Sante Publique最新文献_第4页

Penser la coordination de la prévention à l’échelle territoriale : une approche qualitative exploratoire. 考虑在领土一级协调预防：一种探索性的定性方法。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.hs1.2025.0025

Astrid Kerouedan, Dieinaba Diallo, Rayniéne Liinsy Medougou, Jessica Martinez, Marin Cottin, Gilles Miserey, Fatoumata Diallo-Keita, Sophie Carré-Crétois, Katiuska Miliani, Loïc Josseran, Elisabeth Delarocque-Astagneau, Sylvain Gautier

{"title":"Penser la coordination de la prévention à l’échelle territoriale : une approche qualitative exploratoire.","authors":"Astrid Kerouedan, Dieinaba Diallo, Rayniéne Liinsy Medougou, Jessica Martinez, Marin Cottin, Gilles Miserey, Fatoumata Diallo-Keita, Sophie Carré-Crétois, Katiuska Miliani, Loïc Josseran, Elisabeth Delarocque-Astagneau, Sylvain Gautier","doi":"10.3917/spub.hs1.2025.0025","DOIUrl":"10.3917/spub.hs1.2025.0025","url":null,"abstract":"Introduction: In the context of the localization of health policies in France, prevention has historically been relegated to the background. The need to improve the coordination of preventive efforts at the regional level is frequently emphasized, particularly since the emergence of structures with prevention mandates, such as the Health Territorial and Professional Communities (HTPC). This study aims to describe and characterize the regional organization of prevention, and to discuss various models of cooperation proposed by actors in a pilot region.Method: The pilot area studied is that of the Sud Yvelines CPTS. A series of focus groups was conducted, involving professional, community, and institutional actors from the region. Participants were invited, in small groups, to design an \"ideal\" cooperation framework for implementing prevention initiatives, selecting and discussing the approaches they considered most appropriate.Results: The regional organization of prevention appears relatively complex, involving a wide range of actors and diverse relationships among them. The cooperation models proposed by professionals show significant heterogeneity. Health professionals tend to favor coordination through mutual adjustment, while community actors prefer more formalized coordination, such as direct supervision.Discussion: The regional coordination of prevention is part of a broader process of localizing public health. Primary care actors are now formally mandated to take part in the implementation of regional prevention efforts.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 HS1","pages":"25-36"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087911","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

Effet du projet OCTAVE sur les relations interprofessionnelles entre médecins généralistes et pharmaciens d’officine : une étude qualitative. OCTAVE项目对全科医生和药剂师之间专业间关系的影响：一项定性研究。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.pr2.0079

Jeanne Plassart, Benoît Hue, Dominique Somme

{"title":"Effet du projet OCTAVE sur les relations interprofessionnelles entre médecins généralistes et pharmaciens d’officine : une étude qualitative.","authors":"Jeanne Plassart, Benoît Hue, Dominique Somme","doi":"10.3917/spub.pr2.0079","DOIUrl":"https://doi.org/10.3917/spub.pr2.0079","url":null,"abstract":"Introduction: The aim of the OCTAVE project, carried out in healthcare territories in Bretagne and Pays-de-Loire, is to improve the safety of the medication use for elderly people during and after hospitalization. In particular, this involves the completion of a shared medication review by the patient's referring community pharmacist after discharge from hospital, which is then sent to the patient's general practitioner. Communication between these two healthcare professionals is therefore essential to the smooth operation of the project, but is difficult to assess in practice.Aim of the study: To assess the impact of the OCTAVE project on interprofessional relations between general practitioners and community pharmacists at the end of their patient's path through OCTAVE.Method: In this qualitative study, 15 semi-structured interviews were conducted between June 2023 and January 2024 with pharmacists and general practitioners in Ille-et-Vilaine, one of whose patients had been included in OCTAVE.Results: Despite identified needs and a shared desire to limit drug-related side effects among their elderly patients, the OCTAVE project has not led professionals to communicate more with each other. However, community pharmacists took advantage of the project to assert and promote their new missions, which include shared medication reviews. But the lack of information and investment from GPs, as well as the perception of each profession of their own roles, was a clear barrier to stronger cooperation.Conclusion: OCTAVE has had no direct impact on relations between community pharmacists and general practitioners. Areas for improvement were identified.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 3","pages":"133-143"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240072","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

Le nouveau système d’accompagnement et de soins médicaux à Shanghai (Chine) répond-il aux besoins des personnes âgées ? 中国上海的新医疗护理系统能满足老年人的需求吗？

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.255.0061

Xin Chen, Shiyue Zhang, Étienne Riou, Letao Wang, Pengyuan Huang

引用次数: 0

Savoirs expérientiels en santé : revue systématique de littérature. 健康经验：文献系统综述。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.255.0241

Hervé Breton

引用次数: 0

Regards de médecins sur les directives anticipées en oncologie vingt ans après la loi Leonetti : constats et perspectives. 列奥内蒂法案二十年后，医生对肿瘤学预期指导方针的看法：观察与展望。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.pr2.0080

Roxane Delpech, Sébastien Lamy, Belén Jimenez, Nathalie Caunes-Hilary, Florence Taboulet, Bettina Couderc

{"title":"Regards de médecins sur les directives anticipées en oncologie vingt ans après la loi Leonetti : constats et perspectives.","authors":"Roxane Delpech, Sébastien Lamy, Belén Jimenez, Nathalie Caunes-Hilary, Florence Taboulet, Bettina Couderc","doi":"10.3917/spub.pr2.0080","DOIUrl":"https://doi.org/10.3917/spub.pr2.0080","url":null,"abstract":"Introduction: Advance directives (ADs) allow any person of legal age to express their wishes regarding the conditions for administering, limiting, or withdrawing treatment if they become unable to express themselves. They were introduced in France in 2005 to give patients greater autonomy over their medical care, particularly at the end of life. However, patients make little use of ADs. The aim of this study was to evaluate the benefits of ADs for oncologists and their suggestions for improving the practical impact of the system.Method: Between January and April 2022, an anonymous survey was conducted via LimeSurvey with physicians from three UNICANCER centers and surgeons attending the 2022 French Society of Surgical Oncology (SFCO) congress. Comprising 27 questions, the survey aimed to analyze the use, perception, and expectations of physicians regarding ADs. The data were subjected to descriptive quantitative analysis and lexical analysis using IRaMuTeQ (Reinert method). A thematic sociological study was also carried out to identify trends based on medical specialties.Results: The results show that twenty years after the Leonetti Law, a large majority of oncologists are aware of the existence of ADs, find them useful, and would like to have access to them when making a serious decision for an unconscious patient. However, they also highlight the many barriers to their implementation. They explained that ADs rarely clarify the patient's wishes and were often unsuitable for the situations encountered.Discussion: These findings highlight the fact that ADs cannot replace ongoing discussions about end of life throughout the care pathway to support patients in their reflections. It is therefore important to encourage reflective work around these discussions rather than focusing solely on the production of a final document.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 3","pages":"145-160"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240315","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

Former les professionnel.les de santé aux mutilations génitales féminines (MGF) : étude qualitative d’évaluation de l’impact social de la formation FAM. 培训专业人士。女性生殖器切割的保健：评估FAM培训的社会影响的定性研究。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0183

Bahar Azadi, Marion Le Tyrant, Lucie Étienne, Rim Bellamine, Emmanuel Levard, Armelle Andro, Claire Tantet

{"title":"Former les professionnel.les de santé aux mutilations génitales féminines (MGF) : étude qualitative d’évaluation de l’impact social de la formation FAM.","authors":"Bahar Azadi, Marion Le Tyrant, Lucie Étienne, Rim Bellamine, Emmanuel Levard, Armelle Andro, Claire Tantet","doi":"10.3917/spub.251.0183","DOIUrl":"https://doi.org/10.3917/spub.251.0183","url":null,"abstract":"Introduction: Female genital mutilation (FGM) encompasses the total or partial removal of a woman's external genitalia, carried out for no medical reason. Mainly carried out in sub-Saharan Africa, FGM is also practiced in Europe as a result of migration. Although French healthcare professionals say they are concerned, they claim to have insufficient knowledge and practical tools to deal with the subject in their consultations.Purpose of the study: Faced with this situation, training was offered to healthcare professionals between 2019 and 2023. A total of 150 professionals were trained over this period. A qualitative method was used to evaluate the social impact of the training, with the aim of identifying the effects on and concrete changes to the practices of trained professionals, compared with those of untrained ones. The evaluation methodology was based on 4 periods of observation of training sessions, 15 qualitative semi-structured individual interviews (8 with trained professionals and 7 with untrained professionals), and 5 observation sessions of consultations between trained and untrained professionals and their patients.Results: The evaluation highlights four main sets of results: on the one hand, the training contributes to reinforcing professionals' theoretical and practical knowledge of FGM, and on the other, to changing the approach they adopt during consultations.Conclusion: Multidisciplinary support for women who have undergone mutilation is also facilitated. Nevertheless, certain prevention-related aspects of the training, such as learning how to report cases to the public prosecutor, do not seem to have been immediately integrated into their practices.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"183-196"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129191","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

Les représentations émotionnelles de patients atteints de cancer : l’influence de vêtements adaptés lors des soins de chimiothérapie. 癌症患者的情绪表现：在化疗期间穿合适的衣服的影响。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0197

Emmanuella Di Scala, François Gueyffier

{"title":"Les représentations émotionnelles de patients atteints de cancer : l’influence de vêtements adaptés lors des soins de chimiothérapie.","authors":"Emmanuella Di Scala, François Gueyffier","doi":"10.3917/spub.251.0197","DOIUrl":"https://doi.org/10.3917/spub.251.0197","url":null,"abstract":"Introduction: This work examines the effect that clothing adapted to treatment can have during chemotherapy sessions on the emotional representation of the individual, on perceived well-being, and potentially on the evolution of symptoms.Methods: This case study was carried out on forty-two cancer patients. The questionnaire was administered retrospectively to patients who initially underwent chemotherapy sessions without wearing suitable clothing, then who wore suitable clothing during subsequent chemotherapy treatments.Results: Significantly, the data suggest that wearing appropriate clothing during chemotherapy leads patients to perceive a reduction in aggravation and the appearance of new symptoms. Greater well-being and positive self image, as well as a more positive image of the illness and treatment, are also significantly associated with the use of adapted clothing during chemotherapy.Discussion: These data lead us to propose that adapted clothing contributes to the improvement of the positive emotional representation observed. However, we cannot define the extent of their participation in this study.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"197-207"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129274","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

Production des cadres normatifs des politiques de santé en contexte de crise : analyse critique lexicométrique et trans du cadrage des parcours de transition en France. 危机背景下卫生政策规范框架的制作：对法国过渡过程框架的词汇测量和跨文化批判性分析。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.252.0041

Anna Baleige, Mathilde Guernut

{"title":"Production des cadres normatifs des politiques de santé en contexte de crise : analyse critique lexicométrique et trans du cadrage des parcours de transition en France.","authors":"Anna Baleige, Mathilde Guernut","doi":"10.3917/spub.252.0041","DOIUrl":"https://doi.org/10.3917/spub.252.0041","url":null,"abstract":"Introduction: Respecting trans people's right to the highest attainable standard of health, and producing public policy in a context of crisis, are key contemporary global issues. This article examines the production of public policy through a specific analysis of the framing of transition pathways by the Haute Autorité de Santé (French National Authority for Health).Purpose of the study: Drawing on the research frameworks of critical discourse studies and survivor research, the study applies lexicometric methods to the analysis of normative reference frameworks. Specifically, it focuses on the naming and argumentative strategies of both mitigation and intensification.Results: Hierarchical top-down clustering using the ALCESTE method revealed a structure made up of three lexically distinct pairs. A similarity analysis revealed 31.6% of trigrams shared with the report by the Inspection Générale des Affaires Sociales (French General Inspectorate for Social Affairs). The differences and similarities observed appear to be neither random nor based on scientific evidence, and emphasize the psychopathologization of trans people to the detriment of their health needs.Conclusions: Our findings ask questions about health care system governance and, specifically, the production of public policy and norms. The document's structure suggests it is a product of political arbitration, freed from scientific constraints and designed to impose a psychopathological vision justifying control by the health care system. Critical analysis appears to be an effective approach for analyzing how public institutions operate in the context of crisis.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 2","pages":"41-56"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477642","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

« Prise en compte des preuves scientifiques dans les actions de prévention et promotion de la santé » : l’IGAS soutient un modèle loin des réalités de la promotion de la santé. “在预防和促进健康的行动中考虑科学证据”：IGAS支持一种远离健康促进现实的模式。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.252.0009

Pierre Lombrail, Michel Naiditch, Christine Ferron

引用次数: 0

Anticiper de futures crises : leçons de l’expérience patient mucoviscidose pendant la pandémie de COVID-19. 预测未来危机：从COVID-19大流行期间囊性纤维化患者的经验中吸取教训。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0209

Dominique Pougheon-Bertrand, Audrey Chansard, Cécile Frenod, Isabelle Danner-Boucher, Asma Gabsi, Sylvie Montcouquiol, Sophie Thérouanne, Pierre Lombrail

{"title":"Anticiper de futures crises : leçons de l’expérience patient mucoviscidose pendant la pandémie de COVID-19.","authors":"Dominique Pougheon-Bertrand, Audrey Chansard, Cécile Frenod, Isabelle Danner-Boucher, Asma Gabsi, Sylvie Montcouquiol, Sophie Thérouanne, Pierre Lombrail","doi":"10.3917/spub.251.0209","DOIUrl":"https://doi.org/10.3917/spub.251.0209","url":null,"abstract":"Introduction: The care paths and lives of cystic fibrosis patients were profoundly altered during the health crisis in France. Patient experiences can be used to provide lessons on how to adapt to a crisis.Purpose of the study: The ExPaParM collaborative study analyzed the experiences of a varied sample of patients and identified changes in practices in Cystic Fibrosis Centers (CFC), with the aim of characterizing adaptations made and destabilizing events experienced during this crisis, using a systemic approach.Results: Adaptation practices aiming to minimize the impact of the crisis or maintain the recommended quality of care, as far as possible, have been identified. These adaptations concern the individual level (patient and family), local care, care management at CFCs, and hospital organization. When the crisis has negatively affected patients, resilience factors based on individual and family skills, a relationship of trust with professionals, and informal solidarity networks have enabled complex situations to be overcome.Conclusion: Strong points prior to the crisis proved decisive: the structuring of CFC teams, digital resources, therapeutic patient education, and a circuit for disseminating information related to cystic fibrosis. Reducing vulnerability to a future crisis also means securing essential medicines for the disease, organizing protected hospital circuits, and developing patient preparedness plans.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"209-223"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128791","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