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Copyright of Revue Française de Gestion is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Understanding physicians' labour supply changes during the COVID-19 pandemic informs health workforce planning. Using representative Canadian data, we observed a reduction in work hours during the first wave. However, hours did not differ from pre-pandemic norms throughout subsequent phases. Reductions were concentrated among community-based family practitioners and specialists, whereas hospital-based physicians, on average, maintained their pre-pandemic hours. Notably, men and women exhibited statistically indistinguishable declines, with a slightly larger reduction observed among men. Except for single parents with children, whose hours did not decline, observed reductions were very similar across marital status and for women and men with and without children, even young children. There were no differences in hour declines by immigration status. Physicians aged older than 60 years experienced larger reductions in hours than younger ones. With some variations, similar trends were observed for absences. No evidence supported the notion that physicians were more likely to exit practice during the pandemic. [ABSTRACT FROM AUTHOR]

In France in 2022, more than 8 out of 10 women will have their abortions in their district of residence. In some rural district, the rate of abortions performed outside the department of residence is higher than the national average. The aim of this study is to understand the specificities of the abortion process in a rural department like the Ardèche. Several factors may explain women's referrals to neighboring districts: lack of information on what is available in the area, confidentiality, professionals' preference for quality of care, or the desire to avoid guilt-inducing professionals. [ABSTRACT FROM AUTHOR]

Introduction : La réforme du système de formation en sciences infirmières et obstétricales (SIO) au Bénin a permis de former des infirmiers de niveau maitrise académique dans le profil infirmière en pratique avancée (IPA). Cependant, malgré la reconnaissance de cette nouvelle formation sur le plan académique, le rôle de l’IPA dans le système de santé où ces infirmiers sont appelés à exercer dans une équipe multidisciplinaire au cœur d’une culture et de pratiques médicales et infirmières très diversifiées n’est pas encore clarifié. Objectifs : 1- Identifier les domaines d’intervention, les périmètres d’action, les rôles, les mandats et les activités possibles de l’IPA, ainsi que les facteurs favorables et défavorables au développement de la pratique infirmière avancée (PIA) dans le système de santé du Bénin; 2- Déterminer les éléments constitutifs d’un cadre formel et réglementaire d’exercice de la PIA au Bénin. Méthodes : Cette recherche qualitative basée sur la théorie de l’universalité et de la diversité des soins de Leininger (1991) s’appuiera sur le modèle PEPPA (Participatory, Evidence-Based, Patient-Focused Process for Advanced Practice Nursing) proposé par Bryant-Lukosius et Dicenso (2004) pour la séquence des étapes de développement, d’implantation et d’évaluation d’un nouveau rôle d’IPA. Des entrevues individuelles semi-dirigées et groupes focalisés auprès des infirmiers et sages-femmes de nationalité béninoise titulaires d’une maitrise en SIO seront réalisés. Des questionnaires auto-administrés et un recueil de textes permettront de collecter des données auprès du personnel de santé et des responsables des structures et services de soins cliniques. Discussion et retombées anticipées : Cette étude permettra d’identifier les balises qui soutiendront l’implantation du rôle de l’IPA dans le système de santé du Bénin, clarifiant ses domaines d’intervention, ses périmètres d’action, ses mandats et activités possibles, ainsi que le contexte nécessaire pour son implantation.

Le système de santé est au bout de son organisation. Au-delà d’une restructuration politique et économique c’est une dynamique globale du prendre soin qui est en train de se ré inventer. Pour cela, la prise en compte de toutes les faces de cette problématique complexe, et de tous ses acteurs est indispensable.

This study allowed us to detect the elements that have strongly hindered the functioning of the Congolese health system. It is mainly on the technical, administrative, security and relational levels that this has been observed. Two parallel health subsystems (conventional and response) were functional. Despite these obstacles, achievements (opportunities) that have contributed to the strengthening of this system have been noted. Hospitals and caregivers have reaped dividends (benefits) especially in terms of infrastructure, salary and IPC (Infection and Prevention Control). [ABSTRACT FROM AUTHOR]

Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Al Bashaer Economic Journal is the property of Al Bashaer Economic Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In response to the French hospital system crisis and the challenges faced by the heads of departments, we have undertaken an initiative to create a community of heads of haematology departments willing to assist each other. Our inaugural seminar, held in January 2023, established the foundational "core" group of heads of department. Throughout 2023, this emerging community has prospered, offering sustained support to peers. In January 2024, we broadened our community to include other heads of departments, following a second seminar gathering 36 participants. During this event, we took the time to exchange thoughts and reflect on our missions. Building on the experience of guest speakers and employing methods of co-development and co-construction in plenary sessions, small-group workshops, and social gathering, we were able to discover and experience the collective intelligence, creativity, strength, and support stemming from such a group. This peer community of heads of departments stands as a powerful tool for management support, whereby personal experiences nourish and enrich the experience of others. We hope that our initiative will inspire heads of departments from other specialties so that, together, we can better work towards our missions as heads of departments and collaborate on rebuilding the hospital "from the bottom up"., (Copyright © 2024 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.)

The transition from pediatrics to adult medicine is an essential step for adolescents and young adults living with a chronic disease. It involves a significant risk of disruption of the care pathway with deleterious consequences for health in the short and long term. The challenge of this transition is to ensure continuity of care while successfully completing adolescence and its developmental tasks, in particular autonomy. The success of this transition therefore requires an organized and structured preparation, tailored for each patient and his/her parents, and over a period of transition, from several years before transfer until a regular follow-up in an adult service is established. [ABSTRACT FROM AUTHOR]

Copyright of Revue d'études Autochtones is the property of Societe Recherches Autochtones au Quebec and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Depuis les années 1800, les Anicinapek ont connu diverses épidémies qui ont laissé des traces dans leur mémoire et leurs pratiques, ravivées lors du confinement du printemps 2020. Ces traces diffèrent de celles laissées dans les chroniques des auteurs allochtones : les autorités gouvernementales et ecclésiastiques les ont pensés sans ressources, sans savoirs et sans médicaments efficaces. Dans une perspective de décolonisation des savoirs, nous remettons en question l’hégémonie du discours allochtone sur les épidémies historiques chez les Autochtones en explorant comment les Anicinapek ont conceptualisé la notion d’épidémies, ainsi que les pratiques qu’ils pouvaient déployer face à elles. Cet article se fonde en priorité sur un corpus de données formé à partir de deux types de sources : des récits oraux recueillis lors d’enquêtes longitudinales ; et des documents écrits par des Anicinapek. À partir de cet angle émique, sont exposées les assises idéologiques et cosmologiques du système de santé anicinape, de la moitié du xixe siècle jusqu’aux années 1970.

Social inequalities in health refer to differences in health status between people or groups of people, linked to factors that are particularly social, unequal and considered morally or ethically unacceptable. These may be major differences in life expectancy, or in the greater likelihood of being a carrier of disease, depending on the social group to which one belongs or the territory in which one lives. Accentuated during a health crisis, they are, however, avoidable., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Management international / International Management / Gestiòn Internacional is the property of Management International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

• La SFR a sélectionné les questions les plus critiques auxquelles sont confrontés les rhumatologues dans la prise en charge de leurs patients atteints de maladies rhumatismales pendant la pandémie de COVID-19. • Un groupe de 10 experts composé de membres du conseil de la SFR et du Club rhumatismes et inflammations (CRI) a proposé des réponses basées sur l'état des connaissances au mois de mai 2020. • La plupart du temps, il n'y a aucune contre-indication à la mise en place ou à la poursuite d'un traitement par anti-inflammatoires ou DMARD. • En cas de signes suggérant une infection (par le coronavirus ou autre), les traitements doivent être arrêtés, puis rétablis si nécessaire après une période de deux semaines sans aucun symptôme. Contexte : les rhumatologues doivent composer avec la pandémie de COVID-19 dans la prise en charge de leurs patients, ce qui a soulevé de nombreuses interrogations sur l'utilisation des anti-inflammatoires et des traitements de fond antirhumatismaux (DMARD). La Société française de rhumatologie (SFR) a sélectionné les questions les plus critiques pour la pratique quotidienne d'un rhumatologue et un groupe de 10 experts composé de membres du conseil de la SFR et du Club rhumatismes et inflammations (CRI) a proposé des réponses basées sur l'état des connaissances au mois de mai 2020. Procédure fondamentale : lorsque les 18 premières questions et déclarations ont été mises à disposition, 1400 personnes ont consulté la liste des questions fréquemment posées entre le 31 mars et le 12 avril 2020. Seize questions supplémentaires ont ainsi été transmises à la SFR et le conseil y a répondu. Une revue complémentaire a été organisée par e-mail et visioconférence, notamment pour actualiser les déclarations. Cinq des questions, jugées scientifiquement pertinentes, ont été ajoutées à ce document. Chaque réponse a reçu une note finale de 0 à 10, 0 correspondant à l'absence totale d'accord et 10, à un accord sans réserve. La valeur moyenne des votes obtenus par chaque question est présentée comme le degré d'accord (DA) à la suite de chaque réponse. Date de la dernière mise à jour de ce document : 17 avril 2020. Principales observations : selon la littérature scientifique publiée, il n'y a la plupart du temps aucune contre-indication à la mise en place ou à la poursuite d'un traitement par anti-inflammatoires ou DMARD. En cas de signes suggérant une infection (par le coronavirus ou autre), les traitements doivent être arrêtés, puis rétablis si nécessaire après une période de deux semaines sans aucun symptôme. Quelques indices suggèrent que les personnes prenant une dose immunosuppressive de corticoïdes présentent un risque accru de développer une forme sévère de COVID-19. Les infiltrations intra-articulaires de glucocorticoïdes sont autorisées lorsqu'il n'existe pas d'alternative thérapeutique raisonnable et sous réserve de précautions protégeant le patient et le praticien d'une contamination virale, ce qui inclut une information appropriée du patient. Principales conclusions : les données disponibles sur la prise en charge des patients atteints de maladies rhumatismales pendant la pandémie de COVID-19 sont rassurantes et favorables à la poursuite ou à l'instauration de traitements symptomatiques et spécifiques, l'objectif principal demeurant le contrôle de ces maladies même en temps de pandémie. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Economic Sciences, Management & Commercial Sciences (JESMCS) is the property of Association of Arab Universities and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The healthcare system and the practice of health care have unprecedented impacts on our environment. High carbon footprint, pollution and its consequences on health, the picture is not glorious. Even if they rarely identify themselves as such, healthcare professionals are key actors in the drive towards more sustainable practices. Their numbers, skills and activities give them privileged access to the population, communities and individuals of all ages and backgrounds. Thanks to their increasingly specialized training, they are in a position to accompany people on their health journey, prevent illness and promote healthy behaviours. These aspects are central to sustainability in healthcare., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

In France, the supply of healthcare services remains insufficient to meet the growing needs of the population, which has prompted the legislator to authorize direct access to certain professionals, in particular advanced practice nurses (APNs) working in coordinated practice structures. This article details an innovative multi-professional pathway in a nursing home, where the APN takes direct charge of people without a general practitioner, with the aim of improving their access to care and reintegrating them into the healthcare system., (Copyright © 2024 Elsevier Masson SAS. All rights reserved.)

Après avoir introduit et décrit les modes managériaux en santé, les auteures articulent une réflexion critique sur quatre enjeux éthiques qui découlent de ces modes.

Résumé: La santé s'est invitée régulièrement dans les débats de la campagne électorale pour la Présidence de la République en 2022. La pandémie a mis en scène un système de santé performant mais en crise profonde. Health was regularly invited to the debates of the electoral campaign for the Presidency of the Republic in 2022. The pandemic has staged an efficient health system but in deep crisis. [ABSTRACT FROM AUTHOR]

Fiscal federalism, aging, and rising health care costs are constraining Canadian provinces' fiscal room to maneuver. Can provincial government partisanship influence policy choices when governments face fiscal pressures? This article studies the impact of fiscal pressures on provincial governments' expenditure priorities, conditional on government partisanship. It argues that policy feedback and the preferences of the governing party's core constituency determine expenditure priorities. Using a compositional dependent-variable analysis, it models budget policy choices in Canadian provinces from 1981 to 2018. When provinces undergo different types of fiscal pressures, the proportion of health care expenditures increases, while "other" government expenditures, which are the programs that are not classified as health care, education, or social spending, are retrenched. While governments' ideology does not modify the crowding out of "other" expenditures by health care, left-wing governments prioritize social expenditures, while right-wing governments retrench them. [ABSTRACT FROM AUTHOR]

Introduction: About half of the French patients followed the offered programs called "Therapeutic Patient Education (TPE)". Aim: This study aims to understand the reasons for not using TPE, according to the Levesque model. Methods: A qualitative pilot study was carried out in 2019 with six asthmatic children families who did not take part in a TPE program called "Ateliers du Souffle" despite the proposal. A content analysis was conducted using an interview grid including four dimensions of the Levesque model: perception of needs, TPE programs seeking, TPE programs reaching and TPE programs utilization. Results: They show a lack of perception of the support needs linked to the patient himself but also to the health system. What makes TPE seeking difficult is usually patients' mistrust in the health system and their need for autonomy. TPE reaching is limited due to social and territorial inequalities. Finally, the TPE programs utilization questions the motivation degree of the patient and TPE forms. The results also suggest recommendations to encourage the use of TPE. Conclusion: The Levesque model is an analytical framework suitable to study the determinants of non-TPE utilization and to define strategies improving TPE utilization. Informing patients and their relatives, training prescribing physicians and making TPE accessible via workshops closer to home or via remote communication tools are current challenges for TPE. [ABSTRACT FROM AUTHOR]

Copyright of Recherches en Sciences de Gestion is the property of ISEOR and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Clivajes - Revista de Ciencias Sociales is the property of Universidad Veracruzana and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

After introducing and describing managerial health practices, the authors critically reflect on four ethical issues that arise from these practices. [ABSTRACT FROM AUTHOR]

Copyright of Iustitia is the property of Universidad Santo Tomas, Bucaramanga and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Panorama Económico is the property of Universidad de Cartagena and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: The development of chronic diseases has led to the addition of a pedagogical dimension to nursing practices: therapeutic patient education (FTE). The integration of the ETP imposes on health professionals new skills that can only be acquired through training. Goal: The objective of this study is to evaluate the consideration of ETP by the training of health professionals in Togo. Methods: To do this, an analysis of initial and continuous training devices was carried out. Results: The results showed that the formal education of ETP was only introduced in 2015 in two initial training courses. This teaching occupies a marginal place in training. The different health programs with the exception of HIV control have not put in place continuous training on FTE. Discussions: The lack of training of health professionals on ETP makes it difficult to integrate this new practice into the healthcare system. Conclusion: To fight effectively against chronic diseases that have taken precedence over infectious diseases, Togo will have to train health professionals on ETP. This training must be both theoretical and practical. [ABSTRACT FROM AUTHOR]

Résumé: Les soins de santé primaires, définis par l'Organisation mondiale de la santé (OMS) en 1978, viennent d'être réaffirmés par la déclaration d'Astana comme la pierre angulaire de tous les systèmes de santé. Si leur définition est bien établie au niveau international, elle a été plus difficilement consensuelle en France et a laissé la place à de nombreuses interprétations. La perspective actuelle est de considérer les soins de santé primaires comme le premier niveau de contact médical de la population avec le système de santé sur un territoire de proximité. En termes de qualité, d'équité et de coût, ils se révèlent particulièrement performants : la littérature scientifique apporte des preuves indiscutables de leur efficience, y compris dans les pays européens. L'implantation des soins de santé primaires en France a suscité des résistances dans un système hospitalocentré. Néanmoins, la Stratégie nationale de santé affiche clairement son intention de s'orienter vers les soins ambulatoires et de structurer les soins de santé primaires. Les dispositifs comme les maisons de santé pluriprofessionnelles, les équipes de soins primaires et les communautés professionnelles territoriales de santé sont de nature à concrétiser cette démarche, avec le soutien des plates-formes territoriales d'appui. Cette évolution devrait contribuer à la nécessaire hiérarchisation du système de santé français. Primary health care, defined by WHO in 1978, has just been reaffirmed by the Astana declaration as the corner stone of all health care systems. Although their definition is well established at the international level, it has been more difficult to reach consensus in France and has given way to many interpretations. The current perspective is to consider primary health care as the first level of medical contact of the population with the health system in a nearby area. In terms of quality, equity, and cost, they are particularly effective: the scientific literature brings indisputable evidences of their efficiency, even in European countries. Implementation of primary health care in France sparked resistance in a hospital-centered system. Nevertheless, the National Health Strategy clearly shows its intention to move towards ambulatory care and to structure primary health care. Group practice, primary care teams and territorial health professional communities are likely to achieve this approach, with the support of territorial platforms. This change should lead to prioritize French health care system. [ABSTRACT FROM AUTHOR]

Résumé Objectif La transition entre les milieux pédiatrique et adulte est souvent source de difficultés pour les jeunes patients atteints d’une maladie sévère. L’objectif de cette étude qualitative était d’obtenir une définition et caractériser la transition en interrogeant des psychologues en pédiatrie. Méthode Dix psychologues ont répondu à un entretien de recherche semi-structuré qui a été audio-enregistré. Résultats L’analyse thématique des verbatims a permis de dégager des thèmes communs aux participants quant à la représentation de la transition, aux facilitateurs et obstacles rencontrés dans leur travail. Discussion Cette recherche a permis de mettre en évidence des nouveaux éléments dans le travail des psychologues par rapport à la transition tels que le jugement clinique, les aspects relationnels et les liens d’attachement. Objective Transition between the paediatric and adult environments is often a challenge for young patients with severe diseases. The objective of this qualitative study was to define and identify descriptive characteristics of the transition by interviewing paediatric psychologists. Method Ten psychologists responded to a semi-structured research interview that was audiotaped. Results The thematic analysis of the verbatim revealed common themes among participants regarding the representation of the transition as well as the facilitators and obstacles encountered in their work. Discussion This research has highlighted new elements in the work of psychologists with regards to the transition process such as clinical judgment, interpersonal aspects and therapeutic alliance. [ABSTRACT FROM AUTHOR]

Copyright of Scientific Annals of the 'Al. I. Cuza' University, Iasi. Sociology & Social Work / Analele Stiintifice ale Universitatii 'Al. I. Cuza' Iasi Sociologie si Asistenta Sociala is the property of Alexandru Ioan Cuza University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Industrial Relations / Relations Industrielles is the property of Universite Laval, Department of Industrial Relations and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of African Sociological Review is the property of CODESRIA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)