Sante Publique最新文献_第4页

Analyse des déterminants socio-économiques influençant les dépenses de santé à la charge des ménages (Out-of-Pocket – OOP) en Afrique : une étude économétrique sur données de panel. 影响非洲家庭保健支出的社会经济决定因素分析：计量经济学小组研究。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.254.0203

Aazelarab Boughaleb, Mounir Jerry

引用次数: 0

L’efficacité des interventions de santé publique en France : un retour en arrière ? 法国公共卫生干预措施的有效性：倒退？

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.254.0119

Valéry Ridde, François Alla, Linda Cambon, Anouk Chouaïd, Jean-Marc Goudet

引用次数: 0

La décolonisation de la santé publique en Bolivie ou la fragmentation de tout un secteur. 玻利维亚公共卫生的非殖民化或整个部门的分裂。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0043

Amélie Aubert Plard

{"title":"La décolonisation de la santé publique en Bolivie ou la fragmentation de tout un secteur.","authors":"Amélie Aubert Plard","doi":"10.3917/spub.251.0043","DOIUrl":"https://doi.org/10.3917/spub.251.0043","url":null,"abstract":"Introduction: During its first ten years (2006-2016), the government of Evo Morales led Bolivia through a wave of reforms aimed at establishing a popular nationalism, free from what it calls \"Western imperialism.\"Purpose of the study: This article analyzes the implementation of the decolonization process, particularly in the reproductive health sector. It highlights the effects generated on those involved and the mechanisms of appropriation and/or rejection. To do this, it focuses on three measures: the My Health program, the professionalization of traditional midwives, and the cultural adaptation of delivery rooms.Results: While the deployment of the My Health program is developing community medicine that is appreciated by users, it is also giving rise to deep rivalries among healthcare professionals and decision-makers alike. Furthermore, when it comes to intercultural childbirth, the study reveals a lack of both supply and demand.Conclusion: Far from reforming it structurally, the decolonization process seems to have caused a deep ideological and organizational split within the health sector. The new measures have been implemented in the form of additional, competing programs, which has caused difficulties regarding their acceptance and integration within the established healthcare system. What's more, while in its discourse the government rejects Western colonization, in practice it remains heavily dependent on international aid.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"43-51"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129185","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

Étude des conditions d’émergence d’une politique intersectorielle de promotion de la santé à l’échelon du territoire néocalédonien : fenêtre d’opportunité pour la santé à l’École. 研究在新喀里多尼亚地区出现促进健康的跨部门政策的条件：学校健康的机会之窗。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.hs1.2025.0037

Carmella Rebouillat, Pierre-Christophe Pantz, Didier Jourdan

{"title":"Étude des conditions d’émergence d’une politique intersectorielle de promotion de la santé à l’échelon du territoire néocalédonien : fenêtre d’opportunité pour la santé à l’École.","authors":"Carmella Rebouillat, Pierre-Christophe Pantz, Didier Jourdan","doi":"10.3917/spub.hs1.2025.0037","DOIUrl":"https://doi.org/10.3917/spub.hs1.2025.0037","url":null,"abstract":"Introduction: Health promotion is a set of intersectoral actions aimed at improving the health of all individuals and at reducing health inequalities. Public health research faces the challenge of identifying the conditions necessary to develop health promotion policies at the territorial level.Method: To identify the conditions for the development of such a policy, we studied the case of the intersectoral health promotion policy in schools in New Caledonia. Drawing on the Kingdon model adapted to public health by Ridde et al., we conducted a detailed analysis of the context, actors, and mechanisms that enabled the publication of regulatory texts and financial commitments.Results: We noted a surge in the number of political entrepreneurs in the health and education sectors. These key actors have made health in schools a \"problem\" in the political sense of the term. Support from the health agency and its partners enabled credible solutions to be proposed, which, moreover, were acceptable to the institutions, in a political context conducive to reaching consensus among members of government who come from different political backgrounds.Discussion: A window of opportunity was opened in 2016 with the convergence of three key elements: awareness of the existence of a problem, solutions and a favorable political context, and the mobilization of political actors supported by experts who were able to substantiate the political project.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 HS1","pages":"37-46"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087868","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 approche collective de la santé au cœur des territoires ruraux et insulaires de Bretagne : le savoir-faire communautaire des Semeurs de Santé. 在布列塔尼农村和岛屿地区的中心采取集体保健办法：卫生Semeurs de Sante的社区专门知识。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.hs1.2025.0065

Camille Astier, Hélène Denoual, Claire Cornelissen, Collectif Les Semeurs De Santé, Marie Rénée Guevel

引用次数: 0

Éditorial. 社论。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.hs2.2025.0001

Moustapha Dramé, Philippe Quénel

引用次数: 0

Déterminants du comportement d’Activité Physique chez les survivantes du cancer du sein participant au programme RIPOSTE : une étude qualitative utilisant le cadre des domaines théoriques. 参与RIPOSTE项目的乳腺癌幸存者身体活动行为的决定因素：一项使用理论领域框架的定性研究。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0151

Sabrine Hasnaoui, Mathias Poussel, Andreia Carvalho de Freitas, Laetitia Ricci, Abdou Omorou, Aurélie Van Hoye

{"title":"Déterminants du comportement d’Activité Physique chez les survivantes du cancer du sein participant au programme RIPOSTE : une étude qualitative utilisant le cadre des domaines théoriques.","authors":"Sabrine Hasnaoui, Mathias Poussel, Andreia Carvalho de Freitas, Laetitia Ricci, Abdou Omorou, Aurélie Van Hoye","doi":"10.3917/spub.251.0151","DOIUrl":"https://doi.org/10.3917/spub.251.0151","url":null,"abstract":"Introduction: Despite strong evidence of the benefits of physical activity on reducing the side effects of breast cancer and associated treatments, many patients tend to be physically inactive. Understanding the facilitators and barriers to their engagement in physical activity and their continuation of it represents a first step toward designing targeted interventions to increase this activity. The aim of this study is to describe the determinants of the physical activity behavior of patients participating in the RIPOSTE program.Method: A qualitative study was conducted with ten patients undergoing invasive breast cancer surgery and participating in an adapted physical activity program based on fencing (RIPOSTE). Semi-structured interviews explored their physical activity experience and were analyzed both inductively and deductively using the Theoretical Domains Framework, examining mechanisms of behavior change.Results: Fifty-six themes were identified as facilitators and barriers in twelve of the fourteen domains. The \"Environmental Context and Resources\" and \"Social Influences\" domains were the most predominant. The \"Social/Professional Role and Identity,\" \"Optimism,\" and \"Reinforcement\" domains were not mentioned by all participants.Conclusion: Use of the Theoretical Domains Framework enabled the study to highlight the complexity of physical activity behavior change among cancer survivors. Our results provided a useful theoretical basis to guide the selection of modifiable factors when designing interventions to improve patients' physical activity levels.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"151-171"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128962","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

Fièvre Hémorragique Crimée Congo au Sénégal en 2023 : situation épidémiologique et riposte. 2023年塞内加尔刚果克里米亚出血热：流行病学状况和应对。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.252.0239

Youssou Bamar Gueye, Papa Samba Dieye, Boly Diop, Ibra Diagne, Diambogne Ndour, Yoro Sall, Mariei Ndiaye

{"title":"Fièvre Hémorragique Crimée Congo au Sénégal en 2023 : situation épidémiologique et riposte.","authors":"Youssou Bamar Gueye, Papa Samba Dieye, Boly Diop, Ibra Diagne, Diambogne Ndour, Yoro Sall, Mariei Ndiaye","doi":"10.3917/spub.252.0239","DOIUrl":"https://doi.org/10.3917/spub.252.0239","url":null,"abstract":"Introduction: Crimean-Congo hemorrhagic fever (CCHF) is a serious viral disease caused by a virus of the genus Nairovirus. It is transmitted mainly by ticks and, in some cases, by contact with infected blood or body fluids. CCHF is endemic in several parts of Africa. This study focuses on cases of CCHF in Senegal in 2023, and on the actions implemented to manage the epidemic.Methodology: A retrospective study was conducted to analyze the 2023 CCHF epidemic in Senegal. The Syndrome Sentinel Surveillance Network (4S Network) was used to detect cases. The reference laboratory used ELISA and PCR tests to confirm diagnoses, while the health emergency operations center coordinated the response using an incident management system (IMS) implemented at the national and regional level.Results: In 2023, Senegal reported 11 confirmed cases of CCHF in 7 regions, with a case fatality rate of 36.6%. The average time from symptom onset to laboratory diagnosis was 10 days, which sometimes led to delays in case management. Follow-up of 413 contacts was carried out, with no secondary cases identified. Preventive measures, including awareness-raising campaigns in high-risk areas, were also taken.Conclusion: CCHF represents a persistent threat to public health in Senegal. Surveillance efforts, rapid detection, and the control measures put in place have proved essential in limiting transmission. The observed delays in diagnosis highlight the need to strengthen diagnostic capabilities and improve the responsiveness of the health care system, in particular via implementation of the 7-1-7 framework. Increased intersectoral collaboration is essential to improving containment of this emerging zoonosis.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 2","pages":"239-244"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477621","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

Impact d’un stage en unité spécialisée en soins palliatifs sur les représentations des étudiants en soins infirmiers. Étude qualitative au sein d’une équipe mobile de soins palliatifs. 姑息治疗专业实习对护理学生表现的影响。流动姑息治疗团队的定性研究。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.252.0115

Marc Degois, Michaël Chenevez, Géraldine Blanchot-Gruet, Frédéric Ferreres, Angelina Morra, Marie-Jeanne Zanatta, Florence Mathieu-Nicot, Aline Chassagne, Jean Maillet-Contoz

{"title":"Impact d’un stage en unité spécialisée en soins palliatifs sur les représentations des étudiants en soins infirmiers. Étude qualitative au sein d’une équipe mobile de soins palliatifs.","authors":"Marc Degois, Michaël Chenevez, Géraldine Blanchot-Gruet, Frédéric Ferreres, Angelina Morra, Marie-Jeanne Zanatta, Florence Mathieu-Nicot, Aline Chassagne, Jean Maillet-Contoz","doi":"10.3917/spub.252.0115","DOIUrl":"https://doi.org/10.3917/spub.252.0115","url":null,"abstract":"Context: Among student nurses (SNs), who are key future actors in determining access to palliative care (PC), 30% have avoidant attitudes toward end-of-life (EOL) patients. In 2017, in response to this issue, the French Ministries of Health and Higher Education introduced a mandatory PC placement for health care students as part of a national plan to develop PC. It was in this context that all third-year SNs in our town (population of 20,000) did a 5-day placement in a mobile PC team.Objective: To identify whether this placement changed representations of PC among the SNs we hosted, and if so, how.Method: This was a two-stage qualitative study. It used the method of thematic analysis of verbatim comments made by SNs during the 2021-2022 academic year, on the first day (D1) and last day (D5) of their placement.Results: The sample consisted of 31 SNs. On D1, PC and EOL were regarded in spiritual terms, and could provoke negative feelings. By D5, the SNs were using professional PC vocabulary, highlighting new perceptions of inter-professional relations, and had a better understanding of which patients needed PC and of the ethical challenges relating to EOL.Conclusions: Our study showed an immediate benefit of this placement on professional representations among SNs. While further research is needed to clarify its long-term effects, it supports a proactive policy of including PC training in nurse education.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 2","pages":"115-126"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477623","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

Éducation Thérapeutique du Patient dans les maladies rares : bilan des appels à projets DGOS 2019-2020 et perspectives d’amélioration. 罕见病患者治疗教育：2019-2020年DGOS项目呼吁评估和改进前景。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.255.0179

Robin Bouillé, Soumaya Balbolia, Audrey Barbet, Caroline Barry, Émilie Cappelle, Ariane David, Laurine Durot, Géraldine Fayet, Nicolas Guérin, Éric Hachulla, Christine Hassler, Elisabeth Lehu, Hélène Maillard, Rachel Pamart, Thomas Sannié, Laurence Schuller, Hélène Thiollet, Frédéric Gottrand, Stéphanie Ringenbach, Sophie Susen, Géraldine Wojtasik, Meryem-Maud Farhat

引用次数: 0