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1دورية أكاديمية
المؤلفون: Chloé Thierrin, Aurélie Augsburger, Fabrice Dami, Christophe Monney, Philippe Staeger, Carole Clair
المصدر: PLoS ONE, Vol 16, Iss 4, p e0249287 (2021)
الوصف: IntroductionTelephone triage services (TTS) play an increasing role in the delivery of healthcare. The objective of this study was to characterize the adult users of a TTS for non-critical emergencies, describe the types of advice given and their subsequent observation, and assess the influence of TTS on the use of the healthcare system in a sanitary region of Switzerland.MethodsData from a TTS based in the French part of Switzerland were analyzed. This service consists of a medical contact center for non-critical emergencies, with trained nurses available 24/7. A random selection of 2,034 adult calls was performed between July and December 2018. Research students contacted users 2 to 4 weeks after the initial call and assessed sociodemographic and clinical data, as well as the impact of the advice received on the use of the healthcare system.ResultsA sample of 412 users was included in the analyses. The average age was 49.0 (SD 20.4) years; 68.5% were women and 72.8% of Swiss origin. The two main recommendations provided by nurses were to consult the emergency department (ED) (44.6%, n = 184) and to contact a physician on duty (33.2%, n = 137). The majority of users followed the advice given by the nurses (substantial agreement [k = 0.79] with consulting the ED and perfect agreement [k = 0.87] with contacting a physician on duty). We calculated that calling the TTS could decrease the intention to visit the ED by 28.1%.ConclusionTTS for non-critical emergencies have the potential to decrease the use of ED services.
وصف الملف: electronic resource
Relation: https://doaj.org/toc/1932-6203
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2دورية أكاديمية
المؤلفون: Dylan Aeby, Philippe Staeger, Fabrice Dami
المصدر: PLoS ONE, Vol 16, Iss 5, p e0250591 (2021)
الوصف: IntroductionIn out-of-hospital cardiac arrests (OHCAs), the use of an automatic external defibrillator (AED) by a bystander remains low, as AEDs may be misplaced with respect to the locations of OHCAs. As the distribution of historical OHCAs is potentially predictive of future OHCA locations, the purpose of this study is to assess AED positioning with regard to past locations of OHCAs, in order to improve the efficiency of public access defibrillation programs.MethodsThis is a retrospective observational study from 2014 to 2018. The locations of historical OHCAs and AEDs were loaded into a geodata processing tool. Median distances between AEDs were collected, as well as the number and rates of OHCAs covered (distance of ResultsThere were 2,971 OHCA, 79.3% of which occurred at home, and 633 AEDs included in the study. The global coverage rate was 7.5%. OHCAs occurring at home had a coverage rate of 4.5%. Forty hotspots were identified, requiring the same number of additional AEDs. The addition of these would increase the coverage from 7.5% to 17.6%. Regarding AED overlays, 17 AEDs were found to be relocatable without reducing the AED coverage of historical OHCAs.DiscussionThis study confirms that geodata tools can assess AED locations and increase the efficiency of their placement. Historical hotspots and AED overlays should be considered, with the aim of efficiently relocating or adding AEDs. At-home OHCAs should become a priority target for future public access defibrillation programs as they represent the majority of OHCAs but have the lowest AED coverage rates.
وصف الملف: electronic resource
Relation: https://doaj.org/toc/1932-6203
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3دورية أكاديمية
المؤلفون: Léonard Diserens, Lukas Egli, Sarah Fustinoni, Brigitte Santos-Eggimann, Philippe Staeger, Olivier Hugli
المصدر: Swiss Medical Weekly, Vol 145, Iss 1516 (2015)
مصطلحات موضوعية: questionnaire, emergency department, primary care, Emergency care, non-urgent, Medicine
الوصف: INTRODUCTION: A large proportion of visits to our Emergency Department (ED) are for non-life-threatening conditions. We investigated whether patients’ characteristics and reasons for consultation had changed over 13 years. METHODS: Consecutive adult patients with non-life-threatening conditions at triage were included in the spring of 2000 and in the summer of 2013. In both years patients completed a similar questionnaire, which addressed their reasons for consultation and any previous consultation with a general practitioner (GP). RESULTS: We included 581 patients in 2013 vs 516 in 2000, with a mean age of 44.5 years vs 46.4 years (p = 0.128). Of these patients, 54.0% vs 57.0% were male (p = 0.329), 55.5% vs 58.7% were Swiss (p = 0.282), 76.4% were registered with a GP in both periods, but self-referral increased from 52.0% to 68.8% (p
وصف الملف: electronic resource
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المؤلفون: Carole Clair, Philippe Staeger, Chloé Thierrin, Aurélie Augsburger, Christophe Monney, Fabrice Dami
المصدر: PLoS ONE, Vol 16, Iss 4, p e0249287 (2021)
PLoS ONEمصطلحات موضوعية: Male, Non critical, Critical Care and Emergency Medicine, Cross-sectional study, Health Care Providers, Nurses, Social Sciences, Geographical Locations, 0302 clinical medicine, Sociology, Health care, Medicine and Health Sciences, 030212 general & internal medicine, Medical Personnel, Telephone triage, Allied Health Care Professionals, Multidisciplinary, Schools, 030503 health policy & services, Middle Aged, Europe, Professions, Medicine, Female, Medical emergency, 0305 other medical science, Emergency Service, Hospital, Switzerland, Research Article, Adult, Science, Sample (statistics), Education, 03 medical and health sciences, Young Adult, General Practitioners, Physicians, medicine, Humans, Service (business), business.industry, Emergency department, medicine.disease, Telephone, Health Care, Contact center, Cross-Sectional Studies, People and Places, Population Groupings, Triage, business, Delivery of Health Care
الوصف: Introduction Telephone triage services (TTS) play an increasing role in the delivery of healthcare. The objective of this study was to characterize the adult users of a TTS for non-critical emergencies, describe the types of advice given and their subsequent observation, and assess the influence of TTS on the use of the healthcare system in a sanitary region of Switzerland. Methods Data from a TTS based in the French part of Switzerland were analyzed. This service consists of a medical contact center for non-critical emergencies, with trained nurses available 24/7. A random selection of 2,034 adult calls was performed between July and December 2018. Research students contacted users 2 to 4 weeks after the initial call and assessed sociodemographic and clinical data, as well as the impact of the advice received on the use of the healthcare system. Results A sample of 412 users was included in the analyses. The average age was 49.0 (SD 20.4) years; 68.5% were women and 72.8% of Swiss origin. The two main recommendations provided by nurses were to consult the emergency department (ED) (44.6%, n = 184) and to contact a physician on duty (33.2%, n = 137). The majority of users followed the advice given by the nurses (substantial agreement [k = 0.79] with consulting the ED and perfect agreement [k = 0.87] with contacting a physician on duty). We calculated that calling the TTS could decrease the intention to visit the ED by 28.1%. Conclusion TTS for non-critical emergencies have the potential to decrease the use of ED services.
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المؤلفون: Philippe Staeger, Dylan Aeby, Fabrice Dami
المصدر: PLoS ONE
PloS one, vol. 16, no. 5, pp. e0250591
PLoS ONE, Vol 16, Iss 5, p e0250591 (2021)مصطلحات موضوعية: Emergency Medical Services, Critical Care and Emergency Medicine, Science, Resuscitation, Ambulances, Cardiology, Social Sciences, Geometry, Transportation, Public access defibrillation, Research and Analysis Methods, Human Geography, Medical Services, Urban Geography, Medicine and Health Sciences, Cardiac Arrest, medicine, Humans, Geographic Areas, Automated external defibrillator, Retrospective Studies, Out of hospital, Multidisciplinary, Geography, business.industry, medicine.disease, Cardiopulmonary Resuscitation, Health Care, Radii, Research Design, Physical Sciences, Observational Studies, Earth Sciences, Geographic Information Systems, Medicine, Engineering and Technology, Automatic external defibrillator, Medical emergency, business, Mathematics, Out-of-Hospital Cardiac Arrest, Research Article, Urban Areas, Defibrillators
الوصف: Introduction In out-of-hospital cardiac arrests (OHCAs), the use of an automatic external defibrillator (AED) by a bystander remains low, as AEDs may be misplaced with respect to the locations of OHCAs. As the distribution of historical OHCAs is potentially predictive of future OHCA locations, the purpose of this study is to assess AED positioning with regard to past locations of OHCAs, in order to improve the efficiency of public access defibrillation programs. Methods This is a retrospective observational study from 2014 to 2018. The locations of historical OHCAs and AEDs were loaded into a geodata processing tool. Median distances between AEDs were collected, as well as the number and rates of OHCAs covered (distance of Results There were 2,971 OHCA, 79.3% of which occurred at home, and 633 AEDs included in the study. The global coverage rate was 7.5%. OHCAs occurring at home had a coverage rate of 4.5%. Forty hotspots were identified, requiring the same number of additional AEDs. The addition of these would increase the coverage from 7.5% to 17.6%. Regarding AED overlays, 17 AEDs were found to be relocatable without reducing the AED coverage of historical OHCAs. Discussion This study confirms that geodata tools can assess AED locations and increase the efficiency of their placement. Historical hotspots and AED overlays should be considered, with the aim of efficiently relocating or adding AEDs. At-home OHCAs should become a priority target for future public access defibrillation programs as they represent the majority of OHCAs but have the lowest AED coverage rates.
وصف الملف: application/pdf
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6
المؤلفون: Régis Marion-Veyron, Konstantinos Tzartzas, Alexandre Gouveia, Kevin Selby, Philippe Staeger, Pau Mota, Patrick Bodenmann
المصدر: BMJ open, vol. 9, no. 1, pp. e025569
BMJ Openمصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Universities, Attitude of Health Personnel, Cross-sectional study, Vulnerability, Ambulatory Care Facilities, 03 medical and health sciences, 0302 clinical medicine, Outcome variable, Ambulatory care, Surveys and Questionnaires, Health care, Ambulatory Care, Humans, Medicine, Outpatient clinic, 030212 general & internal medicine, Physician-Patient Relations, business.industry, Communication, 030503 health policy & services, Research, Internship and Residency, vulnerable patients, General Medicine, medicine.disease, Comorbidity, Social situation, difficult doctor-patient encounter, Cross-Sectional Studies, Family medicine, Female, Clinical Competence, 0305 other medical science, business, General practice / Family practice, Switzerland, general practice medicine
الوصف: IntroductionPrevious research has shown that multiple factors contribute to healthcare providers perceiving encounters as difficult, and are related to both medical and non-medical demands.AimTo measure the prevalence and to identify predictors of encounters perceived as difficult by medical residents.Design and settingCross-sectional study at the Department of Ambulatory Care and Community Medicine (DACCM), a university outpatient clinic with a long tradition of caring for vulnerable patients.MethodWe identified difficult doctor–patient encounters using the validated Difficult Doctor–Patient Relationship Questionnaire (DDPRQ-10), and characterised patients using the patient’s vulnerability grid, a validated questionnaire measuring five domains of vulnerability, both completed by medical residents after each encounter. We used a multiple linear regression model with the outcome variable as the DDPRQ-10 score, controlling for resident characteristics.ParticipantsWe analysed 527 patient encounters performed by all 27 DACCM residents (17 women and 10 men). We asked each medical resident to evaluate 20 consecutive consultations starting on the same date.OutcomeOne hundred and fifty-seven encounters (29.8%) were perceived as difficult.ResultsAfter adjusting for differences among residents, all five domains of the patient vulnerability grid were independently associated with a difficult encounter: frequent healthcare user; psychological comorbidity; health comorbidity; risky behaviours and a precarious social situation.ConclusionNearly a third of encounters were perceived as difficult by medical residents in our university outpatient clinic that cares for a high proportion of vulnerable patients. This represents twice the average ratio of difficult encounters in general practice. All five domains of patient vulnerability appear to have partial explanatory power on medical residents’ perception of difficult patient encounters.
وصف الملف: application/pdf
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::469d607fcdf43fc73b447e336b39864c
https://serval.unil.ch/resource/serval:BIB_B8ED9CC35C34.P001/REF.pdf -
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المؤلفون: Pau Mota, L De Alencastro, Régis Marion-Veyron, Konstantinos Tzartzas, E Dory, Patrick Bodenmann, Alexandre Béguelin, E Mercier, Philippe Staeger
المصدر: European Journal of Public Health. 28
مصطلحات موضوعية: High rate, medicine.medical_specialty, business.industry, Family medicine, Public Health, Environmental and Occupational Health, medicine, Outpatient clinic, business, Psychosocial
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::f8c078e45137dfacf220732ec5bb107a
https://doi.org/10.1093/eurpub/cky048.020 -
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المؤلفون: E Dory, Régis Marion-Veyron, E Mercier, Philippe Staeger, Patrick Bodenmann, Pau Mota, Alexandre Gouveia, A Beguelin, Konstantinos Tzartzas
المصدر: European Journal of Public Health. 28
مصطلحات موضوعية: medicine.medical_specialty, business.industry, Family medicine, Public Health, Environmental and Occupational Health, medicine, Outpatient clinic, business
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::6018a50db91cb928a8500a73109405ba
https://doi.org/10.1093/eurpub/cky048.008 -
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المؤلفون: Patrick Bodenmann, Anouk Deruaz Luyet, Carole Clair, Anne Niquille, Serge de Vallière, Isabelle Jacot Sadowski, Reto Auer, Lilli Herzig, Kevin Selby, Bernard Favrat, Laurance Kerboas, David Nanchen, Christine Cohidon, Daniel Widmer, Sonja T. Ebert, Sylvie Payot, Alexandra A. N’Goran, Nicolas Senn, Philippe Staeger
المصدر: Primary and hospital care, vol. 18, no. 04, pp. 64-65
مصطلحات موضوعية: business.industry, Medicine, Impact study, business, Survival analysis, Demography
وصف الملف: application/pdf
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::55b912d8b074c5cabb2c3894ae7e5b74
https://doi.org/10.4414/phc-f.2018.01697 -
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المؤلفون: Olivier Hugli, Jean-Blaise Wasserfallen, Bernard Burnand, Ornella Ruggeri, Marina Canepa Allen, Jean-Bernard Daeppen, Karine Moschetti, Philippe Staeger, Séverine Alary, Stéphanie Baggio, Patrick Bodenmann, Katia Iglesias
المصدر: European Journal of Emergency Medicine, vol. 24, no. 2, pp. 136-141
مصطلحات موضوعية: Male, Gerontology, Health Status, Vulnerability, Social issues, 03 medical and health sciences, 0302 clinical medicine, Quality of life (healthcare), Surveys and Questionnaires, Health care, Humans, Medicine, 030212 general & internal medicine, Prejudice (legal term), business.industry, 030208 emergency & critical care medicine, Emergency department, Middle Aged, Mental health, Test (assessment), Socioeconomic Factors, Emergency Medicine, Female, Emergency Service, Hospital, business, Prejudice
الوصف: Objective : Frequent Emergency Department (ED) users are vulnerable individuals and discrimination is usually associated with increased vulnerability. The aim of this study was to investigate frequent ED users' perceptions of discrimination and to test whether they were associated with increased vulnerability. Methods : In total, 250 adult frequent ED users were interviewed in Lausanne University Hospital. From a previously published questionnaire, we assessed 15 dichotomous sources of perceived discrimination. Vulnerability was assessed using health status: objective health status (evaluation by a healthcare practitioner including somatic, mental health, behavioral, and social issues - dichotomous variables) and subjective health status [self-evaluation including health-related quality of life (WHOQOL) and quality of life (EUROQOL) - mean-scores]. We computed the prevalence rates of perceived discrimination and tested associations between perceived discrimination and health status (Fischer's exact tests, Mann-Whitney U-tests). Results : A total of 35.2% of the frequent ED users surveyed reported at least one source of perceived discrimination. Objective health status was not significantly related to perceived discrimination. In contrast, experiencing perceived discrimination was associated with worse subjective health status (P Conclusion : Frequent ED users are highly likely to report perceived discrimination during ED use, and this was linked to a decrease in their own rating of their health. Hence, discrimination should be taken into account when providing care to such users as it may constitute an additional risk factor for this vulnerable population. Perceived discrimination may also be of concern to professionals seeking to improve practices and provide optimal care to frequent ED users.
وصف الملف: application/pdf
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1a5ba494f90682ad0b2f3e9b606746e3
http://doc.rero.ch/record/259397/files/Iglesias_Katia_-_Associations_between_perceived_discrimination_and_health_20160427.pdf
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