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Les Patients Consultants Aux Urgences Ont Ils Eu Un Recours Prealable Aupres Dun Medecin Generaliste
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Book Synopsis Les déterminants d'un recours spontané aux urgences sans avis médical préalable chez des patients relevant de la médecine générale by : Mickael Joseph Soletchnik
Download or read book Les déterminants d'un recours spontané aux urgences sans avis médical préalable chez des patients relevant de la médecine générale written by Mickael Joseph Soletchnik and published by . This book was released on 2020 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le nombre de consultation dans les services d'accueil des urgences (SAU) hospitaliers ne cessent d'augmenter. Cette augmentation concerne principalement les consultations sans hospitalisation, relevant de prime abord de la médecine générale. L'objectif de cette étude était de comprendre pourquoi les patients relevant d'une consultation de médecine générale venaient au SAU sans avoir pris un avis médical préalablement? Les patients se présentant à des horaires d'ouverture de médecine de ville et dont le motif de venue relevait de la médecine générale ont été interrogés. Le questionnaire portait sur des données socio-économiques, leur parcours de soin et leur motif de consultation, ainsi que leurs habitudes d'utilisation des services de soins primaires. Une seconde partie du questionnaire a été rempli a postériori après analyse du degré de la classification clinique des malades des urgences (CCMU). L'analyse a porté sur 87 questionnaires remplis et analysés au cours d'entretien individuel. Les motifs rapportés par les patients étaient en premier lieu une impression de gravité de leur pathologie (20%) et le fait de ne pas avoir un accès rapide auprès de leur médecin généraliste (20%). 14% déclaraient n'avoir aucun médecin généraliste et venir aux urgences pour tout problème médical. Ces résultats sont en accords avec le fait que 60% ne connaissent aucun organisme dispensant des soins d'urgences autre que les SAU. L'analyse des dossiers montre que 51% des patients ont été classés en degré 1 de la CCMU, donc relevant simplement d'une consultation généraliste sans examen complémentaire ; et 33% en degré 2 donc nécessitant des examens complémentaires pouvant être réalisés en ville. Cette étude a permis de montrer que la majorité des patients ayant un recours spontané aux urgences sans avis médical préalable consultait de manière inappropriée. Leur prise en charge aurait pu être réalisée en ambulatoire et ne nécessitait ni SAU ni hospitalisation. Pour répondre à la demande de désengorgement des SAU, de nombreuses alternatives ont été créées (SAMI, Maison médicale de garde, téléconsultation, maisons et centres de santé pluridisciplinaires, permanence des soins) qui doivent être encore développés à l'avenir et faire l'objet d'une information des patients. Cette évolution permettrait de limiter la crise dont souffre l'hôpital public et permettrait de rendre aux urgences hospitalières sa vocation première : prendre en charge les urgences vitales.
Book Synopsis Les motifs de premier recours aux urgences hospitalières non régulées par le médecin généraliste by : Dizae Dansou
Download or read book Les motifs de premier recours aux urgences hospitalières non régulées par le médecin généraliste written by Dizae Dansou and published by . This book was released on 2018 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'augmentation du recours globale au médecin s'est accompagnée sur les deux dernières décennies d'une augmentation du nombre de consultations aux urgences sans recours préalable au médecin traitant pour des consultations relevant de la médecine ambulatoire. Les usagers désirent une médecine rapide, disponible à toute heure avec un accès quasi immédiat au plateau technique. L'objectif de notre étude était d'analyser la proportion de patients qui consulte aux urgences sans recours préalable au médecin traitant pour des motifs relevant de la médecine générale. Il s'agit d'une étude bicentrique, par questionnaire, réalisée sur une semaine, incluant tous les patients majeurs consultants au centre hospitaliser Tenon et au centre hospitalier du Sud Francilien, classé CIMU 4 ou 5 à l'arrivée. Soixante-cinq pourcents des consultants n'ont pas essayé de joindre le médecin traitant. Soixante-dix-huit pourcents des patients ont jugé leur problème de santé urgent avec un délai de consultation après l'apparition des symptômes inférieur à 24h. Le motif de consultation était principalement médical. Les raisons de l'absence d'appel du médecin traitant était : l'absence de consultation en urgence, le sentiment de gravité ressentie, le fait de ne pas y avoir pensé et la fermeture du cabinet. Ils ont consulté aux urgences afin de voir rapidement un médecin et être soulagé de la douleur. Soixante-quinze pourcents des patients ne connaissaient pas la MMG et 58,3% était prêt à y consulter. L'enjeu essentiel semble être l'information et l'éducation des usagers sur le rôle primordial du médecin traitant et la nécessité du recours.
Book Synopsis Parcours de soins et déterminants du recours direct aux urgences de Pontarlier pour les patients relevant d'une prise en charge en médecine générale by : Pierre-Laurent Marmier
Download or read book Parcours de soins et déterminants du recours direct aux urgences de Pontarlier pour les patients relevant d'une prise en charge en médecine générale written by Pierre-Laurent Marmier and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction - Le nombre de passages évitables aux urgences est en constante hausse. Ils détériorent la qualité de prises en charge, ainsi que les conditions de travail des soignants. Le service des urgences de Pontarlier n'est pas épargné par ce constat, dans un territoire où la démographie médicale est en difficulté. Nous avons voulu identifier les caractéristiques, le parcours et les motivations de ces patients à consulter aux urgences, plutôt qu'en cabinet de ville. Matériel et Méthode - Étude prospective monocentrique durant quatre semaines basée sur un auto-questionnaire standardisé, adapté à !"horaire de consultation. distribué aux patients consultant sans avis médical préalable au service d'accueil des urgences de l'hôpital de Pontarlier. Chaque questionnaire est également composé d'un volet médical. Résultats - 232 patients ont répondu à l'enquête. Après exclusion des patients dont le recours aux urgences était justifié, 163 patients ont été considérés comme relevant d'une prise en charge ambulatoire par le médecin urgentiste, correspondant à 11,8% des admissions sur la période de l'étude. Ces patients sont plutôt des hommes jeunes, actifs et vivant à proximité de l'hôpital. Ils consultent majoritairement la journée, pendant les heures d'ouverture des cabinets de ville. Les causes principales du recours sont un besoin supposé d'examens complémentaires et une prise en charge rapide, notamment de la douleur. Sur les horaires de garde, 85% de nos patients n'ont pas été régulés par la permanence des soins ambulatoires, la moitié ne connaissaient même pas son existence. Pourtant, 70% auraient accepté une consultation auprès d'un médecin généraliste. Conclusion - Les résultats de notre étude incitent à entreprendre des actions de communication et d'éducation de la population. Il serait également nécessaire de faciliter la prise de rendez-vous en cabinet de ville pour les soins non programmés. La création d'une maison médicale de garde à proximité du service pourrait être très pertinente et bien acceptée par les patients qui seraient susceptibles d'y consulter ou d'y être réorientés.
Author :Food and Agriculture Organization of the United Nations Publisher :Food & Agriculture Org. ISBN 13 :9251312362 Total Pages :166 pages Book Rating :4.2/5 (513 download)
Book Synopsis Taking a Multisectoral One Health Approach : A Tripartite Guide to Addressing Zoonotic Diseases in Countries by : Food and Agriculture Organization of the United Nations
Download or read book Taking a Multisectoral One Health Approach : A Tripartite Guide to Addressing Zoonotic Diseases in Countries written by Food and Agriculture Organization of the United Nations and published by Food & Agriculture Org.. This book was released on 2019-03-11 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2018 FAO-OIE-WHO (Tripartite) zoonoses guide, “Taking A Multisectoral, One Health Approach: A Tripartite Guide to Addressing Zoonotic Diseases in Countries” (2018 TZG) is being jointly developed to provide member countries with practical guidance on OH approaches to build national mechanisms for multisectoral coordination, communication, and collaboration to address zoonotic disease threats at the animal-human-environment interface. The 2018 TZG updates and expands on the guidance in the one previous jointly-developed, zoonoses-specific guidance document: the 2008 Tripartite “Zoonotic Diseases: A Guide to Establishing Collaboration between Animal and Human Health Sectors at the Country Level”, developed in WHO South-East Asia Region and Western Pacific Region. The 2018 TZG supports building by countries of the resilience and capacity to address emerging and endemic zoonotic diseases such as avian influenza, rabies, Ebola, and Rift Valley fever, as well as food-borne diseases and antimicrobial resistance, and to minimize their impacts on health, livelihoods, and economies. It additionally supports country efforts to implement WHO International Health Regulations (2005) and OIE international standards, to address gaps identified through external and internal health system evaluations, and to achieve targets of the Sustainable Development Goals. The 2018 TZG provides relevant country ministries and agencies with lessons learned and good practices identified from country-level experiences in taking OH approaches for preparedness, prevention, detection and response to zoonotic disease threats, and provides guidance on multisectoral communication, coordination, and collaboration. It informs on regional and country-level OH activities and relevant unisectoral and multisectoral tools available for countries to use.
Book Synopsis Philosophy manual: a South-South perspective by : Chanthalangsy, Phinith
Download or read book Philosophy manual: a South-South perspective written by Chanthalangsy, Phinith and published by UNESCO Publishing. This book was released on 2014-12-31 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :European Conference of Ministers of Transport Publisher :OECD Publishing ISBN 13 :9282103781 Total Pages :286 pages Book Rating :4.2/5 (821 download)
Book Synopsis Speed Management by : European Conference of Ministers of Transport
Download or read book Speed Management written by European Conference of Ministers of Transport and published by OECD Publishing. This book was released on 2006-10-13 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: Speeding is the number one road safety problem in a large number of OECD/ECMT countries. It is responsible for around one third of the current, unacceptably high levels of road fatalities. Speeding has an impact not only on accidents but also on the ...
Book Synopsis Disaster risk reduction in school curricula: case studies from thirty countries by :
Download or read book Disaster risk reduction in school curricula: case studies from thirty countries written by and published by UNESCO. This book was released on 2012 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Parliamentary Oversight of the Security Sector by : Philipp Fluri
Download or read book Parliamentary Oversight of the Security Sector written by Philipp Fluri and published by DCAF. This book was released on 2003 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Radiological Accident in Goiânia by : International Atomic Energy Agency
Download or read book The Radiological Accident in Goiânia written by International Atomic Energy Agency and published by . This book was released on 1988 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Government and authorities in Brazil were faced with a tragic accident in Goiânia resulting from the misuse of a strongly radioactive medical teletherapy source not under radiation protection surveillance. The present report is divided into four parts: a chronology of destruction of the source, discovery of the accident and initial response; a description of the human consequences and the dosimetry and treatment of seriously exposed and contaminated persons; an account of the assessment of the environmental contamination and the remedial actions taken; and observations and recommendations. Appendices and annexes give an assessment of the effectiveness of international co-operation in the emergency response, and provide further information on: public communications; radiological survey equipment; guidelines for the discharge of patients; radiological protection; chemical decontamination; and the lessons learned.
Book Synopsis 2nd Pan-African Symposium on the Sustainable Use of Natural Resources in Africa by : Bihini won wa Musiti
Download or read book 2nd Pan-African Symposium on the Sustainable Use of Natural Resources in Africa written by Bihini won wa Musiti and published by IUCN. This book was released on 2003 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: This bilingual publication results from a four-day symposium aimed at capturing the general directions and analytical issues that characterize approaches to sustainable use in Africa. The papers included in this work are organized under four major headings: modes of use, devolution, scale issues and external issues. Authors explore these themes through the use of case studies and the description of specific regional experiences. External issues are further explored in a series of commissioned policy papers which have also been included.
Book Synopsis Faecal Sludge Management by : Linda Strande
Download or read book Faecal Sludge Management written by Linda Strande and published by IWA Publishing. This book was released on 2014-08-15 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is estimated that literally billions of residents in urban and peri-urban areas of Africa, Asia, and Latin America are served by onsite sanitation systems (e.g. various types of latrines and septic tanks). Until recently, the management of faecal sludge from these onsite systems has been grossly neglected, partially as a result of them being considered temporary solutions until sewer-based systems could be implemented. However, the perception of onsite or decentralized sanitation technologies for urban areas is gradually changing, and is increasingly being considered as long-term, sustainable options in urban areas, especially in low- and middle-income countries that lack sewer infrastructures. This is the first book dedicated to faecal sludge management. It compiles the current state of knowledge of the rapidly evolving field of faecal sludge management, and presents an integrated approach that includes technology, management, and planning based on Sandecs 20 years of experience in the field. Faecal Sludge Management: Systems Approach for Implementation and Operation addresses the organization of the entire faecal sludge management service chain, from the collection and transport of sludge, and the current state of knowledge of treatment options, to the final end use or disposal of treated sludge. The book also presents important factors to consider when evaluating and upscaling new treatment technology options. The book is designed for undergraduate and graduate students, and engineers and practitioners in the field who have some basic knowledge of environmental and/or wastewater engineering.
Download or read book Dealmaking written by Richard Razgaitis and published by John Wiley & Sons. This book was released on 2004-04-16 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Applying practical tools to the volatile process of negotiating Prognosticators apply Monte Carlo Analysis (MCA) to determine the likelihood and significance of a complete range of future outcomes; Real Options Analysis (ROA) can then be employed to develop pricing structures, or options, for such outcomes. Richard Razgaitis' Dealmaking shows readers how to apply these powerful valuation tools to a variety of business processes, such as pricing, negotiating, or living with a "deal," be it a technology license, and R&D partnership, or an outright sales agreement. Dealmaking distinguishes itself from other negotiating guides not only by treating negotiations as an increasingly common situation, but also by presenting a tool-based approach that creates flexible, practical valuation models. This forward-thinking guide includes a variety of checklists, case studies, and a CD-ROM with the appropriate software. Richard Razgaitis (Bloomsbury, NJ) is a Managing Director at InteCap, Inc. He has over twenty-five years of experience working with the development, commercialization, and strategic management of technology, seventeen of which have been spent in the commercialization of intellectual property.
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.
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.
Book Synopsis "Save My Kid" by : Amanda M. Gengler
Download or read book "Save My Kid" written by Amanda M. Gengler and published by NYU Press. This book was released on 2020-01-21 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: A frank analysis of the medical and emotional inequalities that pervade the healthcare process for critically ill children Families who have a child with a life-threatening illness face a daunting road ahead of them, one that not only upends their everyday lives, but also strikes at the very heart of parenthood. In “Save My Kid,” Amanda M. Gengler traces the emotional difficulties these families navigate as they confront a fundamentally unequal healthcare system in the United States. Gengler reveals the unrecognized, everyday inequalities tangled up in the process of seeking medical care, showing how different families manage their children’s critical illnesses. She also uncovers the role that emotional goals—deeply rooted in the culture of illness and medicine—play in medical decision-making, healthcare interactions, and the end of children’s lives. A deeply compassionate read, “Save My Kid” is an inside look at inequality in healthcare among those with the most at stake.
Book Synopsis Frontline and Factory by : Roy MacLeod
Download or read book Frontline and Factory written by Roy MacLeod and published by Springer Science & Business Media. This book was released on 2007-05-06 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book represents a first considered attempt to study the factors that conditioned industrial chemistry for war in 1914-18. Taking a comparative perspective, it reflects on the experience of France, Germany, Austria, Russia, Britain, Italy and Russia, and points to significant similarities and differences. It looks at changing patterns in the organisation of industry, and at the emerging symbiosis between science, industry and the military.
Book Synopsis Traditional Mediterranean Architecture by : Amin Maalouf
Download or read book Traditional Mediterranean Architecture written by Amin Maalouf and published by . This book was released on 2002 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt:
