Documents found
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771.More information
SummaryPatient complaints, as it has often been recognized, serve to express multiple and varied experiences and needs. A number of options for filing complaints and a variety of ways for doing so have arisen recently, among which are ethics committees, support groups, palliative care units, and complaint examination committees. Today patients have many occasions for expressing their experiences, talking about distressing incidents, and making their needs known. Three orally related experiences are examined here, both from the viewpoint of the patient and in light of their cultural meanings: pain, suffering, and the importance of consideration. These are three expectations of care providers, but also three experiences that dispose patients to rethink their individuality and their relationships with others, to take stock of their pasts, and to reflect on who they are and who they want to become. The experience of illness has thus become pivotal in the process of constructing individual identity.
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774.More information
ABSTRACTFollowing psychiatry's turning point in 1960, as well as very slow progress in the establishment of a sectorial policy, these last few years have been characterized by the increased production of reports that aim to organize France's mental health policy in a coherent fashion. Meanwhile, thought on the issue has taken on a broader scope. The mental health issue is no longer limited to the structural modernization of the field of psychiatry, in the sense of remaining within traditional boundaries. From this approach arise two strategic orientations designed to let go patients and arise two strategic orientations designed to let go patients and find therapeutic responses from an institutional environment that has long kept to itself. The first orientation deals with mechanisms that are based in social support interventions, while the second focuses on integrating psychiatry in general hospitals. Faced with this bipolarization, how will psychiatric institutions fit in the overall scheme of things?
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775.More information
SummaryWhatever ways one looks at it, the health field is experiencing a profound transformation, thus raising countless questions for sociology. Two issues are examined here: the determinants of health, especially the importance of social, economic and cultural factors, and the modes of regulation of the health care system in a context where the rationing of resources will be even greater in the future than it has been in the past.
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777.More information
In Québec, in Canada and elsewhere in the world, expert advisory committees advise and guide government decision-makers in the choice of new drugs, vaccines to be used or interventions to be put in place. In parallel, these experts are receiving increasing support from private companies to conduct their research or to disseminate the results of their research. Such situations place them at risk of conflicts of interest and may eventually undermine confidence in public decision-making. This case study stimulates reflection into what constitutes sound and optimal management of conflict of interest situations by expert members and the organizations in which they have an advising role.
Keywords: conflit d'intérêts, comité d'experts, immunisation, politiques publiques, santé de la population, vaccination, conflict of interest, expert committees, immunization, public policies, population health, vaccination
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779.More information
Keywords: Patrimoine, patrimoine québécois, patrimoine bâti, patrimoine immatériel, patrimoine vivant, architecture, traditions, héritage culturel, patrimoine médical, hôpitaux, collections médicales, Hôpital Royal Victoria, Hôtel-Dieu de Québec, Hôtel-Dieu de Montréal, Hôpital général de Québec, Édifice Drummond, Sanatorium Laurentien, hôpitaux des Augustines, Hôtel-Dieu de Chicoutimi, Hôtel-Dieu du Sacré-Cœur de Québec, Hôtel-Dieu de Gaspé, Hôtel-Dieu de Roberval, Hôtel-Dieu de Montmagny, Hôtel-Dieu de Saint-Georges-de-Beauce, Dispensaire de la garde de La Corne, Grosse-Île, Manoir Mauvide-Genest, Maison et collection Docteur-Joseph-Frenette, Monastère des Augustines, Musée des Hospitalières de l’Hôtel-Dieu de Montréal, Musée médical Maude-Abbott, Musée Armand-Frappier, mission catholique Saint-Jacques de Leed, Kinnear’s Mills, archéologie, Opus 9, chapelle des Adoratrices du Précieux-Sang à Saint-Hyacinthe, orgue Casavant, travaux de restauration, édifice Rodier, Georges Coulombe, Poste-de-traite-de-Chicoutimi, bardeaux de cèdre, recouvrement, Loi sur le patrimoine culturel du Québec
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780.More information
The Community Health Centers constitute a fundamental questioning of the social relationships that underlie traditional medical practices. More specifically, it is the legitimacy of the doctor-patient relationship which is contested in which the latter's difficulties in daily life are interpreted as medical problems. The hierarchical relationships which control patient behaviour and which obscure the social character of medical problems are also called into question.The author describes the operation and financing of the Community Health Clinics and suggests a framework for evaluating these experiences.