Pourquoi Les Patients Viennent Consulter Nombreux Aux Urgences

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Pourquoi les patients viennent consulter nombreux aux urgences

Author : Dorra Ben Youssef
Publisher :
ISBN 13 :
Total Pages : 68 pages
Book Rating : 4.:/5 (835 download)

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Book Synopsis Pourquoi les patients viennent consulter nombreux aux urgences by : Dorra Ben Youssef

Download or read book Pourquoi les patients viennent consulter nombreux aux urgences written by Dorra Ben Youssef and published by . This book was released on 2012 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: Depuis leur création, dans le milieu des années 60, les services des urgences n'ont cessé de voir leur activité croître d'années en années. Une étude DREES montre que seuls 20 % des passages aux urgences sont suivis d'une hospitalisation. La problématique de l'engorgement des urgences a suscité plusieurs études et enquêtes afin d'essayer d'appréhender le profil des usagers qui s'adressent aux urgences hospitalières pour des motifs de recours relevant de la médecine générale. L'objet de cette thèse est de faire un état des lieux sur une revue de la littérature francophone. Trois études ont été retenues : l'étude nationale DREES, une étude réalisée aux urgences de Nancy et une étude réalisée aux urgences de Nanterre. L'analyse de ces études montre que les patients qui ont recours aux urgences sont des patients jeunes, qui travaillent et qui ont une bonne couverture sociale. Les structures des urgences générales et pédiatriques voient leur mission glisser vers la médecine de proximité, ce qui pose le problème de la prise en charge de la consultation non programmée.

Pourquoi les patients vont-ils aux urgences au lieu de solliciter la permanence des soins? Étude observationnelle descriptive transversale au sein des services d'urgence du CHU de Bordeaux (site Pellegrin) et du CH d'Agen

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Author : Maximilien Guerry
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (967 download)

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Book Synopsis Pourquoi les patients vont-ils aux urgences au lieu de solliciter la permanence des soins? Étude observationnelle descriptive transversale au sein des services d'urgence du CHU de Bordeaux (site Pellegrin) et du CH d'Agen by : Maximilien Guerry

Download or read book Pourquoi les patients vont-ils aux urgences au lieu de solliciter la permanence des soins? Étude observationnelle descriptive transversale au sein des services d'urgence du CHU de Bordeaux (site Pellegrin) et du CH d'Agen written by Maximilien Guerry and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Pourquoi les patients consultent-ils les Urgences plutôt que le médecin généraliste ou le médecin de garde? Méthode : Enquête par questionnaire auprès de tous les patients admis aux Urgences du CHU de Bordeaux et du CH d'Agen les 20 et 25 octobre 2015. Résultats : Sur 333 patients inclus dans l'étude, 43,3% pensaient que leur problème était grave, 41,67% sont venus car l'hôpital est ouvert 24 heures sur 24, 27,78% sont venus car leur médecin n'était pas disponible, 27,43% sont venus car tout est faisable sur place, et 16,67% sont venus par habitude des Urgences. 19,79 % des patients pensaient que les médecins généralistes ne prenaient pas en charge le type de problème qu'ils présentaient. 2,08% sont venus pour la gratuité des soins. 60,76% déclaraient ne pas savoir comment joindre le médecin de garde. Discussion : Les données retrouvées dans cette enquête sont concordantes avec la littérature internationale. Les patients viennent aux Urgences pour la praticité, par habitude, par méconnaissance du système de permanence des soins et des capacités de soins du médecin généraliste. La motivation financière n'est pas au premier plan Conclusion : De nombreux patients viennent aux Urgences sans avis médical préalable. Il semble nécessaire d'éduquer les patients, de limiter l'accès spontané aux Urgences tout en favorisant la régulation par le SAMU-Centre 15.

Pourquoi les patients viennent-ils aux urgences ?

Author : Olivier Tilak
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (81 download)

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Book Synopsis Pourquoi les patients viennent-ils aux urgences ? by : Olivier Tilak

Download or read book Pourquoi les patients viennent-ils aux urgences ? written by Olivier Tilak and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : Depuis leur création, l’activité des services d’urgences ne cesse de croitre. Ils doivent aujourd’hui faire face à des phénomènes d’engorgement. Objectifs de l’étude : Examen des caractéristiques socio-démographiques, trajectoires et motivations de recours aux urgences des usagers, et des représentations qu’ils se font de ce service. L’étude cherche à définir différents profils de patients selon ces déterminants. Protocole : Etude prospective, descriptive et observationnelle d’une cohorte d usagers. Lieu de l’étude : Etude monocentrique menée au sein du Service des Urgences du C.H.Douai. Matériels et méthodes : Etude incluant tous les patients admis administrativement dans le service, à l’exception de ceux transférés depuis un autre service ou un autre hôpital. Sur 7 journées, 1064 patients ont pu être inclus dans cette étude. Critère de jugement principal : L’établissement de différents profils d’usagers d'un service d'urgence de centre hospitalier général selon les représentations qu'ils s'en font, leurs motivations et trajectoires de recours, et leurs caractéristiques socio-démographiques. Résultats : Cinq profils discriminants ont pu être définis : Les patients admis suite à intervention de la police, les patients difficilement interrogeables, les patients en état « grave », les patients âgés, et les patients adressés par un médecin. Conclusions : L’analyse des caractéristiques socio-démographiques des patients, de leurs trajectoires et motivations de recours aux urgences et des représentations qu’ils en ont, permet de définir différents profils d’usagers. Face à l’engorgement des urgences, ces constatations locales sont une aide pour adapter l’organisation du service à sa population de patients.

Environmental Scanning and Sustainable Development

Author : Nicolas Lesca
Publisher : John Wiley & Sons
ISBN 13 : 1118601920
Total Pages : 341 pages
Book Rating : 4.1/5 (186 download)

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Book Synopsis Environmental Scanning and Sustainable Development by : Nicolas Lesca

Download or read book Environmental Scanning and Sustainable Development written by Nicolas Lesca and published by John Wiley & Sons. This book was released on 2013-01-24 with total page 341 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work is an initial exploration of the relationship between scanning and sustainable development. In ten chapters, the authors examine the application, characteristics and implementation of scanning oriented toward sustainable development. Thus the work offers some answers to the questions “what is sustainable scanning?”, “what new issues does it raise for management practice and management science?”, “what forms can it take?” and “how...?”

Welcome to the United States

Author :
Publisher :
ISBN 13 :
Total Pages : 4 pages
Book Rating : 4.:/5 (173 download)

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Download or read book Welcome to the United States written by and published by . This book was released on 2007 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medicare Prospective Payment and the Shaping of U.S. Health Care

Author : Rick Mayes
Publisher : JHU Press
ISBN 13 : 0801888875
Total Pages : 274 pages
Book Rating : 4.8/5 (18 download)

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Book Synopsis Medicare Prospective Payment and the Shaping of U.S. Health Care by : Rick Mayes

Download or read book Medicare Prospective Payment and the Shaping of U.S. Health Care written by Rick Mayes and published by JHU Press. This book was released on 2006-12-20 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.

Speed Management

Author : European Conference of Ministers of Transport
Publisher : OECD Publishing
ISBN 13 : 9282103781
Total Pages : 286 pages
Book Rating : 4.2/5 (821 download)

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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 ...

Clinical Management of Patients with Viral Haemorrhagic Fever

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9241549602
Total Pages : 203 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Clinical Management of Patients with Viral Haemorrhagic Fever by : World Health Organization

Download or read book Clinical Management of Patients with Viral Haemorrhagic Fever written by World Health Organization and published by World Health Organization. This book was released on 2016-05-03 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in March 2014 under the title "Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for West Africa".

Discourse In Educational And Social Research

Author : Maclure, Maggie
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335201903
Total Pages : 248 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Discourse In Educational And Social Research by : Maclure, Maggie

Download or read book Discourse In Educational And Social Research written by Maclure, Maggie and published by McGraw-Hill Education (UK). This book was released on 2003-03-01 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: WINNER: 2004 AESA Critics' Choice Award "With wonderful clarity Maggie MacLure shows how deconstructionism opens new avenues of critical inquiry and understanding for educational researchers. In exposing the hidden, ideological side of terms like clarity, certainty, mastery, and relevance she allows us to see schooling and educational policy in new ways. In so doing she allows us to imagine classrooms as liberating, pedagogical places, as places where new forms of desire, knowledge, and learning take place" Norman K. Denzin, University of Illinois at Urbana-Champaign This book is both practical and provocative. It demonstrates the insights and the challenges of a discourse-based orientation to educational and social research. Drawing on a variety of educational and social science 'texts' - including press articles, life history interviews, parent-teacher consultations, policy debates and ethnographies - the author shows how knowledge, power, identities and realities are constructed and problematised in discourse. The book also deals with research itself as discursive practice, examining the texts that qualitative researchers produce and consume: reports, monographs, journal articles. Practical examples are included for researchers and graduate students wishing to 'interrogate' their own data from a discourse perspective. The author develops a critical awareness of the researcher's role as writer/reader of texts. The book makes the case for 'discursive literacy' in research. While its primary allegiances are to poststructuralism and deconstruction, it draws from a wide range of disciplines, including interaction sociology, feminist ethnography, literary theory, critical discourse analysis and art history. What holds the book together is the persistent question: how to do educational research and social research within a 'crisis of representation' that has unsettled the relationship between words and worlds?

Author :
Publisher : Odile Jacob
ISBN 13 : 2738183379
Total Pages : 465 pages
Book Rating : 4.7/5 (381 download)

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Book Synopsis by :

Download or read book written by and published by Odile Jacob. This book was released on with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Collection of Essays by Legal Advisers of States, Legal Advisers of International Organizations and Practitioners in the Field of International Law

Download Collection of Essays by Legal Advisers of States, Legal Advisers of International Organizations and Practitioners in the Field of International Law PDF Online Free

Author : United Nations. Office of Legal Affairs
Publisher : United Nations Publications
ISBN 13 :
Total Pages : 544 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Collection of Essays by Legal Advisers of States, Legal Advisers of International Organizations and Practitioners in the Field of International Law by : United Nations. Office of Legal Affairs

Download or read book Collection of Essays by Legal Advisers of States, Legal Advisers of International Organizations and Practitioners in the Field of International Law written by United Nations. Office of Legal Affairs and published by United Nations Publications. This book was released on 1999 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: The world has changed radically since 1989, when the General Assembly declared the period from 1990 to 1999 as the United Nations Decade of International Law. During that time, the international community claimed some major achievements as reflected by the adoption of conventions and treaties. This publication presents a collection of essays from legal advisers of States and international organizations, all of whom are among those committed to promoting respect for international law. Their contribution provides a practical perspective on international law, viewed from the standpoint of those involved in its formation, application and administration.

The Immortals

Author : René Barjavel
Publisher : William Morrow &Company
ISBN 13 :
Total Pages : 250 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Immortals by : René Barjavel

Download or read book The Immortals written by René Barjavel and published by William Morrow &Company. This book was released on 1974 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: A BIOLOGIST DISCOVERS A HIGHLY CONTAGIOUS VIRUS THAT CAUSES IMMORTALITY. WORLD LEADERS AGREE IT MUST BE KEPT SECRET AND SET UP A COMMUNITY OF IMMORTALS ON AN ISOLATED ALEUTIAN ISLAND TO STUDY ITS EFFECTS.

PHTLS French: Secours et soins prehospitaliers aux traumatises, Huitieme Edition

Author : NAEMT,
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284187160
Total Pages : 745 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis PHTLS French: Secours et soins prehospitaliers aux traumatises, Huitieme Edition by : NAEMT,

Download or read book PHTLS French: Secours et soins prehospitaliers aux traumatises, Huitieme Edition written by NAEMT, and published by Jones & Bartlett Learning. This book was released on 2016-05-26 with total page 745 pages. Available in PDF, EPUB and Kindle. Book excerpt: PHTLS Secours et soins préhospitaliers aux traumatisés, Huitième Édition est le programme mondial d'éducation de traumatologie et préhospitalière éprouvé le plus important de la NAEMT.

Handbook of Psychiatry in Palliative Medicine

Author : Harvey Max Chochinov
Publisher :
ISBN 13 : 0195301072
Total Pages : 591 pages
Book Rating : 4.1/5 (953 download)

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Book Synopsis Handbook of Psychiatry in Palliative Medicine by : Harvey Max Chochinov

Download or read book Handbook of Psychiatry in Palliative Medicine written by Harvey Max Chochinov and published by . This book was released on 2009 with total page 591 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychiatric, or psychosocial, palliative care has transformed palliative medicine. Palliation that neglects psychosocial dimensions of patient and family experience fails to meet contemporary standards of comprehensive palliative care. While a focus on somatic issues has sometimes overshadowed attention to psychological, existential, and spiritual end-of-life challenges, the past decade has seen an all encompassing, multi-disciplinary approach to care for the dying take hold. Written by internationally known psychiatry and palliative care experts, the Handbook of Psychiatry in Palliative Medicine is an essential reference for all providers of palliative care, including psychiatrists, psychologists, mental health counselors, oncologists, hospice workers, and social workers.

Economic Fallacies

Author : Frederic Bastiat
Publisher : Simon Publications
ISBN 13 : 9781931541022
Total Pages : 0 pages
Book Rating : 4.5/5 (41 download)

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Book Synopsis Economic Fallacies by : Frederic Bastiat

Download or read book Economic Fallacies written by Frederic Bastiat and published by Simon Publications. This book was released on 2001-08-16 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, written by the celebrated nineteenth century French economist propagating free trade, reads as it was written yesterday.

The Cancellation of Election Results

Author : European Commission for Democracy through Law
Publisher : Council of Europe
ISBN 13 : 9789287166517
Total Pages : 78 pages
Book Rating : 4.1/5 (665 download)

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Book Synopsis The Cancellation of Election Results by : European Commission for Democracy through Law

Download or read book The Cancellation of Election Results written by European Commission for Democracy through Law and published by Council of Europe. This book was released on 2010-01-01 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: Electoral law, like all other fields of law, Is effective only if it provides for sanctions. The cancellation of elections results, The most serious of sanctions, Is in general linked To The most serious of irregularities, especially when its effects are felt beyond a small constituency. However, small technical inaccuracies may affect election results if the difference in votes is minimal, As recent examples such as the notorious 2000 United States presidential elections have shown. This book aims to determine when electoral disputes should lead to such a consequence, based on the practice of national, constitutional and supreme courts throughout Europe, As well as on the practice of the European Court of Human Rights. This publication contains the reports presented at the Seminar on Cancellation of Election Results, organised by the Venice Commission in co-operation with the Constitutional Court of Malta And The Maltese Ministry of Justice and Home Affairs, On 14 and 15 November 2008.

Acting in Anaesthesia

Author : Dawn Goodwin
Publisher : Cambridge University Press
ISBN 13 : 0521882060
Total Pages : 209 pages
Book Rating : 4.5/5 (218 download)

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Book Synopsis Acting in Anaesthesia by : Dawn Goodwin

Download or read book Acting in Anaesthesia written by Dawn Goodwin and published by Cambridge University Press. This book was released on 2009-02-16 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, evidence-based medicine (EBM), clinical governance and professional accountability have become increasingly significant in shaping the organisation and delivery of healthcare. However, these notions all build upon and exemplify the idea of human-centred, individual action. In this book, Dawn Goodwin suggests that such models of practice exaggerate the extent to which practitioners are able to predict and control the circumstances and contingencies of healthcare. Drawing on ethnographic material, Goodwin explores the way that 'action' unfolds in a series of empirical cases of anaesthetic and intensive care practice. Anaesthesia configures a relationship between humans, machines and devices that transforms and redistributes capacities for action and thereby challenges the figure of a rational, intentional, acting individual. This book elucidates the ways in which various entities (machines, tools, devices and unconscious patients as well as healthcare practitioners) participate, and how actions become legitimate and accountable.