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https://www.readbyqxmd.com/read/30547492/-introduction-in-2014-a-symposium-focusing-on-access-to-healthcare-was-organized-with-input-from-socially-excluded-people-using-the-atd-fourth-world-guidelines-for-the-merging-of-knowledge-and-practices-as-the-ethical-framework-can-this-approach-be-transferred
#1
Bruno de Goer, Jean Vanoye, Corinne Bernati
INTRODUCTION: In 2014, a symposium focusing on access to healthcare was organized with input from socially excluded people, using the ATD Fourth World Guidelines for the Merging of Knowledge and Practices as the ethical framework. Can this approach be transferred to other settings? METHODS: Prospective assessment of a participatory approach in the context of a symposium. RESULTS: Strict conditions are required to ensure effective participation of extremely vulnerable people...
September 6, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/30547491/projet-bien-%C3%A3%C2%AAtre%C3%A2-vers-un-meilleur-rep%C3%A3-rage-et-accompagnement-des-femmes-pr%C3%A3-sentant-des-vuln%C3%A3-rabilit%C3%A3-s-psychologiques-ou-sociales
#2
Gladys Ibanez, Hector Falcoff, Mady Denantes, Anne-Marie Magnier, Nathalie Baunot, Pierre Chauvin, Marc Dommergues, Sarah Robert
The perinatal period is one of the most critical periods in the life cycle. The health of the mother and child are strongly and permanently influenced by events occurring during pregnancy, delivery or early infancy. In psychological terms, nearly 10% of women reported poor self-rated mental health during pregnancy. Moreover, sociodemographic characteristics indicative of social disadvantage are associated with a higher risk of poor self-rated mental health. 81.3% of these women did not consult a healthcare professional for psychological problems...
September 6, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/30547490/-introduction-healthy-behaviours-become-less-common-when-descending-the-social-ladder-which-contributes-to-social-inequalities-in-health-general-practitioners-gps-could-have-an-impact-on-this-general-trend-by-providing-preventive-care-counselling-we-wanted
#3
Géraldine Bloy, Laetitia Moussard Philippon, Laurent Rigal
INTRODUCTION: Healthy behaviours become less common when descending the social ladder, which contributes to social inequalities in health. General practitioners (GPs) could have an impact on this general trend by providing preventive care counselling. We wanted to describe the social inequalities related to physical activity (PA) and the counselling given to patients, in order to improve our understanding of how inequalities can be produced at the doctor-patient relationship level. METHODS: Prev Quanti simultaneously examined social differences in the patients' level of PA and in the PA counselling provided by their GPs...
September 6, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/30547488/comment-les-m%C3%A3-decins-g%C3%A3-n%C3%A3-ralistes-favorisent-ils-l-%C3%A3-quit%C3%A3-d-acc%C3%A3-s-%C3%A3-l-%C3%A3-ducation-th%C3%A3-rapeutique-pour-leurs-patients
#4
Cécile Fournier, Marie-Odile Frattini, Michel Naiditch, Pierre-Yves Traynard, Rémi Gagnayre, Pierre Lombrail
Our research is designed to understand how and under what conditions general practitioners contribute to equitable access to patient education (PE).We conducted a survey based on interactionist sociology in a sample of 32 doctors. These practitioners worked in the context of health networks and health care centres and were also involved in the PE resource centre for the Île-de-France region, thereby providing a favourable setting for our study, also reflected by the fact that one-half of practitioners were aware of the importance of or had been trained in PE...
September 6, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/30547485/les-%C3%A3-volutions-des-modes-d-action-pour-agir-sur-les-in%C3%A3-galit%C3%A3-s-sociales-de-sant%C3%A3-dans-les-recommandations-politiques-%C3%A3-l-international-et-en-france
#5
Marion Porcherie, Blanche Le Bihan-Youinou, Jeanine Pommier
This article describes the changing modalities of action designed to address social inequalities in health recommended in France, in the light of WHO and other international guidelines. Content analysis of policy recommendations identified eleven categories of actions and five types of changes as a function of target populations and the resources deployed. Recommendations have evolved from interventions designed to improve access to primary care to interventions on the social determinants of health, from reinforcement of individual capacities to global empowerment, from interventions on target populations to social inclusion of everyone, from promotion of health investments to increased financial regulation, from a favourable public health policies approach to a health approach in all policies...
September 6, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/30547483/quand-l-universalisme-proportionn%C3%A3-devient-relatif%C3%A2-l-acc%C3%A3-s-aux-soins-des-travailleurs-non-salari%C3%A3-s
#6
Nadine Sannino, Julie Biga, Thierry Kurth, Elise Picon
The policy designed to address social inequalities in health (SIH) currently does not integrate the specificities of self-employed persons, who nevertheless occupy an intermediate position in the mortality gradient observed since the 1990s. Qualitative analysis of the care pathway of precarious people, financed by the French Directorate of health care services (DGOS), despite its limitations, highlights the difficulties encountered by self-employed persons in the use of the health system in its present state and shows the poor perception of these difficulties, due to the limitations of the available evaluation tools of individual precarity, the representations of professional and institutional actors, or the absence of response in the field of social solidarity...
September 6, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/30547482/parcours-de-soins-en-situation-de-pr%C3%A3-carit%C3%A3-%C3%A2-entre-d%C3%A3-termination-et-individualisation
#7
Caroline Desprès
The purpose of this article is to analyse healthcare pathways for precarious people, based on the results of a field study conducted in 2011 and 2012 in the north of France and Burgundy. About 40 semi-directed interviews were conducted in order to collect healthcare pathways narratives revolving around various health events during the subject's life, and putting them in perspective with individual, familial stories as well as their environment (social environment, healthcare organization, etc.).The results indicate various types of determinants, firstly concerning norms and rules determining access to health insurance and health services...
September 6, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/30547480/la-litt%C3%A3-ratie-en-sant%C3%A3-un-levier-pour-des-syst%C3%A3-mes-de-soins-plus-%C3%A3-quitables%C3%A2-des-outils-pour-armer-les-professionnels-et-impliquer-les-institutions
#8
Gilles Henrard, Frédéric Ketterer, Didier Giet, Marc Vanmeerbeek, Jean-Luc Belche, Laetitia Buret
This article briefly recalls why low levels of health literacy should be considered to constitute a public health issue. It then proposes the concept of health literacy as a possible lever to help health care systems to more effectively take social health inequalities into account. Finally, it provides concrete tools for field workers, both clinicians and quality of care managers, and emphasises the importance of an organizational approach to health literacy.
September 6, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/30547479/-introduction-each-year-more-than-1-2-160-million-deaths-in-the-world-are-due-to-road-accidents-it-is-the-leading-cause-of-mortality-in-young-people-between-the-ages-of-15-and-29-160-years-road-accidents-and-associated-injuries-have-a-major-impact-on-health
#9
[Introduction: Each year, more than 1.2 million deaths in the world are due to road accidents. It is the leading cause of mortality in young people between the ages of 15 and 29 years. Road accidents and associated injuries have a major impact on health and development. Many international reports have evaluated the mortality and morbidity related to road accidents, but these studies are based on limited data, often with limited robustness. Based on a study conducted in Ouagadougou, the capital of Burkina Faso, to estimate the mortality and morbidity of road accident victims, the objective of this article was to evaluate social, spatial and health inequalities of populations killed or injured as a result of a road accident.Methods: Between February and July 2015, all road accidents were recorded by policemen using a mobile telephone data collection system, including geolocation of accidents. Three quantitative and prospective survey phases were then performed on injured patients admitted to Yalgado Ouedraogo hospital, the reference centre for these patients.Results: A total of 1,867 emergency department admissions were reported. The majority (95%) of road accident victims were vulnerable users. More than 30% of accidents occurred in one central quarter and two peripheral quarters. The mean management time as 1 hour 3 minutes for victims rescued by firemen and 3 hours 10 minutes for those who attended the emergency department on their own. The mean total cost of management was 126,799 CFA francs (€193) [400-2,000,000 CFA francs].Discussion].
Emmanuel Bonnet, Amandine Fillol, Aude Nikiema, Lucie Lechat, Mohamed Tall, Songahir Christophe Da, Valery Ridde
INTRODUCTION: Each year, more than 1.2 million deaths in the world are due to road accidents. It is the leading cause of mortality in young people between the ages of 15 and 29 years. Road accidents and associated injuries have a major impact on health and development. Many international reports have evaluated the mortality and morbidity related to road accidents, but these studies are based on limited data, often with limited robustness. Based on a study conducted in Ouagadougou, the capital of Burkina Faso, to estimate the mortality and morbidity of road accident victims, the objective of this article was to evaluate social, spatial and health inequalities of populations killed or injured as a result of a road accident...
September 6, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/30547476/-introduction-health-inequalities-is-a-complex-issue-and-may-appear-to-be-unrelated-to-the-reality-of-field-workers-this-article-describes-lor-8217-is-a-support-grid-for-project-leaders-designed-to-enable-them-to-review-their-actions-based-on-criteria-contributing
#10
Marie Gaudefroy, Aline Osbery, Émilie Christophe
INTRODUCTION: Health inequalities is a complex issue and may appear to be unrelated to the reality of field workers. This article describes Lor'IS, a support grid for project leaders designed to enable them to review their actions based on criteria contributing to reduction of social and geographical inequalities in health. METHODS: This tool was based on a review of the literature and assessment of the needs of field workers. It was created by a multidisciplinary working party and was tested and improved by the future users...
September 6, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/30547425/transition-of-children-with-perinatally-acquired-hiv-infection-into-adulthood-social-outcome-and-quality-of-life
#11
G N Sanjeeva, M Sahana, H B Pavithra, V H T Swamy, B R Srirama, D R Sunil Kumar, Lalitha Hande, S N Mothi
OBJECTIVES: In India, access to free anti-retroviral therapy has improved the survival of perinatally human immunodeficiency virus (HIV) infected children resulting in the transition of many such children to adulthood. This study aims to understand the social-outcomes and quality of life (QOL) among these adults. METHODS: This cross-sectional study was conducted in two tertiary HIV care centers in south India. Perinatally HIV-infected adults aged >18 y were enrolled after obtaining consent...
December 13, 2018: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/30547054/economic-evaluation-of-an-integrated-health-and-social-care-program-for-heart-failure-through-2-different-modeling-techniques
#12
Igor Larrañaga, Panos Stafylas, Ane Fullaondo, Gian Matteo Apuzzo, Javier Mar
Introduction: An integrated health and social care program for patients with heart failure (HF) was implemented at the Friuli-Venezia Giulia deployment site as part of the SmartCare European project. The objective of this study was to validate 2 different decision modeling techniques used to perform the economic evaluation. Methods: Data were collected during the SmartCare project which enrolled 108 patients with HF and followed for more than 6 months. The techniques used were Markov and discrete event simulation models...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/30546917/regional-working-in-the-east-of-england-using-the-uk-national-standards-for-public-involvement
#13
Elspeth Mathie, Helena Wythe, Diane Munday, Graham Rhodes, Penny Vicary, Paul Millac, Julia Jones
Plain English summary: Involving patients and members of the public to help shape and carry out research is recommended in health research in the United Kingdom (UK). There are a number of regional networks of Patient and Public Involvement (PPI) groups, which support the collaboration between researchers, patients and public members. We are a group of researchers, patients and public members who came together via a PPI regional network in the East of England to collaborate on a research study about the extent of feedback from researchers to PPI contributors...
2018: Research Involvement and Engagement
https://www.readbyqxmd.com/read/30546870/effect-of-enhanced-detailing-and-mass-media-on-community-use-of-oral-rehydration-salts-and-zinc-during-a-scale-up-program-in-gujarat-and-uttar-pradesh
#14
Felix Lam, George Pro, Shreya Agrawal, Vishal Dev Shastri, Leslie Wentworth, Melinda Stanley, Nitin Beri, Abhishek Tupe, Ashutosh Mishra, Hamsa Subramaniam, Kate Schroder, Marta Rose Prescott, Naresh Trikha
Background: The Clinton Health Access Initiative implemented a program from 2012-2016 to increase use of oral rehydration salts (ORS) and zinc to treat diarrhea in children under five in three states in India: Gujarat, Madhya Pradesh, and Uttar Pradesh. The program interventions included detailing and development of a rural supply chain to reach private rural health care providers, training of Accredited Social Health Activists (ASHAs), technical support to the state governments, and a mass media campaign targeted at caregivers...
June 2019: Journal of Global Health
https://www.readbyqxmd.com/read/30546802/improvements-in-self-care-among-patients-with-diabetes-in-a-remote-island-in-japan-a-pilot-study
#15
Ryuichi Ohta, Chikako Mukoyama
Objective: The traits of the inhabitants of rural areas could affect clinical improvements. In the rural areas of Japan, a feeling of competitiveness often exists between the members of a community; this competitiveness could prompt patients to exert efforts in improving their health. This study aimed to assess the effects of competitiveness on the clinical outcomes of patients with diabetes. Patients and Methods: Between December 2014 and December 2015, a pilot study was conducted among patients with diabetes to assess the effects of an intervention on improvements in self-care, quality of life (QOL), and hemoglobin A1c (HbA1c) values...
November 2018: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/30546801/assessing-the-link-between-endorsing-attitudes-justifying-partner-abuse-and-reproductive-health-care-utilization-among-women-in-lao-pdr
#16
Dasavanh Manivong, Mosiur Rahman, Keiko Nakamura, Kaoruko Seino
Objective: Evidence from developing countries on the association between women's endorsement of attitudes justifying partner abuse and their use of reproductive health services is suggestive but inconclusive. This study uses a nationally representative dataset from Lao PDR to provide strong evidence for the relationship between women's endorsement of attitudes justifying partner abuse and use of reproductive health services. Methods: This study used data from the 2011-2012 Lao Social Indicator survey (LSIS)...
November 2018: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/30546224/prevalence-of-mandibular-fracture-in-patients-visiting-a-tertiary-dental-care-hospital-in-north-india
#17
Akhilanand Chaurasia, Gaurav Katheriya
Background: Injuries of the maxillofacial complex represent one of the most important health problems worldwide. At present, in developing India, due to poor traffic sense, maxillofacial trauma and fractures are most epidemiologic diseases. Mandible is the largest and strongest facial bone and it is the second most commonly fractured bone. Mandibular fractures can involve only one site or can often involve multiple anatomic sites simultaneously. Aims: The present study is aimed to know the age- and sex-related prevalence of parasymphyseal fracture, fracture of angle, condylar fracture, symphyseal fracture, and coronoid fracture of mandible in North Indian population...
July 2018: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/30545755/an-analysis-of-online-pregnancy-message-boards-mother-to-mother-advice-on-medication-use
#18
Lisa K Denton, Catherine E Creeley, Brianna Stavola, Kara Hall, Brad D Foltz
PROBLEM AND BACKGROUND: Psychotropic medication use is increasingly common among pregnant women. Many women solicit information from other mothers about the safety of these medications for use during pregnancy, yet little is known about the specific advice they receive. AIM: The purpose of the current study was to examine the type of feedback women receive on a popular internet message board about psychotropic medication use during pregnancy. METHODS: A modified Consensual Qualitative Research approach was used to analyze 1728 comments posted by Babycenter...
December 10, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/30545420/music-therapy-intervention-in-cardiac-autonomic-modulation-anxiety-and-depression-in-mothers-of-preterms-randomized-controlled-trial
#19
Mayara K A Ribeiro, Tereza R M Alcântara-Silva, Jordana C M Oliveira, Tamara C Paula, João B R Dutra, Gustavo R Pedrino, Karina Simões, Romes B Sousa, Ana C S Rebelo
BACKGROUND: Mothers of preterm infants often have symptoms of anxiety and depression, recognized as risk factors for the development of cardiovascular diseases and associated with low rates of heart rate variability (HRV). This study aimed to evaluate the influence of music therapy intervention on the autonomic control of heart rate, anxiety, and depression in mothers. METHODS: Prospective randomized clinical trial including 21 mothers of preterms admitted to the Neonatal Intensive Care Unit of a tertiary hospital, recruited from August 2015 to September 2017, and divided into control group (CG; n = 11) and music therapy group (MTG; n = 10)...
December 13, 2018: BMC Psychology
https://www.readbyqxmd.com/read/30545282/measuring-self-appraised-changes-following-participation-in-an-intervention-for-caregivers-of-individuals-with-dementia
#20
Shahrzad Mavandadi, Laura O Wray, Ronald W Toseland
This study examined the psychometric properties of the Self-Appraisal of Change Scale, a measure designed to capture domains that are subjectively relevant to caregivers, associated with overall well-being, and amenable to change upon engaging in an intervention. Data from 107 caregivers of veterans with dementia enrolled in a randomized controlled trial of a telephone-delivered caregiver psychoeducation and support group program (the Telehealth Education Program (TEP)) were analyzed. The TEP, which was delivered by master's prepared social workers and a nurse dementia care manager, targeted caregivers' dementia-related knowledge, attitudes, and self-management skills...
December 13, 2018: Journal of Gerontological Social Work
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