Sante Publique
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The increasing demands on hospital emergency services have resulted in longer waiting times and have had an impact on resource use for the treatment of life-threatening conditions. ⋯ The study shows that the organizational structure of the emergency department has a significant impact on the average length of stay.
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There is a call for public health policies and interventions to be evidence-based. Also, using knowledge brokers to foster the use of research results is increasingly recommended. This article presents an exploratory synthesis of the current state of knowledge on this new strategy We conducted a scoping study by consulting the main databases. ⋯ No study showed any impact on clinical behaviours or on public policy content. This synthesis highlights the challenges involved in knowledge brokering activities, as well as the characteristics and skills a broker should possess. While knowledge brokering appears promising, efforts must now be made to evaluate it more systematically to demonstrate its effectiveness.
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A significant number of seriously ill patients die in French emergency departments. A qualitative study of the care of end of life patients in two emergency departments in teaching hospitals was conducted to analyze the work of practitioners. ⋯ These issues are largely the result of contradictions between the temporal characteristics of some deaths and work organization. This paper offers a number of suggestions for improving the care of end of life patients in emergency departments.
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The aim of this study was to highlight the perceived risk, behavioural changes and acceptance of the seasonal and pandemic (H1N1) 2009 influenza vaccine by healthcare workers in a French teaching hospital. We surveyed healthcare workers from the Angers French teaching hospital (CHU) using a cross-sectional intercept design during phase 5A of the French National Plan for the Prevention and Control of the 2009 "Pandemic Influenza". Professionals were asked to take the survey in their workplace from November 2009 to February 2010. ⋯ This study emphasizes the lack of perception of pandemic (H1N1) 2009 influenza severity and lack of understanding about the process of developing the seasonal and H1N1 influenza vaccines. Concerns about safety, the possibility of side effects and the vaccine development process need to be addressed. An information campaign stressing the necessity for healthcare workers to be vaccinated must be strengthened.
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As of the mid-19th century, most infectious disease epidemics have been fought and slowed down by taking action on the environment (water, housing, waste) and education. This constitutes the 1st public health revolution paradigm. As we face the current epidemic of chronic diseases and the failure of the dominant biomedical model to stop them, a 2nd public health revolution is needed. The vision for this 2nd public health revolution requires a new paradigm built upon an eco-systemic definition of health and the recognition of the legitimacy for citizen participation based on the precautionary principle.