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21	Continuité et coordination de l’offre de soins de chirurgie réparatrice pour les femmes vivant avec une mutilation génitale féminine : cas du Burkina Faso Toure-Pegnougo, Elvire 03 1900 (has links) Contexte : Les mutilations génitales féminines (MGF) se réfèrent à toute intervention non thérapeutique aboutissant à une lésion ou ablation des organes génitaux externes des femmes. Peu de données existent sur l’organisation, la continuité et la coordination dans la prise en charge des femmes vivant avec une MGF dans les pays où elles sont encore pratiquées – notamment en Afrique subsaharienne. Objectif : L’objectif de la recherche est de décrire l’offre de soins proposée aux femmes vivant avec une MGF au Burkina Faso dans le cadre d’une campagne de chirurgie réparatrice, analyser la continuité et la coordination dans cette offre de soins. Méthodologie : Le devis de recherche retenu est l’étude de cas unique selon l’approche de Stake. Le cas unique est la campagne annuelle de chirurgie réparatrice offerte à des femmes vivant avec une MGF, organisée par le Centre hospitalier universitaire de Bogodogo, au Burkina Faso. Quatorze entrevues individuelles ont été réalisées du 3 au 18 mai 2022 au Burkina Faso avec les membres du personnel impliqué dans cette campagne. Les données ont été organisées en suivant les sept étapes de l’approche Framework. Les verbatims ont été transcrits et codés à l’aide du logiciel QDA Miner. Le Modèle d’analyse de la performance (MAP) a permis une analyse thématique des données à partir des composantes des dimensions de la continuité et de la coordination. Résultats : Selon le point de vue des participants de l’étude, la continuité et la coordination semblent satisfaisantes; l’implication d’autres professionnels (sexologue, psychologue) permettrait d’améliorer l’offre de soins; la mise en place d’un cadre approprié permettrait aux femmes de s’exprimer sur les enjeux liés à leur bien-être sexuel. Conclusion : Notre étude a permis d’apporter des connaissances sur l’offre de soins pour les femmes vivant avec une MGF dans un contexte ouest-africain, sur la continuité et la coordination dans cette offre de soins et aussi de combler un manque dans la littérature sur ce type d’offre de soins. D’autres recherches impliquant les femmes et abordant d’autres aspects organisationnels de cette offre de soins seraient complémentaires au présent travail et sont donc fortement encouragées. / Context : Female genital mutilation (FGM) refers to any non-therapeutic intervention resulting in damage or removal of the external genitalia of women. Little data exists on the organization, continuity and coordination in the care of women living with FGM in countries where it is still practiced – particularly in sub-Saharan Africa. Objective: The objective of the research is to describe the care offered to women living with FGM in Burkina Faso as part of a reconstructive surgery campaign, and to analyze the continuity and coordination in this care offer. Methodology: The research design selected is a single case study using the Stake approach. The unique case is the annual reconstructive surgery campaign offered to women living with FGM, organized by the Bogodogo University Hospital Center, in Burkina Faso. Fourteen individual interviews were conducted from May 3 to 18, 2022 in Burkina Faso with staff members involved in this campaign. The data was organized following the seven steps of the Framework approach. The verbatims were transcribed and coded using QDA Miner software. The Performance Analysis Model (MAP) allowed a thematic analysis of the data based on the components of the dimensions of continuity and coordination. Results: According to the point of view of the study participants, continuity and coordination seem satisfactory; the involvement of other professionals (sexologist, psychologist) would make it possible to improve the provision of care; establishing an appropriate framework would allow women to express themselves on issues related to their sexual well-being. Conclusion: Our study provided knowledge on the provision of care for women living with FGM in a West African context, on the continuity and coordination in this provision of care and also to fill a gap in the literature on this type of care provision. Other research involving women and addressing other organizational aspects of this care provision would be complementary to this work and is therefore strongly encouraged. continuité coordination MGF excision offre de soins chirurgie réparatrice Burkina Faso continuity FGM care provision reconstructive surgery
22	Ústavní limity zákonné úpravy poskytování zdravotní péče / Constitutional limits of the statutory regulation of the provision of health care Soukup, Ondřej January 2014 (has links) and key words ! Thesis: Constitutional limits of statutory regulation of the provision of health care ! Abstract ! The main goal of this thesis is to characterize and analyse the legal regulation concerning the provision and payment of health care under Czech law. This analysis is based mainly on the Charter of Fundamental Rights and Basic Freedoms as the foundation for the constitutional perspective. The thesis therefore begins with the constitutional limits of the provision and payment of health care. The right to health care is provided by Article 31 of the Charter of Fundamental Rights and Basic Freedoms, which is the basis for its constitutional provision. As the Charter is a complex document, Article 31 must therefore not be seen as isolated, which is why other Articles are taken under consideration. This provides a complex view of the right to health care in the Czech constitution. The thesis then focuses on the characterization of statutes and executive regulations, which provide the basic right to health care. This part of the thesis is focused mainly on the Public Health Insurance Act, as the most important statue in this area and also on executive regulations based on the Act, which imminently regulate the right to health care. Both of these parts of the thesis serve as a precise...
23	Trestněprávní aspekty vztahu lékaře a pacienta / Criminal aspects of the physician-patient relationship Těšinová, Jolana January 2015 (has links) Medical interventions such as interventions in the physical integrity of the patient are some of the most important interventions in the personal rights of individuals guaranteed by constitutional laws and international conventions. The basis for criminal law investigation of physician's procedure is an issue of professionally correct procedure (procedure called lege artis). The healthcare provision - including the interventions in the physical integrity of the patient - is perceived in Czech law as a law qualified activity undertaken for the purpose approved by the legal order. As a result of the constitution of informed consent of the patient with a medical procedure this fact must be taken into account when defining a new criminal characteristics of medical intervention. The dissertation aims to provide a comprehensive legal analysis of the criminal aspects related to decisions made by physicians and to the medically indicated care provision in the context of legislative changes in healthcare, recodification of criminal law as well as civil law. Issues related to active intentional termination of life on request of the patient (euthanasia) were not subject to the processing of this matter. The dissertation analyzes in detail the individual institutes of healthcare legislation, medico-legal...
24	Ontario’s Home First Approach, Care Transitions, and the Provision of Care: The Perspectives of Home First Clients and Their Family Caregivers English, Christine 23 May 2013 (has links) Home First is an Ontario transition management approach that attempts to reduce the pressure on hospital and Long Term Care (LTC) beds through early discharge planning, the provision of timely and appropriate home care, and the delay of LTC placement. The purpose of this qualitative descriptive study was to obtain descriptions from South Eastern Ontario Home First clients and their family caregivers of their experiences with and thoughts about care transitions, the provision of care, and the Home First approach. The goal was to enable insight into the Home First approach, care transitions, and the provision of care through access to the perspectives of study participants. Nine semi structured interviews (and one or more follow-up calls for each interview) with Home First clients discharged from hospitals in South East Ontario and their family caregivers were conducted and their content analyzed. All participating Home First clients were pleased to be home from hospital and did not consider LTC placement a positive option. All had family involved with their care and used a mix of formal and informal services to meet their care needs. Four general themes were identified: (a) maintaining independence while responding (or not) to risks, (b) constraints on care provision, (c) communication is key, and (d) relationship matters. Although all Home First clients participating in the study were discharged home successfully, a sense of partnership between health care providers, families, and clients was often lacking. The Home First approach may be successfully addressing hospital alternative level of care issues and getting people home where they want to be, but it is also putting increasing demands on formal and informal community caregivers. There is room for improvement in how well their needs and those of care recipients are being met. Health professionals and policy makers must ask caregivers and recipients about their concerns and provide them with appropriate resources and information if they want them to become true partners on the care team. / Thesis (Master, Rehabilitation Science) -- Queen's University, 2013-05-23 16:10:53.323 home support workers home health care community care older home support clients elder care discharge planning relationships family relationships nursing home Ontario health care Canadian health care placement Home First transition management care transitions aging in place maintaining independence caregiving community health and support services community long-term care family carers frail seniors client satisfaction hospital discharge health care older people aged frail elderly aging elderly supportive home care client perspectives long-term care quality of care evaluation of services care planning risk decisions case management communication independence home care constraints on care provision maintaining independence qualitative research family caregivers nursing home placement qualitative description program evaluation alternative level of care patient discharge self-care formal care aged care informal care post-discharge care home support community support services health services research

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