Analyse Des Trajectoires Des Patients En Canc Rologie
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Analyse Des Trajectoires Des Patients En Canc Rologie
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Author : Mélodie Lucas
language : fr
Publisher:
Release Date : 2013
Analyse Des Trajectoires Des Patients En Canc Rologie written by Mélodie Lucas and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.
L’étude de la trajectoire des patients en cancérologie est un enjeu majeur tant pour la planification sanitaire que pour évaluer l’observance des recommandations de bonnes pratiques des professionnels de santé. Le cancer du sein représente le premier cancer féminin en termes d’incidence et de mortalité en France. Sa prise en charge fait l’objet de recommandations nationales de bonnes pratiques, coproduites par l’Institut National du CAncer et la Haute Autorité de Santé. L’objectif de cette étude est de définir une méthode d’analyse des trajectoires des patients en cancérologie à partir des bases médico-économiques, en prenant pour exemple la trajectoire de soins des patientes atteintes de cancer du sein en Haute-Normandie. Méthodes Les données sont issues d’une part des bases du programme de médicalisation des systèmes d’information (PMSI) pour l’hospitalisation de médecine – chirurgie - obstétrique de 2010 à 2013 ; d’autre part des données issues de la base SNIIRAM pour les données de radiothérapie libérale, des molécules onéreuses et de la détection pré-opératoire du ganglion sentinelle réalisée hors hospitalisation. L’étude a porté sur les patientes résidant en Haute-Normandie ainsi que les patientes prises en charge partiellement ou totalement en Haute-Normandie. Ont été incluses les patientes ayant un séjour en lien avec le traitement du cancer du sein en 2012 mais n’ayant pas de tel séjour en 2010 ni 2011. Les prises en charge de chimiothérapie, chirurgie et radiothérapie ont permis de décrire la trajectoire des patientes depuis leur première hospitalisation jusqu’à fin 2013 par l’étude des flux des patientes, des coopérations inter-établissements et du parcours de soins des patientes. Résultats 1873 patientes ont été incluses. Les établissements du territoire de santé (TS) de Rouen-Elbeuf ont une forte attractivité sur l’ensemble des patientes de Haute-Normandie. Les flux des patientes vers le site régional de référence en cancérologie, le CRLCC Henri Becquerel prédomine. Le TS de Dieppe se caractérise par un taux importante de fuites vers les autres TS haut-normands, les fuites extra régionales concernent principalement le TS d’Evreux-Vernon. Dans 81% des cas les patientes ont été prises en charge par un seul établissement. Les principales coopérations inter-établissement associent les cliniques privées aux centres de radiologie privés. 71% des coopérations se font entre des établissements ayant le même statut et 64% entre des établissements du même territoire de santé. 81,9% des patientes suivaient une prise en charge conforme aux recommandations. Conclusion Les données de la radiothérapie libérale ont permis la description précise des trajectoires des patientes atteintes d’un cancer du sein en Haute-Normandie. Les trajectoires pourront être approfondies par l’analyse de l’ensemble des séjours prenant en charge le cancer du sein. Les trajectoires de soins en cancérologie pourront être décrites à un niveau national en incluant la radiothérapie privée.
Clinical Practice Guidelines
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 1990-02-01
Clinical Practice Guidelines written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1990-02-01 with Medical categories.
The Alberta clinical practice guidelines program is supporting appropriate, effective and quality medical care in Alberta through promotion, development and implementation of evidence-based clinical practice guidelines.
Therapeutic Pluralism
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Author : Alex Broom
language : en
Publisher: Routledge
Release Date : 2008-03-11
Therapeutic Pluralism written by Alex Broom and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-03-11 with Medical categories.
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.
There Is No Such Thing As A Social Science
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Author : Phil Hutchinson
language : en
Publisher: Routledge
Release Date : 2016-02-17
There Is No Such Thing As A Social Science written by Phil Hutchinson and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-02-17 with Social Science categories.
The death of Peter Winch in 1997 sparked a revived interest in his work with this book arguing his work suffered misrepresentation in both recent literature and in contemporary critiques of his writing. Debates in philosophy and sociology about foundational questions of social ontology and methodology often claim to have adequately incorporated and moved beyond Winch's concerns. Re-establishing a Winchian voice, the authors examine how such contentions involve a failure to understand central themes in Winch's writings and that the issues which occupied him in his Idea of a Social Science and its Relation to Philosophy and later papers remain central to social studies. The volume offers a careful reading of the text in alliance with Wittgensteinian insights and alongside a focus on the nature and results of social thought and inquiry. It draws parallels with other movements in the social studies, notably ethnomethodology, to demonstrate how Winch's central claim is both more significant and more difficult to transcend than sociologists and philosophers have hitherto imagined.
Soins En R Seau
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Author : Carrère Marie-Odile
language : fr
Publisher: John Libbey Eurotext
Release Date : 2007-10-01
Soins En R Seau written by Carrère Marie-Odile and has been published by John Libbey Eurotext this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-10-01 with Medical categories.
Le système de soins français, comme celui des autres pays dits développés, est marqué par un ensemble d’évolutions structurelles majeures, en cours ou en émergence. On peut citer, du côté de l’offre de soins, l’avènement de la médecine des preuves et l’abolition de la dichotomie entre les soins de ville et les soins hospitaliers avec une imbrication de plus en plus forte entre les deux. Du côté de la demande de soins, on observe l’émergence, soutenue par la loi, du patient « consommateur », qui revendique un rôle plus actif dans sa prise en charge. Le réseau de soins peut-il constituer une réponse organisationnelle adaptée à ces évolutions ? C’est précisément la question que cet ouvrage cherche à documenter, en apportant des réponses issues d’investigations scientifiques variées provenant de différents champs de la connaissance, qui relèvent de la sociologie, de l’économie et de la santé publique, et qui résultent d’une collaboration permanente avec les soignants d’un réseau de soins.
Chronic Illness And The Quality Of Life
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Author : Anselm L. Strauss
language : en
Publisher: Mosby Elsevier Health Science
Release Date : 1984
Chronic Illness And The Quality Of Life written by Anselm L. Strauss and has been published by Mosby Elsevier Health Science this book supported file pdf, txt, epub, kindle and other format this book has been release on 1984 with Medical categories.
No Place For Dying
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Author : Helen Stanton Chapple
language : en
Publisher: Left Coast Press
Release Date : 2010-04-14
No Place For Dying written by Helen Stanton Chapple and has been published by Left Coast Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-04-14 with Medical categories.
This book shows how dying is a management problem for hospitals, occupying space but few billable encounters and of little interest to medical practice or quality control. An anthropologist and bioethicist with two decades of professional nursing experience, Helen Chapple goes beyond current work on hospital care to present fine-grained accounts of the clinicians, patients, and families who navigate this uncharted, untidy, and unpredictable territory between the highly choreographed project of rescue and the clinical culmination of death.
Death Foretold
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Author : Nicholas A. Christakis
language : en
Publisher: University of Chicago Press
Release Date : 2001-04
Death Foretold written by Nicholas A. Christakis and has been published by University of Chicago Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001-04 with Medical categories.
This groundbreaking book explains prognosis from the perspective of doctors, examining why physicians are reluctant to predict the future, how doctors use prognosis, the symbolism it contains, and the emotional difficulties it involves. Drawing on his experiences as a doctor and sociologist, Nicholas Christakis interviewed scores of physicians and searched dozens of medical textbooks and medical school curricula for discussions of prognosis in an attempt to get to the core of this nebulous medical issue that, despite its importance, is only partially understood and rarely discussed. "Highly recommended for everyone from patients wrestling with their personal prognosis to any medical practitioner touched by this bioethical dilemma."—Library Journal, starred review "[T]he first full general discussion of prognosis ever written. . . . [A] manifesto for a form of prognosis that's equal parts prediction-an assessment of likely outcomes based on statistical averages-and prophecy, an intuition of what lies ahead."—Jeff Sharlet, Chicago Reader "[S]ophisticated, extraordinarily well supported, and compelling. . . . [Christakis] argues forcefully that the profession must take responsibility for the current widespread avoidance of prognosis and change the present culture. This prophet is one whose advice we would do well to heed."—James Tulsky, M.D., New England Journal of Medicine
Gender And The Social Construction Of Illness
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Author : Judith Lorber
language : en
Publisher: Rowman Altamira
Release Date : 2002
Gender And The Social Construction Of Illness written by Judith Lorber and has been published by Rowman Altamira this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with Feminism categories.
Judith Lorber and Lisa Jean Moore consider the interface between the social institutions of gender and Western medicine in this brief, lively textbook. They offer a distinct feminist viewpoint to analyze issues of power and politics concerning physical illness. For a creative, feminist-oriented alternative to traditional texts on medical sociology, medical anthropology, and the history of medicine, this is an ideal choice.
Survival Of Cancer Patients In Europe
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Author : F. Berrino
language : en
Publisher:
Release Date : 1995
Survival Of Cancer Patients In Europe written by F. Berrino and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with Medical categories.
This book is a compilation and discussion of data on the survival of cancer patients in 12 European countries. Measures of incidence, survival and mortality are critical to the interpretation of data on progress in the fight against cancer, and in the evaluation of the overall effectiveness of cancer control programmes. Randomized controlled clinical trials have shown many modern protocols for cancer treatment to be more effective than earlier treatments, but until now, comparable population-based survival figures have raraly been available. EUROCARE is a concerted action among European cancer registries, aimed at estimating and comparing the survival of cancer patients in different European populations. The rationale behind this project is to optimize the comparability of survival data by using an agreed and standard definition of the diseases for which survival is to be compared, and by taking due account of basic demographic variables. The EUROCARE Working Group succeeded in collecting, checking and editing data on cancer survival from 30 cancer registries in 12 countries, and established a database covering some 800,000 cancer patients in the period 1978-85 and followed up to the end of 1990. This database forms the raw material for this monograph.