Sante Publique最新文献_第10页

P3. Santé environnementale. P3。环境健康。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.hs2.2025.0041

引用次数: 0

P8. Services de santé et prise en charge médicale. P8。卫生服务和医疗护理。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.hs2.2025.0055

引用次数: 0

P1. Santé des jeunes et de la femme. P1。青年和妇女健康。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.hs2.2025.0037

引用次数: 0

Programme « Nouvelles de l’Hôpital » : une réponse culturelle aux défis psychosociaux de l’hospitalisation. 《医院新闻》节目：对住院治疗的社会心理挑战的文化回应。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.254.0195

Sophie Lantheaume, Laura Le Saux, Louis Claret, Christophe Sibieude, Côme Sibieude

引用次数: 0

La décolonisation de la santé publique en Afrique : quelle place pour les Organisations Non-Gouvernementales du Nord Global (ONGs) ? 非洲公共卫生的非殖民化：全球北方非政府组织的位置是什么？

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0021

Nicolas Meda, Issiaka Sombié, Ibrahima Seck, Agnès Binagwaho

{"title":"La décolonisation de la santé publique en Afrique : quelle place pour les Organisations Non-Gouvernementales du Nord Global (ONGs) ?","authors":"Nicolas Meda, Issiaka Sombié, Ibrahima Seck, Agnès Binagwaho","doi":"10.3917/spub.251.0021","DOIUrl":"10.3917/spub.251.0021","url":null,"abstract":"Introduction: Our work has examined the controversial role of NGOs in health development in Africa. NGOs are criticized for perpetuating the power structures of domination inherited from colonialism by appropriating development assistance for health (DAH) resources, thereby replacing national governments on the ground and imposing their own agenda in the provision of health services to populations.Methods: We have utilized two sources of knowledge to address this concern. A review of the literature published after 2014 was used to explain the inappropriate practices of the development aid industry in relation to the health sector in Africa. Next, the authors' experiences in dealing with this situation were drawn on to define a new partnership for global public health that meets Africa's needs.Results: The strategy of Africa's Global North partners is increasingly to use NGOs as the preferred intermediaries for their support, accusing African countries of being corrupt and incompetent. With the resources they appropriate, the NGOs take the place of national governments on the ground and, in many cases, undermine four key pillars in the development of any health system: governance, financing, human resources, and the provision of services, thereby contributing to the ongoing weakening of healthcare systems in Africa. The accompaniment approach, in which donors transfer DAH resources to governments, who in turn choose the NGOs they wish to work with, would be a more beneficial partnership for Africa. The fight against corruption and the strengthening of Africa's capacity for health action would be technical-assistance priorities in a new partnership grounded in mutual trust.Discussion: The decolonization of public health in Africa is underway. Africa offers TFPs and NGOs a new partnership based on trust, in which it decides on the health agenda and the support model that will be most beneficial to it.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"21-35"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Une décolonisation sous dépendance est-elle possible ? 依赖下的非殖民化可能吗？

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0007

Jean-Hugues Caffin, Fatoumata Hane

引用次数: 0

Démocratie en santé et santé bucco-dentaire. 健康和口腔健康中的民主。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.252.0015

Frédéric Denis, Christian Brun, Roland Walger, Sidi-Mohammed Ghadi, Stéphanie Tubert-Jeannin, Patrick Baudot, Thomas Marquillier, Céline Clément, Emmanuel Rusch

引用次数: 0

Démographie et activité de la population des médecins généralistes remplaçants en France en 2022. 法国2022年替代全科医生的人口和活动。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.252.0167

Caroline Di Lorenzo-Kas, Yohann Vergès

{"title":"Démographie et activité de la population des médecins généralistes remplaçants en France en 2022.","authors":"Caroline Di Lorenzo-Kas, Yohann Vergès","doi":"10.3917/spub.252.0167","DOIUrl":"10.3917/spub.252.0167","url":null,"abstract":"Introduction: According to the French Medical Council (CNOM), the share of permanent employment among active physicians has been steadily decreasing since 2010, while a growing proportion of young physicians are choosing to work as locums. The objective of this survey was to describe the population of locum primary care physicians (PCPs) in France in 2022, and to characterize their professional activity.Methods: This was a retrospective quantitative observational survey using an online self-administered questionnaire, distributed by email and social media.Results: 624 responses were collected, and 612 were included in the study. 72% of the PCPs in our sample were women, their average age was 33 years, and 75% had defended their PhD thesis. 77% worked solely in private practice, 79% in associate medical offices. 73% performed at least one regular locum shift. The study participants covered for an average of 7 physicians per year, worked nearly 32 weeks per year, and 7 half-days per week. 45% worked 8 half-days or more per week. 44% participated in after-hours outpatient care. The overall health of the respondents was fairly good, with an average self-rating of 7.6/10, but their mental health was less good. Finally, 59% of the physicians responding to the questionnaire reported wanting to secure permanent employment.Conclusion: Representative data of locum PCPs are rare. In this study, they report a significant level of activity that points to them being an essential link in the continuity of care, and, contrary to popular belief, an asset for established physicians. It would be interesting to study what young primary care physicians want to see in relation to their future practice and their professional life, within a changing health care system.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 2","pages":"167-171"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Expériences et recommandations à l’intégration du diabète de type 1 par les acteurs du système de santé au Cameroun – une étude qualitative. 喀麦隆卫生系统参与者对1型糖尿病整合的经验和建议——一项定性研究。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.252.0203

Hervé Brice Djiofack Kentsop, Julia Elisabeth von Oettingen, Adèle Bodieu Chetcha, Christina Zarowsky

{"title":"Expériences et recommandations à l’intégration du diabète de type 1 par les acteurs du système de santé au Cameroun – une étude qualitative.","authors":"Hervé Brice Djiofack Kentsop, Julia Elisabeth von Oettingen, Adèle Bodieu Chetcha, Christina Zarowsky","doi":"10.3917/spub.252.0203","DOIUrl":"https://doi.org/10.3917/spub.252.0203","url":null,"abstract":"Introduction: Integrating type 1 diabetes (T1D) care in Cameroon is a challenge. Despite a number of initiatives providing free insulin to children, care is still inadequate.Purpose of the study: This study explores the experiences of and recommendations for health professionals and families as actors in the integration of T1D care into the health system in Cameroon.Methods: 38 in-depth semi-structured interviews were conducted: 5 with experts from the Ministry of Health, 13 with health care workers, and 20 with families (n=23 family members). An iterative approach was used in the thematic analysis. Categories were coded using QDA Miner 5.0.31 (Provalis).Results: Participants revealed the importance of seeing T1D care more prominently as a government issue. Care professionals and families highlighted organizational challenges, stigma, and lack of understanding of the disease as major barriers. By contrast, caregivers highlighted the workload due to the lack of staff with training and education in T1D, and infrastructure issues, as barriers to the integration aspects of T1D care.Conclusions: Despite concerted efforts, health professionals and families identified multiple barriers to the effective integration of T1D care. The results suggest opportunities/recommendations for addressing community challenges with a view to more integrated and participatory T1D care.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 2","pages":"203-217"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pratiques technico-politiques de financement de la couverture sanitaire au Maroc : analyse comparative. 摩洛哥保健覆盖筹资的技术和政治做法：比较分析。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.252.0245

Aazelarab Boughaleb, Mounir Jerry

{"title":"Pratiques technico-politiques de financement de la couverture sanitaire au Maroc : analyse comparative.","authors":"Aazelarab Boughaleb, Mounir Jerry","doi":"10.3917/spub.252.0245","DOIUrl":"10.3917/spub.252.0245","url":null,"abstract":"Introduction: Health coverage financing is a key issue for the sustainability and equity of health care systems. In Morocco, the roll-out of compulsory health insurance (CHI) represents major progress, but poses challenges related to managing contributions, and integrating the informal sector. This article analyzes the Moroccan health financing system and compares it with international examples to identify potential improvements.Methods: The study is based on a systematic literature review and comparative analysis covering data from 2013 to 2023. The selection process followed the PRISMA framework. The main indicators examined include out-of-pocket (OOP) expenses, and the percentage of GDP allocated to health care.Results: The findings reveal a high fragmentation of resources and a strong dependence on out-of-pocket expenses, limiting equity and access to care. However, Morocco has significant levers for reform. The comparative analysis with Thailand, Turkey, and France highlights applicable solutions: diversifying funding sources (sectoral taxes, and risk pooling), digitizing processes to improve efficiency, and strengthening regulatory mechanisms to control costs.Discussion: The study emphasizes the importance of integrated governance and enhanced coordination between public and private stakeholders in improving the sustainability of the system.Conclusion: Reforms combining funding diversification, digitization, and strengthened regulation are essential to enhance the equity and resilience of Morocco's health care system.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 2","pages":"245-262"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0