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Democratie sanitaire, democratie en sante, empowerment des malades : quels que soient les vocables utilises, la participation des patients semble admise. D'objets de soins, ils seraient enfin reconnus par les institutions comme citoyens a part entiere, sujets conscients, responsables et capables. Un tel consensus est a interroger. L'histoire tumultueuse de la democratie sanitaire est faite de conflits, de compromis, de victoires et d'echecs. Contrairement aux idees recues, elle ne commence pas aux annees sida. Des le XIXe siecle les malades ont combattu pour etre entendus. Ils se sont organises et ont ete actifs. Comment ont-ils contribue a impulser une dynamique democratique ? Sous quelles formes se developpe-t-elle actuellement ? Quelles sont les ambiguites des dispositifs institutionnels contemporains ?Alors que nous avons celebre les 20 ans de la loi sur les droits des malades, les difficultes du passe aident a comprendre les tensions persistantes du present. Par cette mise en perspective completee par une enquete de terrain en milieu hospitalier, Lucile Sergent pose un regard neuf sur le rapport des citoyens au systeme de sante. Elle propose de nouvelles ressources et un outillage pour penser la participation des malades et les politiques mises en ¿uvre.
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Patient compliance --- Patient Compliance. --- Patient Satisfaction.
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Illness tends to be viewed in a negative light as something to be avoided at all costs. Yet most of us become ill at some point and many will suffer prolonged periods of failing health. In this insightful and entertaining book, Ian invites us to accompany him through one such experience and to discover how, despite its debilitating effects, illness can yield a deeper appreciation of living as well as of those who share our journeys. Here is an honest, amusing and, at times, profound account, full of wisdom, humanity and faith.
Patient participation. --- Patient satisfaction. --- Professional-Patient relations.
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Within the context of the ISO/IEEE 11073 family of standards for device communication, a normative definition of the communication between continuous glucose monitor (CGM) devices and managers (e.g., cell phones, personal computers, personal health appliances, set top boxes), in a manner that enables plug-and-play interoperability, is established in this standard. It leverages appropriate portions of existing standards including ISO/IEEE 11073 terminology and information models. It specifies the use of specific term codes, formats, and behaviors in telehealth environments, restricting optionality in base frameworks in favor of interoperability. This standard defines a common core of communication functionality of CGM devices. In this context, CGM refers to the measurement of the level of glucose in the body on a regular (typically 5 minute) basis through a sensor continuously attached to the person.
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Virtually all medical and behavioral health treatments require at least some degree of patient adherence to succeed. Despite the relationship between health behaviors and outcomes, little attention is paid to developing proven methods for identifying and addressing patient non-adherence. Improving Patient Treatment Adherence: A Clinician's Guide offers new and updated information on the subject by focusing on practical tactics for clinicians that can improve patient adherence to a wide variety of treatments. This book is organized by behaviors looking at topics that range from dietary adherence and smoking cessation to chronic pain, HIV and substance abuse and examines the impact of patient non-adherence, including costs, clinical outcomes, and health-related quality of life. Helpful tables, questions, and scoring algorithms make this book a useful guide for any practicing physician.
Patient compliance --- Patient Compliance --- Patient Compliance. --- Patient compliance. --- Patients --- Coopération.
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Late management in dengue can result to poor health outcome. Factors that can affect early treatment such as the lime of admission needs to be determined. This can improve promptness of care and early disease notification. The factors investigated in this study were: a) age and sex, b) clinical type, c) case classification, d) health care facility sector, e) hospital level, and f) period of admission. The period of admission refers to post-typhoon Haiyan, Region VIII epidemic in 2010 and period with no high impact disaster. The time of admission is the interval from the onset of illness to the time of hospitalization. An exhaustive retrospective sampling and analysis was conducted on a secondary data from the Dengue surveillance of Region VIII, Philippines for the period of 2008-2014. Two analyses were used to determine association, a chi-square test at a p-value <0.01 and ordinal logistic regression at a 95% confidence interval (Cl).The factors associated with a higher likelihood of a late hospitalization included a) age of 15-64 years old (OR 1.39; 95% Cl 1.29-1.49) as opposed to the children; b) having the severe types of the disease, Dengue Hemorrhagic Fever (OR 1.17; 95% Cl 1.08-1.26) and Dengue Shock Syndrome (OR 1.34; 95% Cl 1.01-1.78) in comparison to Dengue Fever; c) being in a tertiary level hospital (OR 1.32; 95% Cl 1.23-1.42) in comparison to a non-tertiary hospital. The inverse of these factors are associated to a lower likelihood of a late hospitalization. ln addition, the other factors associated with a lower likelihood of a late admission are: a) being in a private sector or privately owned health care facility (OR 0.73; 95% Cl 0.68-0.79) in comparison to a publicly owned health care facility; b) and of being admitted during periods of disaster such as the post-typhoon Haiyan (Cl 0.90; 95% Cl 0.72-0.90) and Region VIII - 2010 epidemic (OR 0.82; 95% Cl 0.76-0.89) as opposed to years with no high impact disasters. The patient's sex (OR 1.02, 95% Cl 0.96-1.08) and of being an elderly (OR 1.54; 95% Cl 0.90-2.64) are not associated to the time of admission. Confirming the diagnosis with laboratory tests is not associated to an early admission. The suspected case’s (OR 0.93; 95% Cl 0.72-1.22) and the probable cases (OR 1.10; 95% Cl 0.83-1.44) which are often diagnosed clinically and epidemiologically, are admitted on an equal lime to those confirmed with laboratory tests. Only 1.44% of the admitted cases in this study were confirmed with laboratory tests. Cast-effective laboratory test still needs to be developed to facilitate early admission particularly for the severe cases. The case fatality rate of severe cases is 26 times higher than Dengue Fever when admitted late. Late admission should alert health care workers that the case is likely severe and fatal. The earlier hospitalization during periods of disaster seems contrary to the strained health system. However, evidence indicated adaptive changes in the age and disease type distribution during the post typhoon Haiyan. There was higher private to public ratio of patients. The number of reported dengue cases increased by 10% in non-tertiary hospitals. During the 2010 epidemic, the hospitals increased in capacity by 10limes their regular yearly capacity. The late hospitalization among adults support the evidences painting less severe cases in this age group, consequently suggesting a different health seeking behavior. The private and non-tertiary hospitals are valuable health care facilities which can be developed for early case admission and notification, likewise, they are beneficial in coping during disasters. Inclusion and consistent recording of the identified factors in this study can facilitate in evaluating the population health status and accession medical care. The influence of external aid during disasters and using a surveillance data with widely confirmed cases necessitates investigation.
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