Évaluation de la qualité de vie orale, des connaissances, attitudes et pratiques de patients suivis en psychiatrie en milieu ouvert

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ISBN 13 :
Total Pages : 80 pages
Book Rating : 4.:/5 (14 download)

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Book Synopsis Évaluation de la qualité de vie orale, des connaissances, attitudes et pratiques de patients suivis en psychiatrie en milieu ouvert by : Yoann Uko

Download or read book Évaluation de la qualité de vie orale, des connaissances, attitudes et pratiques de patients suivis en psychiatrie en milieu ouvert written by Yoann Uko and published by . This book was released on 2017 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les patients traités pour des pathologies psychiatriques chroniques ou aiguës constituent une population particulièrement à risque d'un point de vue bucco-dentaire. La Haute Autorité de Santé (HAS) a publié des recommandations évoquant la nécessité de mener des études concernant la santé bucco-dentaire et l'accès aux soins de cette population. L'étude proposée a pour objectif d'évaluer la qualité de vie orale des patients suivis en psychiatrie en milieu ouvert, ainsi que leurs connaissances concernant la sphère oro-faciale, leurs attitudes vis-à-vis de l'hygiène bucco-dentaire, et leurs habitudes en hygiène orale. Elle utilise les questionnaires Geriatric Oral Health Assesment Index (GOHAI) et Connaissance Attitudes et Pratiques (CAP). Le recueil des données a eu lieu du 2 décembre 2015 au 7 janvier 2016, auprès de 109 patients suivis au centre médico-psychologique de Clichy-la-Garenne. Les facteurs spécifiques de la maladie psychiatrique n'apparaissent pas diminuer la perception de la qualité de vie orale, malgré l'hypothèse forte d'une altération marquée de la santé bucco-dentaire des patients interrogés. Les connaissances et les attitudes en hygiène orale ne diffèrent pas significativement de celles de populations comparables, mais les pratiques apparaissent plus faibles et insuffisantes. Les résultats de l'étude mettent en évidence un contraste avec la perception de la qualité de vie orale et l'état de santé bucco-dentaire supposé. Ils suggèrent que cette relation à l'oralité des patients traités en psychiatrie, nécessite la mise en place d'accompagnements spécifiques à la prévention et aux soins.

Le patient psychotique chronique et sa santé bucco-dentaire

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ISBN 13 :
Total Pages : 86 pages
Book Rating : 4.:/5 (124 download)

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Book Synopsis Le patient psychotique chronique et sa santé bucco-dentaire by : Maïlys Diarra

Download or read book Le patient psychotique chronique et sa santé bucco-dentaire written by Maïlys Diarra and published by . This book was released on 2019 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : les patients psychotiques constituent une population à risque sur le plan de la santé générale. La santé bucco-dentaire est un déterminant essentiel de la santé globale. L'étude présentée ici a pour but de décrire la santé bucco-dentaire telle qu'elle est vécue par les patients psychotiques suivis en ambulatoire. L'évaluation de moteurs et freins potentiels constitue un objectif secondaire. Matériels et Méthodes : étude épidémiologique, transversale, isolée, prospective et réalisée sur la base d'auto-questionnaires proposés aux patients psychotiques des CMP du G07 d'avril à juin 2018. Résultats : 54 questionnaires ont été renseignés : 26 femmes et 28 hommes. L'âge moyen était de 47 ans. Il y avait 56% de fumeurs, 26% consommaient de l'alcool. Les principales comorbidités HTA, diabète, dyslipidémie, BPCO étaient comprises entre 5 et 10%. 43% des personnes interrogées déclaraient avoir des dents manquantes non remplacées. 83% de la population réalisait des actes d'hygiène quotidiens. L'évaluation du score de qualité de vie orale add-GOHAI était de 50,1 soit une qualité de vie orale moyennement satisfaisante. L'analyse par catégorie du score GOHAI relevait un retentissement important de la sphère buccale sur la qualité de vie des patients psychotiques, tant dans ses aspects fonctionnels que psycho-sociaux et symptomatiques. Cependant aucune caractéristique de la population ne permettait d'établir un lien significatif avec un meilleur score de qualité de vie orale. Une consultation dentaire avait été réalisée dans l'année pour 46% des patients dont 52% pour un suivi et 46% pour une urgence. Ils consultaient majoritairement les cabinets de ville. Les principaux motifs de consultation étaient, respectivement, détartrage/contrôle dentaire et douleur. Les facteurs favorisant la consultation étaient les compétences techniques et relationnelles, la prise en charge de la douleur. Parmi les facteurs limitant l'accès au suivi dentaire on retrouvait des freins intrinsèques au patient et à sa maladie, des freins économiques et techniques. Enfin il y avait un manque de coordination des soins de la part des professionnels de santé. Conclusion : malgré une évaluation subjective de la santé bucco-dentaire, les résultats sont assez comparables aux autres études portant sur le sujet. Le bilan bucco-dentaire est semblable à celui d'une population en situation de précarité. Une attention particulière devrait être portée sur la santé bucco-dentaire de ces patients. Pour cela, il est nécessaire d'avoir un circuit de soins adapté et une formation des professionnels de santé impliqués dans le suivi des patients psychotiques.

Qualité de vie orale chez les patients diabétiques

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ISBN 13 :
Total Pages : 206 pages
Book Rating : 4.:/5 (868 download)

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Book Synopsis Qualité de vie orale chez les patients diabétiques by : Sarah Attal

Download or read book Qualité de vie orale chez les patients diabétiques written by Sarah Attal and published by . This book was released on 2013 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: Durant les dernières décennies, l'allongement de la durée de vie de bon nombre d'individus atteints de maladies chroniques ont conduit les chercheurs à s'intéresser à la qualité de cette "survie", on parle alors de qualité de vie liée à la santé. Concernant la santé buccodentaire, en 1997, Kressin et al définissent la qualité de vie orale ou qualité de vie liée à la santé orale) comme "l'impact de la condition orale sur les fonctions quotidiennes". Plusieurs questionnaires ont été créés afin d'évaluer cette qualité de vie. Parmi eux se trouve le GOHAI. Le diabète représente l'affection endocrinienne la plus fréquente. Alors que de nombreuses études ont été menées sur la qualité de vie liée à la santé générale chez les patients diabétiques, il en existe très peu concernant leur qualité de vie orale. C'est pourquoi nous avons réalisé une étude afin d'évaluer la qualité de vie orale d'un groupe de patients diabétiques suivi dans le service de diabétologie du groupe hospitalier de la Pitié Salpêtrière. L'étude s'est déroulée de mars à septembre 2011 où 281 sujets ont été recrutés pour répondre à un questionnaire anonymisé détaillé concernant l'histoire de leur diabète, leurs caractéristiques économiques, démographiques, socailes, la perception de leur état de santé générale et dentaire, leur comportement de santé, ainsi que leur état dentaire déclaré. Les participants ont également répondu au questionnaire GOHAI. Les plaintes principales concernaient l'insatisfaction avec l'apparence, les inquiétudes et préoccupations vis-à-vis de la santé dentaire et également les impacts dus à la douleur et l'inconfort. Très peu d'impacts fonctionnels ont été révélés. Nous avons trouvé une associatio entre le score GOAI et la perception de la santé générale qui montre une fois de plus que la santé orale ne devrait pas être dissociée de la santé générale.

Cultural Consultation

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Publisher : Springer Science & Business Media
ISBN 13 : 1461476151
Total Pages : 365 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Cultural Consultation by : Laurence J. Kirmayer

Download or read book Cultural Consultation written by Laurence J. Kirmayer and published by Springer Science & Business Media. This book was released on 2013-08-15 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Legal Translation and Court Interpreting: Ethical Values, Quality, Competence Training

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Publisher : Frank & Timme GmbH
ISBN 13 : 3732902951
Total Pages : 398 pages
Book Rating : 4.7/5 (329 download)

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Book Synopsis Legal Translation and Court Interpreting: Ethical Values, Quality, Competence Training by : Annikki Liimatainen

Download or read book Legal Translation and Court Interpreting: Ethical Values, Quality, Competence Training written by Annikki Liimatainen and published by Frank & Timme GmbH. This book was released on 2017-10-24 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: This multidisciplinary volume offers a systematic analysis of translation and interpreting as a means of guaranteeing equality under the law as well as global perspectives in legal translation and interpreting contexts. It offers insights into new research on • language policies and linguistic rights in multilingual communities • the role of the interpreter • accreditation of legal translators and interpreters • translator and interpreter education in multiple countries and • approaches to terms and tools for legal settings. The authors explore familiar problems with a view to developing new approaches to language justice by learning from researchers, trainers, practitioners and policy makers. By offering multiple methods and perspectives covering diverse contexts (e.g. in Austria, Belgium, England, Estonia, Finland, France, Germany, Hong Kong, Ireland, Norway, Poland), this volume is a welcome contribution to legal translation and interpreting studies scholars and practitioners alike, highlighting settings that have received limited attention, such as the linguistic rights of vulnerable populations, as well as practical solutions to methodological and terminological problems.

Your Mindful Compass

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ISBN 13 : 9780615928791
Total Pages : 318 pages
Book Rating : 4.9/5 (287 download)

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Book Synopsis Your Mindful Compass by : Andrea Maloney Schara

Download or read book Your Mindful Compass written by Andrea Maloney Schara and published by . This book was released on 2013-12-01 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.

Célébrons Nos Réussites Féministes

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Publisher : University of Ottawa Press
ISBN 13 : 0776605119
Total Pages : 363 pages
Book Rating : 4.7/5 (766 download)

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Book Synopsis Célébrons Nos Réussites Féministes by : Karen Blackford

Download or read book Célébrons Nos Réussites Féministes written by Karen Blackford and published by University of Ottawa Press. This book was released on 1999 with total page 363 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abuses by international corporations, withdrawal of social services and implementation of regressive legislation continue to impoverish women and reduce the quality of their everyday lives: women have reason to be demoralized. Recognizing this challenging and difficult situation, this volume reviews women's successes at feminizing Canadian institutions. It is intended to hearten the women's movement and show the potential for feminist change and suggest ways to realize this potential. Bilingual edition.

Health System Performance Comparison: an Agenda for Policy, Information and Research

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 033524727X
Total Pages : 418 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Health System Performance Comparison: an Agenda for Policy, Information and Research by : Irene Papanicolas

Download or read book Health System Performance Comparison: an Agenda for Policy, Information and Research written by Irene Papanicolas and published by McGraw-Hill Education (UK). This book was released on 2013-06-16 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Biosocialities, Genetics and the Social Sciences

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Publisher : Routledge
ISBN 13 : 1134144725
Total Pages : 387 pages
Book Rating : 4.1/5 (341 download)

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Book Synopsis Biosocialities, Genetics and the Social Sciences by : Sahra Gibbon

Download or read book Biosocialities, Genetics and the Social Sciences written by Sahra Gibbon and published by Routledge. This book was released on 2007-07-20 with total page 387 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

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Publisher : University of Ottawa Press
ISBN 13 : 0776628720
Total Pages : 396 pages
Book Rating : 4.7/5 (766 download)

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Book Synopsis Contemporary Criminological Issues by : Carolyn Côté-Lussier

Download or read book Contemporary Criminological Issues written by Carolyn Côté-Lussier and published by University of Ottawa Press. This book was released on 2020-05-05 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Social Skills Training for Psychiatric Patients

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Publisher : Pergamon
ISBN 13 :
Total Pages : 284 pages
Book Rating : 4.X/5 (1 download)

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Book Synopsis Social Skills Training for Psychiatric Patients by : Robert Paul Liberman

Download or read book Social Skills Training for Psychiatric Patients written by Robert Paul Liberman and published by Pergamon. This book was released on 1989 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work is truly a guidebook-succinct, concrete, clearly written, and unambiguously specific. Based upon learning principles, the text naturally presents a linear and hierarchical exposition. The reader is never in doubt about what steps should follow what step. Each topic is broken down into readily assimilable components.

Pain in Infants, Children, and Adolescents

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781726443
Total Pages : 924 pages
Book Rating : 4.7/5 (264 download)

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Book Synopsis Pain in Infants, Children, and Adolescents by : Neil L. Schechter

Download or read book Pain in Infants, Children, and Adolescents written by Neil L. Schechter and published by Lippincott Williams & Wilkins. This book was released on 2003 with total page 924 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.

Cognitive Remediation for Successful Employment and Psychiatric Recovery

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Publisher : Guilford Publications
ISBN 13 : 146254598X
Total Pages : 386 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Cognitive Remediation for Successful Employment and Psychiatric Recovery by : Susan R. McGurk

Download or read book Cognitive Remediation for Successful Employment and Psychiatric Recovery written by Susan R. McGurk and published by Guilford Publications. This book was released on 2021-04-30 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The TSW program is an evidence-based intervention that enhances people's cognitive functioning in order to help them get and keep competitive jobs. This book explains how to provide the TSW program, and includes materials for implementing it, such as educational handouts and assessment tools. In addition, the book contains a wealth of information about overcoming common cognitive obstacles to steady employment that may be useful to the broad range of professionals helping individuals return to work"--

Patient Engagement

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Publisher : Springer Nature
ISBN 13 : 3030141012
Total Pages : 317 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis Patient Engagement by : Marie-Pascale Pomey

Download or read book Patient Engagement written by Marie-Pascale Pomey and published by Springer Nature. This book was released on 2019-10-10 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.

Altering Frontiers

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Publisher : John Wiley & Sons
ISBN 13 : 1786307073
Total Pages : 72 pages
Book Rating : 4.7/5 (863 download)

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Book Synopsis Altering Frontiers by : Corinne Grenier

Download or read book Altering Frontiers written by Corinne Grenier and published by John Wiley & Sons. This book was released on 2021-07-21 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can healthcare systems be transformed by reimagining their multiple silos to favor processes and practices that are more responsive to local, horizontal initiatives? Altering Frontiers analyzes numerous experiences, using a multidisciplinary approach, paying attention to certain actors, collectives and organizational arrangements. Through this work, levers are identified that promote lasting transformation: recognizing the legitimacy of the practices of many who are often "invisible"; trusting those who know their intervention territory; investing in methodological support; taking advantage of tools and procedures such as instruments for strategic and managerial discussion; and developing the capacity to absorb innovative ideas and experiences that circulate within the environment.

Ethnicity, Politics, and Public Policy

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Publisher : University of Toronto Press
ISBN 13 : 9780802080271
Total Pages : 314 pages
Book Rating : 4.0/5 (82 download)

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Book Synopsis Ethnicity, Politics, and Public Policy by : Harold R. Troper

Download or read book Ethnicity, Politics, and Public Policy written by Harold R. Troper and published by University of Toronto Press. This book was released on 1999-01-01 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ten essays on multiculturalism form a comprehensive picture of the problems and prospects of pluralism and mirror the nuanced issues which arise when theories and goals of cultural sensitivity confront real life.

Multiculturalism in North America and Europe

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Publisher : Canadian Scholars Press
ISBN 13 :
Total Pages : 616 pages
Book Rating : 4.3/5 (555 download)

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Book Synopsis Multiculturalism in North America and Europe by : Wsevolod W. Isajiw

Download or read book Multiculturalism in North America and Europe written by Wsevolod W. Isajiw and published by Canadian Scholars Press. This book was released on 1997 with total page 616 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this path-breaking collection of twenty-five original essays, over two dozen leading European, American, and Canadian academics focus on a variety of research settings and issues confronting contemporary scholars in the area of immigration and ethnicity. studies immigrants, host societies, and the process of changing identities of ethnic groups. It also examines how ethnicity, ethnic identity, and ethnic groups affect the acceptance of modernity as a conceptual reference model and the role that ethnicity plays in the post-modern paradigm. The book provides an overview of the political and social importance of emerging ethnicity, the role of interethnic conflicts, and the politicisation of minority groups.