Représentations, attentes et difficultés des médecins généralistes face à la réunion de concertation plurisciplinaire en Oncologie

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (143 download)

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Book Synopsis Représentations, attentes et difficultés des médecins généralistes face à la réunion de concertation plurisciplinaire en Oncologie by : Catheline Le Loup-Léger

Download or read book Représentations, attentes et difficultés des médecins généralistes face à la réunion de concertation plurisciplinaire en Oncologie written by Catheline Le Loup-Léger and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Résumé : Contexte : Actuellement, la première cause de mortalité en France est le cancer. Depuis 2003, les différents plans Cancer formalisent le processus de soins des patients atteints de cancer. La place attendue du médecin généraliste est d'en être le pivot. Méthode : Par une méthode qualitative, avec 3 focus groups, nous avons voulu savoir ce que représentait la réunion de concertation pluridisciplinaire pour 18 médecins généralistes de la région de Boulogne sur Mer, quelles étaient leurs difficultés face à leurs patients atteints de cancer et par quels moyens ils envisageaient de s'impliquer davantage dans leur prise en charge. Résultats : Les médecins généralistes méconnaissent la réunion de concertation pluridisciplinaire. Cependant, ils sont motivés pour être présent soit par vidéoconférence ou par téléphone, mais cela demandera un réel effort, ainsi qu'une forme de reconnaissance. En amont de la décision thérapeutique, ils souhaiteraient recevoir une invitation à laquelle ils pourraient répondre et communiquer des informations utiles. Ils proposent aussi d'instaurer un médecin référent qui pourrait être généraliste, plus compétent en Oncologie, réalisant l'interface entre les intervenants du patient, pour résoudre un manque de communication. Ils souhaiteraient avoir un compte rendu de réunion de concertation, plus détaillé, sur le traitement, dans lequel ils ont confiance, ses effets secondaires, et ses modalités avec une référence bibliographique, tout cela dans un intérêt de formation pour une meilleure information des patients et de leurs familles. Conclusion : Les médecins généralistes souhaitent s'impliquer auprès de leurs confrères oncologues, partenaires privilégiés des médecins généralistes dans la coordination ville-hôpital en Oncologie.

Ethics of Big Data

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Publisher : "O'Reilly Media, Inc."
ISBN 13 : 1449357490
Total Pages : 80 pages
Book Rating : 4.4/5 (493 download)

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Book Synopsis Ethics of Big Data by : Kord Davis

Download or read book Ethics of Big Data written by Kord Davis and published by "O'Reilly Media, Inc.". This book was released on 2012-09-13 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: What are your organization’s policies for generating and using huge datasets full of personal information? This book examines ethical questions raised by the big data phenomenon, and explains why enterprises need to reconsider business decisions concerning privacy and identity. Authors Kord Davis and Doug Patterson provide methods and techniques to help your business engage in a transparent and productive ethical inquiry into your current data practices. Both individuals and organizations have legitimate interests in understanding how data is handled. Your use of data can directly affect brand quality and revenue—as Target, Apple, Netflix, and dozens of other companies have discovered. With this book, you’ll learn how to align your actions with explicit company values and preserve the trust of customers, partners, and stakeholders. Review your data-handling practices and examine whether they reflect core organizational values Express coherent and consistent positions on your organization’s use of big data Define tactical plans to close gaps between values and practices—and discover how to maintain alignment as conditions change over time Maintain a balance between the benefits of innovation and the risks of unintended consequences

Point de vue des médecins généralistes sur les relations ville-hôpital dans la prise en charge des cancers au sein de l'hôpital Victor Provo de Roubaix et de l'hôpital Dron de Tourcoing

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (143 download)

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Book Synopsis Point de vue des médecins généralistes sur les relations ville-hôpital dans la prise en charge des cancers au sein de l'hôpital Victor Provo de Roubaix et de l'hôpital Dron de Tourcoing by : Angélique Pont

Download or read book Point de vue des médecins généralistes sur les relations ville-hôpital dans la prise en charge des cancers au sein de l'hôpital Victor Provo de Roubaix et de l'hôpital Dron de Tourcoing written by Angélique Pont and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte Le cancer est la première cause de mortalité en France. La loi HPST et le second Plan Cancer place le médecin généraliste au centre de la prise en charge du cancer. L'objectif de ce travail était de mieux connaître les conditions d'exercice des médecins généralistes (MG) du secteur de Roubaix et de Tourcoing, leur rôle auprès des patients atteints de cancer et d'appréhender leurs difficultés face au corps médical et aux institutions. Méthode : Nous avons recensé l'ensemble des médecins traitants figurant sur les fiches RCP des patients de l'année 2011. Une zone d 'étude a ensuite été définie pour ne concerner que les médecins exerçant au versant Nord-Est de la métropole lilloise. Les critères d'exclusions étaient l'exercice d'une autre spécialité que la médecine générale et l'arrêt d'exercice. Une enquête quantitative descriptive a donc été menée auprès de 389 MG. Résultats : Le taux de réponse a été de 46,53% soit 181 réponses. Les participants à l'étude étaient majoritairement des hommes âgés de 51 à 60 ans exerçant en cabinet de groupe. 84% d'entre-eux découvrent moins de 10 nouveaux cas de cancer par an. 46% suivent entre 10 et 30 cas. Les médecins disent être impliqués à tous les stades de la maladie notamment le dépistage et la prévention. Mais, seulement 4% s'intéressent aux thérapeutiques. Concernant les institutions, 36% connaissent le RRC contre 7% pour le 3C. Les médecins attendent surtout d'un RRC qu'il permette une meilleure coordination des soins. Sur le plan de la formation, 76% se disent compétents et 75% souhaiteraient continuer à se former de manière classique type DPC. 57% sont satisfaits de la circulation de l'information entre la ville et l'hôpital. Ils sont même 74% à considérer leur relation comme bonne ou excellente avec les oncologues ou les hématologues. Mais le problème récurrent relaté par les médecins reste le délai des courriers. Les MG ne se sentent pas toujours à leur place au sein des RCP et ils ne sont que 33% à souhaiter y participer. Mais, 98% souhaitent en recevoir le compte-rendu. Le DCC inclus dans le DMP permettra dans les prochaines années d'intégrer au mieux le MG dans la prise en charge des patients atteints de cancer.

PROMOTION DE LA SANTE ET AUTONOMISATION DANS LE CONTEXTE AFRICAIN

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Publisher : Lulu.com
ISBN 13 : 1291761152
Total Pages : 327 pages
Book Rating : 4.2/5 (917 download)

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Book Synopsis PROMOTION DE LA SANTE ET AUTONOMISATION DANS LE CONTEXTE AFRICAIN by : David HouŽto

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.

La cancérologie au quotidien

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Publisher : Springer Science & Business Media
ISBN 13 : 2817802241
Total Pages : 223 pages
Book Rating : 4.8/5 (178 download)

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Book Synopsis La cancérologie au quotidien by : Bernard Hrni

Download or read book La cancérologie au quotidien written by Bernard Hrni and published by Springer Science & Business Media. This book was released on 2011-09-05 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: À côté des connaissances et techniques spécialisées propres aux oncologues – radiothérapeutes, médicaux ou chirurgiens –, les « rencontres singulières » avec des patients préoccupés, menacés ou atteints par un cancer et leur prise en charge demande une grande variété de compétences pratiques. Elles sont nécessaires aux praticiens spécialisés en médecine générale ou d’autres disciplines, et à tous les autres professionnels de santé impliqués, à un titre ou à un autre, face aux cancers : infirmières, dentistes, kinésithérapeutes, diététiciennes, pharmaciens, travailleurs sociaux, etc. De plus en plus, les patients eux-mêmes et leurs proches sont mis à contribution. C’est à toutes ces personnes que s’adresse cet ouvrage fondé sur la large expérience d’un des plus grands centres français de lutte contre le cancer. Face à ce fléau, qui représente une maladie « totale », essentiellement organique mais à fort retentissement psychologique et social, cet ouvrage oppose une approche globale, bio-psycho-sociale, centrée sur le patient.

ICREEC 2019

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Publisher : Springer Nature
ISBN 13 : 9811554447
Total Pages : 659 pages
Book Rating : 4.8/5 (115 download)

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Book Synopsis ICREEC 2019 by : Ahmed Belasri

Download or read book ICREEC 2019 written by Ahmed Belasri and published by Springer Nature. This book was released on 2020-06-10 with total page 659 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book highlights peer reviewed articles from the 1st International Conference on Renewable Energy and Energy Conversion, ICREEC 2019, held at Oran in Algeria. It presents recent advances, brings together researchers and professionals in the area and presents a platform to exchange ideas and establish opportunities for a sustainable future. Topics covered in this proceedings, but not limited to, are photovoltaic systems, bioenergy, laser and plasma technology, fluid and flow for energy, software for energy and impact of energy on the environment.

Your Mindful Compass

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Publisher :
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.

Global Burden of Disease and Risk Factors

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Publisher : World Bank Publications
ISBN 13 : 0821362631
Total Pages : 511 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Global Burden of Disease and Risk Factors by : Alan D. Lopez

Download or read book Global Burden of Disease and Risk Factors written by Alan D. Lopez and published by World Bank Publications. This book was released on 2006-04-02 with total page 511 pages. Available in PDF, EPUB and Kindle. Book excerpt: Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.

Profession of Medicine

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Publisher : Addison-Wesley Educational Publishers
ISBN 13 :
Total Pages : 440 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Profession of Medicine by : Eliot Freidson

Download or read book Profession of Medicine written by Eliot Freidson and published by Addison-Wesley Educational Publishers. This book was released on 1970 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Must be judged as a landmark in medical sociology."-Norman Denzin, Journal of Health and Social Behavior"Profession of Medicine is a challenging monograph; the ideas presented are stimulating and thought provoking. . . . Given the expanding domain of what illness is and the contentions of physicians about their rights as professionals, Freidson wonders aloud whether expertise is becoming a mask for privilege and power. . . . Profession of Medicine is a landmark in the sociological analysis of the professions in modern society."-Ron Miller, Sociological Quarterly"This is the first book that I know of to go to the root of the matter by laying open to view the fundamental nature of the professional claim, and the structure of professional institutions."-Everett C. Hughes, Science

The Social Transformation of American Medicine

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Publisher :
ISBN 13 : 9780465079353
Total Pages : 532 pages
Book Rating : 4.0/5 (793 download)

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Book Synopsis The Social Transformation of American Medicine by : Paul Starr

Download or read book The Social Transformation of American Medicine written by Paul Starr and published by . This book was released on 1982 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt: Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. "The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review

Impure Science

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Publisher : Univ of California Press
ISBN 13 : 0520214455
Total Pages : 482 pages
Book Rating : 4.5/5 (22 download)

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Book Synopsis Impure Science by : Steven Epstein

Download or read book Impure Science written by Steven Epstein and published by Univ of California Press. This book was released on 1996 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: Epstein shows the extent to which AIDS research has been a social and political phenomenon and how the AIDS movement has transformed biomedical research practices through its capacity to garner credibility by novel strategies.

Therapeutic Pluralism

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Publisher : Routledge
ISBN 13 : 1134150814
Total Pages : 310 pages
Book Rating : 4.1/5 (341 download)

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Book Synopsis Therapeutic Pluralism by : Alex Broom

Download or read book Therapeutic Pluralism written by Alex Broom and published by Routledge. This book was released on 2008-03-11 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: The profile of complementary and alternative medicine (CAM) has risen dramatically over the last decade and cancer patients represent its most prolific users. As a result, the NHS and UK cancer services are attempting to develop a wider range of therapeutic options for patients. Despite such developments, little is known about why cancer patients use CAM, its perceived benefits and the perspectives of the doctors and nurses involved. Drawing on extensive fieldwork in the UK, Therapeutic Pluralism includes over 120 interviews with cancer patients and professionals, plus innovative ‘diary’ data which, for the first time, detail the experiences of CAM users. It gives a systematic analysis of issues such as: The development of patient preferences and influences on decision making Expectations of CAM and interpretations of ‘success’ in cancer treatment The nature and importance of ‘evidence’ and ‘effectiveness’ for patients The organisational dynamics involved in integrating CAM into the NHS Pathways to CAM and the role of the Internet The role of oncology clinicians in patients’ experiences of cancer and their use of CAMs Therapeutic Pluralism is essential reading for students and researchers of medical sociology, complementary and alternative medicine and cancer. It will also be useful to medical and health professionals, and policy-makers with an interest in complementary and alternative medicine.

Preventive Strikes

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Publisher : JHU Press
ISBN 13 : 0801898692
Total Pages : 344 pages
Book Rating : 4.8/5 (18 download)

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Book Synopsis Preventive Strikes by : Ilana Löwy

Download or read book Preventive Strikes written by Ilana Löwy and published by JHU Press. This book was released on 2010-01-18 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Winner, 2011 Best Book in the History of Medicine, European Association for the History of Medicine and Health Modern scientific tools can identify a genetic predisposition to cancer before any disease is detectable. Some women will never develop breast or ovarian cancer, but they nevertheless must decide, as a result of genetic testing, whether to have their breasts and ovaries removed to avoid the possibility of disease. The striking contrast between the sophistication of diagnosis and the crudeness of preventive surgery forms the basis of historian Ilana Löwy’s important study. Löwy traces the history of prophylactic amputations through a century of preventive treatment and back to a long tradition of surgical management of gynecological problems. In the early twentieth century, surgeons came to believe that removing precancerous lesions—a term difficult to define even today—averted the danger of malignancy. This practice, Löwy finds, later led to surgical interventions for women with a hereditary predisposition to cancer but no detectable disease. Richly detailed stories of patients and surgeons in the United States, France, and the United Kingdom allow Löwy to compare the evolution of medical thought and practice—and personal choice—in these different cultures. Preventive Strikes aims to improve our understanding of professional, social, and cultural responses to cancer in the twenty-first century and to inform our reflections about how values are incorporated into routine medical practices.Ilana Löwy

Basic Technics in Ecological Farming / Techniques de Base en Agriculture Biologique / Grundsätzliche Verfahren der ökologischen Landwirtschaft / Le Maintien de la Fertilité des Sols / The Maintenance of Soil Fertility / Die Erhaltung der Bodenfruchtbarkeit

Download Basic Technics in Ecological Farming / Techniques de Base en Agriculture Biologique / Grundsätzliche Verfahren der ökologischen Landwirtschaft / Le Maintien de la Fertilité des Sols / The Maintenance of Soil Fertility / Die Erhaltung der Bodenfruchtbarkeit PDF Online Free

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Publisher : Birkhäuser
ISBN 13 : 3034863101
Total Pages : 364 pages
Book Rating : 4.0/5 (348 download)

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Book Synopsis Basic Technics in Ecological Farming / Techniques de Base en Agriculture Biologique / Grundsätzliche Verfahren der ökologischen Landwirtschaft / Le Maintien de la Fertilité des Sols / The Maintenance of Soil Fertility / Die Erhaltung der Bodenfruchtbarkeit by : Stuart Hill

Download or read book Basic Technics in Ecological Farming / Techniques de Base en Agriculture Biologique / Grundsätzliche Verfahren der ökologischen Landwirtschaft / Le Maintien de la Fertilité des Sols / The Maintenance of Soil Fertility / Die Erhaltung der Bodenfruchtbarkeit written by Stuart Hill and published by Birkhäuser. This book was released on 2013-12-14 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Patient Will See You Now

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Publisher : Basic Books
ISBN 13 : 0465094473
Total Pages : 386 pages
Book Rating : 4.4/5 (65 download)

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Book Synopsis The Patient Will See You Now by : Eric Topol

Download or read book The Patient Will See You Now written by Eric Topol and published by Basic Books. This book was released on 2016-10-25 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Circles of Care

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Publisher : SUNY Press
ISBN 13 : 9780791402634
Total Pages : 344 pages
Book Rating : 4.4/5 (26 download)

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Book Synopsis Circles of Care by : Professor of Health Services and Women's Studies Emily K Abel

Download or read book Circles of Care written by Professor of Health Services and Women's Studies Emily K Abel and published by SUNY Press. This book was released on 1990-01-01 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work examines the experience of women providing care to children, disabled persons, the chronically ill, and the frail elderly. It differs from most writing about caregiving because it focuses on the providers rather than the care recipients. It looks at the experience of women caregivers in specific settings, exploring what caregiving actually entails and what it means in their lives

Comprehensive Cervical Cancer Control

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Publisher : World Health Organization
ISBN 13 : 9241547006
Total Pages : 284 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Comprehensive Cervical Cancer Control by : World Health Organization

Download or read book Comprehensive Cervical Cancer Control written by World Health Organization and published by World Health Organization. This book was released on 2006 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.