1,720,963 research outputs found
What means a quality professional-patient relationship from the asthmatic patients’ perspective? A narrative review of their needs and expectations.
No full textIntroduction: Poor treatment adherence among asthmatic patients currently remains a public health challenge. One of the most quoted determinants is the quality of the professional-patient relationship although it has clearly not been fully described. Purpose: This study aims at deeply exploring asthmatic patients’ needs and expectations about the accompaniment proposed by their healthcare professionals. Methods: A rigorous narrative review was performed. Results: According to patients, what they expect from professionals can be split into eight themes: Getting exhaustive information, Relying on an available healthcare professional, Being more involved into life with one’s asthma, Being accompanied by a multidisciplinary team, Being respected in one’s uniqueness, Being cared through a humanist approach, Feeling the professional is skilled and Other needs. Discussion and conclusion: Asthmatic patients’ needs have little evolved in twenty years illustrating that if they’re met, that would positively affect the way patients want to be followed by healthcare professionals and so, that would increase their treatment adherence. Several recommendations such as setting up a doctor – asthma nurse practitioner binomial or studying a concrete care pathway may help in fulfilling these needs. Finally, this research opens the way to other studies since similar results have been found in populations suffering from other chronic diseases than asthma.info:eu-repo/semantics/nonPublishe
Predictors and components of inpatient asthma hospital cost: a retrospective cohort study
No full textIntroduction: Addressing the challenges of asthma has involved various approaches, including the examination of costs associated with hospitalization. However, there is a limited number of studies that have investigated the actual expenses incurred by hospital settings in caring for asthma patients. This study aims to describe the costs, predictors, and breakdown of expenditures in different categories.Methodology: A retrospective cohort study was conducted, involving 314 hospital stays of patients over 12 years old who were admitted for asthma and classified under APR-DRG 141 (asthma). Univariate and multiple linear regression analyses were performed.Results: The median cost, regardless of DRG severity, amounted to 2.314€ (1.550€-3.847€). Significant variations were observed when the sample was stratified based on the severity of DRG, revealing a cost gradient that increases with severity. The length of stay followed a similar trend. Six predictors were identified: age, admission to intensive care, asthma severity, severity level of the DRG, winter admission, and length of stay. The cost breakdown showed that 44% constituted direct costs, 25% were indirect costs, 26% were attributed to medical procedures performed outside the patient unit, and 5% were related to medication administration.Discussion: This study initiates a discussion on the role of reducing hospital costs in strategies aiming at controlling asthma-related costs. We argue that cost reduction cannot be achieved solely at the hospital level but must be approached from a public health perspective. This includes promoting high-quality outpatient care and addressing factors leading to poor adherence to the care plan.info:eu-repo/semantics/nonPublishe
Implémenter la Pratique Infirmière Avancée en Belgique : réalité ou utopie ? Réflexions autour de l’accompagnement des patients vivant avec un asthme chronique.
No full textIntroduction :L’adhésion du patient asthmatique chronique à son plan de soins demeure faible. En Europe et Belgique, le taux avoisine les 50%. L’un des déterminants de l’adhésion au traitement est la qualité de la relation soignant-soigné qui restait peu décrite. Pour y remédier, les besoins et attentes des patients face à la qualité de leur accompagnement ont été étudiés. Trois recommandations ont pu être extraites de ces études antérieures :l’implémentation de cliniques d’asthme, le recours aux IPA et la mise sur pied d’un parcours de soins coordonné. L’étude présentée ici a eu pour but de récolter les informations pertinentes en relation avec ces trois concepts et de les discuter au regard de l’élaboration d’un trajet de soins.Méthodes :Une revue de littérature ciblée a été entreprise sur les moteurs de recherche Pubmed et Google®. Les concepts clés comprenaient « trajet de soins », « asthme », « cliniques d’asthme » et « Asthma Nurse Practitioners ». La littérature grise et celle issue des revues professionnelles ont été consultées. Tout article touchant à notre sujet de recherche a fait l’objet d’une analyse critique approfondie. Les résultats offerts par la littérature ont été enrichis par une enquête en ligne proposée à un petit nombre d’experts. Ceux-ci ont été identifiés par leur activité professionnelle au sein d’une structure s’apparentant à une clinique d’asthme, dans le but d’explorer la situation belge.Résultats :Les cliniques d’asthme sont des structures dont l’efficacité clinique et économique a été démontrée. Elles se situent à différents niveaux du système de soins de santé et présentent des compositions variées. Ainsi, ce que recouvre la notion de clinique d’asthme, son existence en Belgique et les différences constatées avec les écoles d’asthme ont été subséquemment décrits.L’implémentation d’IPA fait référence aux « Nurse Practitioners » et leur efficacité clinique dans l’asthme a été démontrée. La question de la communication entre les lignes de soins a émergé de nos résultats sur le parcours de soins. Un manque de coordination et de communication a été, à plusieurs reprises, décrit.Discussion :À partir de ces résultats, un modèle de trajet de soins intégrant les trois lignes de soins en Belgique a été élaboré. La première ligne est constituée principalement par le médecin traitant tandis que les deuxième et troisième sont centralisées autour d’une nouvelle structure appelée clinique d’asthme. Cette dernière assurerait la mise au point de l’asthme, son suivi chronique et le traitement chez les patients souffrant de forme sévère. Les rôles des professionnels de la santé travaillant avec le patient asthmatique ont été identifiés et décrits. Ce modèle a été discuté à la lumière de la situation belge actuelle sur différents plans :la gestion de l’asthme, les moyens pour assurer une communication interdisciplinaire efficace et enfin l’implémentation d’un des acteurs clés :l’infirmière de pratique avancée.Conclusions :Bien que la situation belge ne soit pas encore tout à fait propice à l’émergence de cette nouvelle fonction infirmière, notre modèle jette les bases d’un système qui est adapté à la complexité de la Belgique, qui a fait ses preuves sur la scène internationale et qui offre une réponse aux besoins des patients asthmatiques chroniques.info:eu-repo/semantics/nonPublishe
Besoins et attentes des patients vivant avec un asthme chronique quant à l’accompagnement proposé par les professionnels de la santé: Recherche en soins primaires dans les territoires de santé
No full textinfo:eu-repo/semantics/nonPublishe
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
- …
