2010年至2022年法国初级保健实践中的自我管理干预措施:一项描述性的国家研究
Emmanuel Allory1,2,3,4, Marion Delaurens5, Ronan Garlantézec5,6
1Department of General Practice, Univ Renneshttps://ror.org/015m7wh34, 2, Avenue du Pr Léon Bernard, RENNES Cedex, 35043, France.
Primary health care research & development
|March 6, 2026
概括
法国初级保健实践中的自我管理干预计划很少见,通常集中在单个条件上. 未来的研究应该探索实施这些关键慢性疾病管理计划的障碍.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 慢性疾病管理 慢性疾病管理
背景情况:
- 自主管理干预措施 (SMIs) 建议用于慢性疾病管理,但面临不平等的准入.
- 主要护理实践 (PCP) 被确定为开发中小企业的合适环境.
研究的目的:
- 描述2010年至2022年法国初级保健实践中的自我管理干预计划.
- 分析这些计划的特点,内容和实施.
主要方法:
- 来自法国18个区域卫生机构收集的数据.
- 包括有关授权年,SMI类型,行政结构和团队组成的信息.
- 分析了节目内容和协调细节.
主要成果:
- 只有5.5%的中小企业 (271个项目) 位于PCP.
- 多专业的PCP和医疗保健中心是最常见的设置.
- 糖尿病和心血管疾病是主要关注点,缺乏多病态方法.
结论:
- 法国PCP的自我管理计划很少出现,主要集中在单一条件上.
- 跨专业的合作是现有的基于PCP的中小企业的一个关键特征.
- 需要进一步进行定性研究,以了解在PCP中实施SMI的障碍和促进因素.
相关概念视频
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Primary Healthcare Services
3.1K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
3.1K
Nursing Interventions I: Taxonomy of Nursing Interventions
3.9K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
3.9K
Methods of Documentation VI: Case Management Model
924
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
924
Stress Prevention and Stress Management Techniques VI
361
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
361
Community Based Intervention
620
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
620


