download)

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Book Synopsis Refugees in Extended Exile by : Jennifer Hyndman

Download or read book Refugees in Extended Exile written by Jennifer Hyndman and published by Taylor & Francis. This book was released on 2016-10-04 with total page 183 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book argues that the international refugee regime and its ‘temporary’ humanitarian interventions have failed. Most refugees across the global live in ‘protracted’ conditions that extend from years to decades, without legal status that allows them to work and establish a home. It is contended that they become largely invisible to people based in the global North, and cease to remain fully human subjects with access to their political lives. Shifting the conversation away from the salient discourse of ‘solutions’ and technical fixes within state-centric international relations, the authors recover the subjectivity lost for those stuck in extended exile. The book first argues that humanitarian assistance to refugees remains vital to people’s survival, even after the emergency phase is over. It then connects asylum politics in the global North with the intransigence of extended exile in the global South. By placing the urgent crises of protracted exile within a broader constellation of power relations, both historical and geographical, the authors present research and empirical findings gleaned from refugees in Iran, Kenya and Canada and from humanitarian and government workers. Each chapter reveals patterns of power circulating through the ‘colonial present’, Cold War legacies, and the global ‘war on terror". Seeking to render legible the more quotidian struggles and livelihoods of people who find themselves defined as refugees, this book will be of great interest to international humanitarian agencies, as well as migration and refugee researchers, including scholars in refugee studies and human displacement, human security, globalization, immigration, and human rights.

Anthropology

Author : Paul Topinard
Publisher :
ISBN 13 :
Total Pages : 578 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Anthropology by : Paul Topinard

Download or read book Anthropology written by Paul Topinard and published by . This book was released on 1894 with total page 578 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Complexities

Author : John Law
Publisher : Duke University Press
ISBN 13 : 0822383551
Total Pages : 303 pages
Book Rating : 4.8/5 (223 download)

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Book Synopsis Complexities by : John Law

Download or read book Complexities written by John Law and published by Duke University Press. This book was released on 2002-06-10 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although much recent social science and humanities work has been a revolt against simplification, this volume explores the contrast between simplicity and complexity to reveal that this dichotomy, itself, is too simplistic. John Law and Annemarie Mol have gathered a distinguished panel of contributors to offer—particularly within the field of science studies—approaches to a theory of complexity, and at the same time a theoretical introduction to the topic. Indeed, they examine not only ways of relating to complexity but complexity in practice. Individual essays study complexity from a variety of perspectives, addressing market behavior, medical interventions, aeronautical design, the governing of supranational states, ecology, roadbuilding, meteorology, the science of complexity itself, and the psychology of childhood trauma. Other topics include complex wholes (holism) in the sciences, moral complexity in seemingly amoral endeavors, and issues relating to the protection of African elephants. With a focus on such concepts as multiplicity, partial connections, and ebbs and flows, the collection includes narratives from Kenya, Great Britain, Papua New Guinea, the Netherlands, France, and the meetings of the European Commission, written by anthropologists, economists, philosophers, psychologists, sociologists, and scholars of science, technology, and society. Contributors. Andrew Barry, Steven D. Brown, Michel Callon, Chunglin Kwa, John Law, Nick Lee, Annemarie Mol, Marilyn Strathern, Laurent Thévenot, Charis Thompson