GPs' interest in integrated care for frail older adults and corresponding consulting and prescribing data: qualitative and quantitative analyses of the PAERPA integrated care project.

Background: Integrated care pathways can help to avoid unnecessary admissions to hospital and improve the overall quality of care for frail older patients. Although these integrated care pathways should be coordinated by GPs their level of commitment may vary.

Aim: To profile GPs who had participated or had declined to participate in the Personnes Agées En Risque de Perte d'Autonomie (PAERPA) integrated care project (ICP) in the Valenciennois-Quercitain area of France between 2014 and 2019.

Barriers and Facilitators in the Uptake of Integrated Care Pathways for Older Patients by Healthcare Professionals: A Qualitative Analysis of the French National "Health Pathway of Seniors for Preserved Autonomy" Pilot Program: Barriers and Facilitators for Adhesion of Healthcare Professionals in Integrated Care for Older Patients: A Qualitative Assessment Based on the French National Experiment: 'Health Pathway of Seniors for Preserved Autonomy' (PAERPA).

Introduction: Integrated care is a particularly promising approach in geriatrics - a field in which the medical, psychological and social issues are often complex. The uptake of integrated care by healthcare professionals (HCPs) is essential but varies markedly. The objective of the present study of healthcare professionals was to identify barriers to and facilitators of commitment to integrated care for seniors.

Importance of previous hospital stays on the risk of hospital re-admission in older adults: a real-life analysis of the PAERPA study population.

Background: consideration of the first hospital re-admission only and failure to take account of previous hospital stays, which are the two significant limitations when studying risk factors for hospital re-admission. The objective of the study was to use appropriate statistical models to analyse the impact of previous hospital stays on the risk of hospital re-admission among older patients.

Methods: an exhaustive analysis of hospital discharge and health insurance data for a cohort of patients participating in the PAERPA ('Care Pathways for Elderly People at Risk of Loss of Personal Independence') project in the Hauts de France region of France.

Transforming French Electronic Health Records into the Observational Medical Outcome Partnership's Common Data Model: A Feasibility Study.

Background: Common data models (CDMs) enable data to be standardized, and facilitate data exchange, sharing, and storage, particularly when the data have been collected via distinct, heterogeneous systems. Moreover, CDMs provide tools for data quality assessment, integration into models, visualization, and analysis. The observational medical outcome partnership (OMOP) provides a CDM for organizing and standardizing databases.

Potentially inappropriate medication prescribing is associated with socioeconomic factors: a spatial analysis in the French Nord-Pas-de-Calais Region.

Background: potentially inappropriate medication (PIM) prescribing is common in older people and leads to adverse events and hospital admissions.

Objective: to determine whether prevalence of PIM prescribing varies according to healthcare supply and socioeconomic status.

Methods: all prescriptions dispensed at community pharmacies for patients aged 75 and older between 1 January  and 31 March 2012 were retrieved from French Health Insurance Information System of the Nord-Pas-de-Calais Region for patients affiliated to the Social Security scheme.

[An experimental approach in territorialization by re-grouping geriatric care in Nord Pas de Calais].

The ageing population is an important public health issue for our health system which is poorly adapted for this group because it is conceived primarily for managing acute issues and not as prepared for dealing with chronic disease. Elderly people require continuous care, including attention to geographic proximity of services and a holistic approach to care. Appropriate geriatric care necessitates the active contribution of all health actors including prevention and re-adaptation.

[Evaluation of health education trainings developped between 2005 and 2007 in the North].

The regional health education plan (SREPS) in Nord Pas-de-Calais opened a window for the Regional Directorate of Health and Social Affairs (DRASS) to initiate and engage in a process to reflect on the development of health education training. The Regional Committee of Health Education (CRES) has developed and led a regional project on health education training since 2005, financed by the National Institute of Prevention and Health Education (Inpes). At the request of the Inpes, the 3 year duration of the project was evaluated in 2008.

[Prenatal diagnosis in the Nord-Pas-de-Calais in 2004: organisational issues and challenges].

The development of the Regional Plan for Health Organisation (SROS III) in the Nord-Pas-de-Calais has provided an opportunity for further reflection on the operation and organisation of professionals and structures in the field of prenatal diagnoses. The alleged claims resulting from this reflection process are not only integrated in the perinatal stream of the SROS but also in the objectives of the regional public health plan. The study which was carried out takes into account the regional data available, complemented by interviews with professionals working on the ground, which are then compared with national data.

[Evaluation of health education training in a French region].

In the context of the National Health Education Plan launched in 2001, the Nord/ Pas-de-Calais Region engaged itself in reflection and debate on how to improve health education practices. The teaching curricula of health education programmes from the regional paramedical, social and teacher training schools were studied. They were then compared with a set of official texts on the subject (including the national report by Sandrin Berthon) which provide regulations and guidance for this type of teacher training.

[A study on the management of short term care for elderly patients aged 75 and over in the Nord-Pas de Calais region].

The development of the geriatrics portion of the third national health plan in the Nord-Pas de Calais presented an interesting opportunity to analyse the management of health care for an ageing population in one of France's youngest regions. This work served as a means to establish recommendations for the improvement of the organisation and planning of health care services for this particular population group in the region. In this article reporting on the study's outcomes, the authors present the results on the management of health care for elderly people in hospitals and other short term medical care facilities.