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Public health policies, prevention, and nutrition: Mathilde Touvier’s inaugural lesson 公共卫生政策、预防和营养:玛蒂尔德-图维耶的开学第一课
IF 0.3 4区 医学
Sante Publique Pub Date : 2023-12-11 DOI: 10.3917/spub.234.0367
Mathilde Touvier
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引用次数: 0
Optimizing primary health care in Burkina Faso: an approach informed by EQUIST 优化布基纳法索的初级卫生保健:汲取 EQUIST 方法的启示
IF 0.3 4区 医学
Sante Publique Pub Date : 2023-12-11 DOI: 10.3917/spub.234.0435
Ermel A K Johnson, Moumini Niaoné, Aristide Romaric Bado, Youl Yeri Traore, Issiaka Sombié
{"title":"Optimizing primary health care in Burkina Faso: an approach informed by EQUIST","authors":"Ermel A K Johnson, Moumini Niaoné, Aristide Romaric Bado, Youl Yeri Traore, Issiaka Sombié","doi":"10.3917/spub.234.0435","DOIUrl":"https://doi.org/10.3917/spub.234.0435","url":null,"abstract":"<p><strong>Introduction: </strong>Burkina Faso has made access to primary health care a national priority by including it in the 2021-2030 national health development plan.</p><p><strong>Purpose of research: </strong>Our study aimed to analyze the causes of inequalities in access to primary health care, priority interventions and strategies for strengthening primary health care, and their potential impact on reducing maternal and infant mortality.</p><p><strong>Results: </strong>Diarrheal diseases, malaria, and pneumonia are the main causes of inequalities in infant and child deaths in rural areas. As for maternal deaths, abortion and its complications are the main causes of inequalities in deaths associated with hypertensive disorders. The Sahel, Boucle du Mouhoun, Center-North, East, and Cascades regions are the geographical areas where interventions are essential to reduce inequalities in maternal, neonatal, infant and child deaths and malnutrition.</p><p><strong>Conclusions: </strong>The national priorities have included all the high-impact interventions for strengthening primary health care identified in our study. Interventions must prioritize the populations in rural areas, the most affected and high-impact geographical regions. This requires the involvement and empowerment of beneficiary communities and the consideration of the fragile safety context.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"35 4","pages":"435-448"},"PeriodicalIF":0.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138794428","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
Internships in Maternal and Child Protection services: Perspectives of generalists, pediatricians, and medical schools 母婴保护服务实习:全科医生、儿科医生和医学院的观点
IF 0.3 4区 医学
Sante Publique Pub Date : 2023-12-11 DOI: 10.3917/spub.234.0383
Marie-Alice Geant, Corinne Bois
{"title":"Internships in Maternal and Child Protection services: Perspectives of generalists, pediatricians, and medical schools","authors":"Marie-Alice Geant, Corinne Bois","doi":"10.3917/spub.234.0383","DOIUrl":"https://doi.org/10.3917/spub.234.0383","url":null,"abstract":"<p><strong>Introduction: </strong>General practitioners (GP) play a key role in children’s medical care in France. Maternal and Child Protection Services (MCP) provide preventive pediatric care and may host GP interns during their curriculum. The purpose of this research is to cross stakeholders’ viewpoints on MCP internships.</p><p><strong>Method: </strong>In 2019, a declarative cross-sectional survey was conducted in metropolitan France among GP, MCP and departments of general practice (DGP) in medical schools. Data was collected concerning the organization, contents and pediatric expected results of GP internships in MCP.</p><p><strong>Results: </strong>Questionnaires completed by 286 GP, 77 MCP and 16 DGP were collected. GP describe a non-standardized internship practice in terms of duration, the type of supervision, the medical acts carried out and the tools provided. Their answers, however, show a clear consensus on the skill in screening/prevention acts development (significantly higher for internships based on four-day weeks), on the support for parenthood, and on the awareness of the child’s living environment and of the various professionals in the health, psychological and educational field. These skill acquisitions are incomplete in child protection, and insufficient in the management of acute pathologies. Links between DCP and MCP appear poor.</p><p><strong>Conclusion: </strong>Internships in MCP provide GPs with significant experience in prevention and daily pediatrics, but they require a better coordination between DGP and MCP and the construction of joint internships especially with hospital pediatrics.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"35 4","pages":"383-392"},"PeriodicalIF":0.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138794354","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
Triage of patients and remote consultations in primary care facilities during the COVID-19 pandemic in France (PRICOV-19 study) 法国 COVID-19 大流行期间基层医疗机构的病人分流和远程会诊(PRICOV-19 研究)
IF 0.3 4区 医学
Sante Publique Pub Date : 2023-12-11 DOI: 10.3917/spub.234.0393
Laura Viegas, Isabelle Dupie, Laurent Rigal, Esther Van Poel, Sara Willems, Alain Beaupin, Hector Falcoff
{"title":"Triage of patients and remote consultations in primary care facilities during the COVID-19 pandemic in France (PRICOV-19 study)","authors":"Laura Viegas, Isabelle Dupie, Laurent Rigal, Esther Van Poel, Sara Willems, Alain Beaupin, Hector Falcoff","doi":"10.3917/spub.234.0393","DOIUrl":"https://doi.org/10.3917/spub.234.0393","url":null,"abstract":"<p><strong>Introduction: </strong>PRICOV-19 is a European cross-sectional study based on an online questionnaire, describing the impact of the pandemic on primary care structures (PCS). In France, PCS are solo practices (SP), single or multi-professional group practices (GP), coordinated practice structures (CPS): health houses and health centers. Triage, whether it is digital (TD), by telephone (TT) or at the reception (TR), is essential to reduce the risk of infection, and is part of recommended organizational practices.</p><p><strong>Purpose of research: </strong>Based on French data from the PRICOV-19 study, the objective is to describe the frequency and factors associated with triage in PCSs during the COVID 19 pandemic.</p><p><strong>Results: </strong>1100 structures responded to the survey. The TD was implemented in 64% of PCSs (53.3% of SPs, 64.9% of GPs, 73.2% of CPSs). The TT was implemented in 76% of structures (72.7% of SPs, 75.4% of GPs and 81% of CPSs). Finally, TR was implemented in 52% of structures (37.7% of SPs, 52% of GPs and 67% of CPSs). The other positively associated factors are the urban territory and the lower workload for the TD, and the presence of a receptionist for the TR.</p><p><strong>Conclusions: </strong>Triage practices seem to be clearly associated with the organization and working conditions in the PCSs, and first and foremost with the type of structure.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"35 4","pages":"393-403"},"PeriodicalIF":0.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138795497","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
Hunger in French Guiana, an endemic plague worsened by the health crisis 法属圭亚那的饥饿--因健康危机而恶化的地方性瘟疫
IF 0.3 4区 医学
Sante Publique Pub Date : 2023-12-11 DOI: 10.3917/spub.234.0417
Florence Huber, Célia Basurko, Margot Oberlis, Leslie Alcouffe, Cyril Rousseau, Katell Le Poulain, Adriana Gonzalez, Lindsay Osei, Karl Kpossou, Nicolas Vignier, Claire Boceno, Solène Wiedner-Papin
{"title":"Hunger in French Guiana, an endemic plague worsened by the health crisis","authors":"Florence Huber, Célia Basurko, Margot Oberlis, Leslie Alcouffe, Cyril Rousseau, Katell Le Poulain, Adriana Gonzalez, Lindsay Osei, Karl Kpossou, Nicolas Vignier, Claire Boceno, Solène Wiedner-Papin","doi":"10.3917/spub.234.0417","DOIUrl":"10.3917/spub.234.0417","url":null,"abstract":"<p><p>In 2020, food shortages occurred at the beginning of the confinement period that was supposed to curb the COVID-19 pandemic. In French Guiana, where a major part of the population lives under the poverty line, health workers voiced major concerns. Alongside massive food aid distributions, a first transversal study was carried out in August 2020 targeting poor neighborhoods in Cayenne. The results were particularly worrying. More than 80% of households had been suffering from hunger during that month, with a median decrease of 46% in revenue. Two other investigations followed in February and then in August of 2021. With the relaxing of the health measures, the situation improved in the Cayenne region, but two out of three were still affected, showing signs of quantitative deficiencies and insufficient food diversity. The situation seemed particularly grave for children. In light of this situation, we propose to create an observatory of food insecurity in Guiana, while maintaining this topic as a health priority. In addition, the fight against food insecurity cannot be limited to multi-sectorial material and strategic aide. It must be thought about in a more global manner, including health and social questions, territorial management policies, access to land and water, access to rights and social inclusion. Targeted actions helping the most exposed and vulnerable people is also an important stake, independent of the administrative situation and residency rights of the concerned people.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"35 4","pages":"417-422"},"PeriodicalIF":0.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812523","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
Strengthening students’ well-being and nutritional balance in Grand Est (France): “Lycéen Bouge” program intervention logic 加强大东部省(法国)学生的健康和营养平衡:"Lycéen Bouge "计划的干预逻辑
IF 0.3 4区 医学
Sante Publique Pub Date : 2023-12-11 DOI: 10.3917/spub.234.0371
Bertille Varis, Adèle Kaldé-Frientz, Vanessa Rougier, Asma Zbitou, Clara Chwatacz, Joëlle Kivits, Abdou Yacoubou Omorou
{"title":"Strengthening students’ well-being and nutritional balance in Grand Est (France): “Lycéen Bouge” program intervention logic","authors":"Bertille Varis, Adèle Kaldé-Frientz, Vanessa Rougier, Asma Zbitou, Clara Chwatacz, Joëlle Kivits, Abdou Yacoubou Omorou","doi":"10.3917/spub.234.0371","DOIUrl":"https://doi.org/10.3917/spub.234.0371","url":null,"abstract":"<p><strong>Introduction: </strong>As part of a national health policy to fight excess weight and obesity, the “Lycéen Bouge” program aims to fight against social inequalities in health among adolescents by improving their well-being and nutritional balance. The aim of this article is to present the intervention logic of this program and to identify the key functions that are essential for the project to function properly and to be transferable.</p><p><strong>Method: </strong>Data was collected through interviews with project officers, observation sessions in several high schools. A documentary analysis was also carried out. The data was then analyzed thematically, in a collaborative process with the project leader, in order to develop the program logic model.</p><p><strong>Results: </strong>The analysis and development of the logic model identified the program’s objectives and components, as well as six key functions. The key functions identified concern the format and co-construction of activities, local partnerships, high-school volunteering, social skills training and project length.</p><p><strong>Conclusion: </strong>In some respects, the program differs from the literature and the evidence and could therefore draw on it for improvement. These include the involvement of beneficiaries and the implementation of a comprehensive approach and a gender-sensitive approach, which would make it possible to reach more students.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"35 4","pages":"371-382"},"PeriodicalIF":0.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138795396","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
Long-ignored health inequalities between men and women that must be better defined, understood, and measured 必须更好地定义、理解和衡量长期被忽视的男女健康不平等问题
IF 0.3 4区 医学
Sante Publique Pub Date : 2023-12-11 DOI: 10.3917/spub.234.0363
Christine Rolland, Fabienne El Khoury
{"title":"Long-ignored health inequalities between men and women that must be better defined, understood, and measured","authors":"Christine Rolland, Fabienne El Khoury","doi":"10.3917/spub.234.0363","DOIUrl":"https://doi.org/10.3917/spub.234.0363","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"35 4","pages":"363-365"},"PeriodicalIF":0.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138794355","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
Bibliographic records 书目记录
IF 0.3 4区 医学
Sante Publique Pub Date : 2023-12-11 DOI: 10.3917/spub.234.0449
{"title":"Bibliographic records","authors":"","doi":"10.3917/spub.234.0449","DOIUrl":"https://doi.org/10.3917/spub.234.0449","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"35 4","pages":"449"},"PeriodicalIF":0.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812507","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
Dental public health: Context, challenges, and perspectives “口腔公共卫生”:背景、问题和前景。
IF 0.3 4区 医学
Sante Publique Pub Date : 2023-12-01 DOI: 10.3917/spub.hs1.2023.0009
Jean-Noel Vergnes, Sylvie Azogui
{"title":"Dental public health: Context, challenges, and perspectives","authors":"Jean-Noel Vergnes, Sylvie Azogui","doi":"10.3917/spub.hs1.2023.0009","DOIUrl":"10.3917/spub.hs1.2023.0009","url":null,"abstract":"<p><p>The discipline of “dental public health” derives its epistemological legitimacy from the unique position of dental surgeons within the realm of health care. It serves as a crucial bridge between the domain of public health and the field of dental science. The development of “dental public health” holds a twofold significance. First, it acknowledges and assesses the evolving landscape of public health, societal changes, determinants of overall health, environmental challenges, and global concerns. Its purpose is to guide policy decisions, education, research, and dental practices toward the greater good, ensuring equitable access to care and fostering technical and social innovation. Second, “dental public health” has the potential to contribute to the broader health care domain by transferring the diverse insights gained from dental surgery and its historical context. The independence of dental surgery, while sometimes posing challenges to interdisciplinary collaboration, also offers opportunities for progress through innovative solutions. In an era of patient partnerships and a growing emphasis on equality, diversity, and inclusion, it is imperative to consider the inclusion of patient representatives within the “dental public health” community. This inclusion can further enhance the discipline’s capacity to address contemporary health care challenges effectively.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"35 HS1","pages":"9-16"},"PeriodicalIF":0.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471056","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
Dental anxiety, a one-year evaluation 牙科焦虑管理咨询,一年活动经验反馈。
IF 0.3 4区 医学
Sante Publique Pub Date : 2023-12-01 DOI: 10.3917/spub.hs1.2023.0029
Marianne Lagarde, Juliette Brunou, Katterine Feijoo Yeckle, Nicolas Lemonier, Antoine Pelissolo, Philippe Pirnay
{"title":"Dental anxiety, a one-year evaluation","authors":"Marianne Lagarde, Juliette Brunou, Katterine Feijoo Yeckle, Nicolas Lemonier, Antoine Pelissolo, Philippe Pirnay","doi":"10.3917/spub.hs1.2023.0029","DOIUrl":"10.3917/spub.hs1.2023.0029","url":null,"abstract":"<p><p>Dental anxiety is the second most common reason for patients to forgo treatment in France. Based on this observation, the odontology and psychiatry departments of Henri Mondor hospital proposed a collaborative approach to help these patients. The aim of this study is to evaluate the results of this pilot project over one year. The patients appreciated the consultation, considering it a tool to help them be able to receive care. This consultation also resulted in 17 percent of patients being offered psychological care in order to treat other problems related to dental anxiety. The idea of a network of practitioners specialized in the treatment of these anxious patients is therefore proposed, the patients having emphasized that not having to re-explain their anxieties would be a relief.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"35 HS1","pages":"29-33"},"PeriodicalIF":0.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471059","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
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