Publications by authors named "Vladimir Druel"

Article Synopsis
  • Vulnerable social groups struggle with accessing quality care, particularly for cervical cancer screening via Cervico-Uterine Smear (CUS), highlighting the need for effective primary care systems.
  • A study in France examined data from 695,694 women aged 25 to 64 in 2012, revealing that 29% underwent CUS, primarily by gynecologists, with significant screening rate disparities based on age, location, and socioeconomic status.
  • The findings suggest that involving General Practitioners in cervical screening could enhance equality in access to care, particularly for deprived populations, emphasizing the importance of organizing health systems around primary care.
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Background: The aims of the "médecin traitant" or referring physician (RP) reform, introduced in France in 2004, were to improve the organisation and quality of care and to allow for greater equity, particularly in terms of prevention. The objective of our study was to evaluate the effect of having a declared RP on the uptake of screening for breast and cervical cancers, and to explore the mechanisms involved.

Methods: We used an existing dataset of 1,072,289 women, which combines data from the Health Insurance information systems, with census data.

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Introduction: Patients suffering from cancer are often managed by multiple health professionals. General practitioners with specific skills in oncology could facilitate care coordination between hospital and general practice in the management of these patients. To explore this hypothesis, we run a randomised clinical trial, called 'Concertation de REtour à DOmicile, CREDO'.

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Background: To promote improved coordination between general practice and hospital, the French clinical trial CREDO ("Concertation de REtour à DOmicile") is testing an innovative experimental consultation for patients with metastatic cancer who are returning home. This consultation involves the patient, the patient's referring GP (GP) and a GP with specific skills in oncology (GP) in a specialized care center. The objective of our study is to explore the satisfaction of GPs about this consultation, in the phase of interaction between GP and GP.

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Objective: The objective of this cross-sectional study was to investigate the impact of socio-territorial characteristics on mammography and pap smear uptake according to the place of residence in the recommended age groups, and second outside the recommended age groups.

Setting And Participants: We used an existing dataset of 1 027 039 women which combines data from the Health Insurance information systems, with census data from Midi-Pyrénées, France.

Primary And Secondary Outcome Measures: Our outcome was, for each woman, the uptake of the pap smear and the uptake of the mammography during the year.

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Background: The general practitioner (GP) is central to managing patients with cancer, whose numbers are increasing worldwide. The GP's involvement requires better coordination between involved partners, in particular oncologists and GPs.

Objectives: To conduct a feasibility study of remote participation of GPs in multi-disciplinary consultation meetings (MCMs).

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Introduction: During the active phase of treatment, major difficulties appear in the transmission and quality of the information communicated to the General Practitioner (GP). Our objective was to carry out an inventory of the coordination tools used to improve exchanges between the hospital and the GP in the management of the patient suffering from cancer during this phase.

Material And Method: A scoping review was conducted using MEDLINE databases via PubMed, The Cochrane Library, Web of Science.

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Background: Patients suffering from cancers are increasingly numerous in general practice consultations. The General Practitioner (GP) should be at the heart of the management of patients. Several studies have examined the perceptions of GPs confronted with the patient suffering from cancer and the relationships of GPs with oncologists, but few studies have focused on the patients' perspective.

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Background: Deaf people represent 0.1% of the French population and their access to public health campaigns is limited due to their frequent illiteracy and the infrequent use of sign language in campaigns. There is also a lack of general health knowledge in spite of the existence of French Deaf Care Units (UASS).

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Purpose: Chicks developing experimentally-induced myopia show profound thinning of the choroid. We observed a wide range of choroidal thicknesses in a sample of normal chicks prior to their use in a pedigree-based study of form-deprivation myopia. Hence, we tested whether pre-treatment choroidal thickness predicted susceptibility to myopia.

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