Aim: To assess the acceptability for GPS to use the French shared Electronic Health Record (Dossier Médical Partagé, "DMP") when caring for Homeless People (HP).
Methods: Mixed, sequential, qualitative-quantitative study. The qualitative phase consisted of semi-structured interviews with GPs involved in the care of HP. During the quantitative phase, questionnaires were sent to 150 randomized GPs providing routine healthcare in Marseille. Social and practical acceptability was studied by means of a Likert Scale.
Results: 19 GPs were interviewed during the qualitative phase, and 105 GPs answered the questionnaire during the quantitative phase (response rate: 73%). GPs had a poor knowledge about DMP. More than half (52.5%) of GPs were likely to effectively use DMP for HP. GPs felt that the "DMP" could improve continuity, quality, and security of care for HP. They perceived greater benefits of the use the DMP for HP than for the general population, notably in terms of saving time (p = 0.03). However, GPs felt that HP were vulnerable and wanted to protect their patients; they worried about security of data storage. GPs identified specific barriers for HP to use DMP: most of them concerned practical access for HP to DMP (lack of social security card, or lack of tool for accessing internet).
Conclusion: A shared electronic health record, such as the French DMP, could improve continuity of care for HP in France. GPs need to be better informed, and DMP functions need to be optimized and adapted to HP, so that it can be effectively used by GPs for HP.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3917/spub.182.0233 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
CKD-Associated Pruritus is Associated with Greater Use of Antidepressants and Anti-pruritus Medications.
Adv Ther
January 2025
CSL Vifor, Glattbrugg, Switzerland.
Introduction: Chronic kidney disease-associated pruritus (CKD-aP) is a common, yet underdiagnosed condition among patients on hemodialysis. Considering the lack of established treatment pathways, we sought to evaluate the use of antidepressant, systemic antihistamines, or gabapentinoid medications among patients with CKD-aP in the year following pruritus assessment.
Methods: We included 6209 patients on hemodialysis in the analysis.
High-throughput computational screening of auxetic two-dimensional metal dichalcogenides and dihalides.
J Chem Phys
January 2025
Key Laboratory of Optoelectronic Technology and System of Ministry of Education, College of Optoelectronic Engineering, Chongqing University, Chongqing 400044, China.
Auxetic materials hold tremendous potential for many advanced applications, but candidates are quite scarce, especially at two dimensions. Here, we focus on two-dimensional (2D) metal dichalcogenides and dihalides with the chemical formula MX2 by screening structures sharing the P4̄m2 space group among 330 MX2 compounds from the computational 2D materials database. Via high-throughput first-principles computations, 25 stable MX2 (M = Mg, Ca, Mn, Co, Ni, Cu, Zn, Ge, Cd, Sn; X = F, Cl, Br, I, O, S, Se) systems with in-plane negative Poisson's ratios (NPRs) are successfully identified.
View Article and Find Full Text PDFSelective binding and fluorescence sensing of Zn(II)/Cd(II) using macrocyclic tetra-amines with different fluorophores: insights into the design of selective chemosensors for transition metals.
Dalton Trans
January 2025
Department of Human Sciences for the Promotion of Quality of Life, Università San Raffaele Roma, via di Val Cannuta 247, 00166 Roma, Italy.
Selective binding and optical sensing of Zn(II) and Cd(II) by L1, HL2, L3, HL4 and HL5 receptors were analysed in aqueous solutions by coupling potentiometric, UV-vis absorption and fluorescence emission measurements, with the aim to determine the effect of complex stability on selective signalling of metals with similar electronic configurations. All receptors share the same cyclic tetra-amine binding unit attached to a single quinoline (Q) or 8-hydroxyquinoline (8-OHQ) unit (L1 and HL2, respectively), two Q or 8-OHQ moieties (L3 and HL4, respectively), and, finally, two Q and two acetate groups (HL5). The crystal structures of the Cd(II) and Zn(II) complexes show that L3 and HL4 feature a cavity in which the larger Cd(II) complex is better fitted than the Zn(II) complex, leading to the formation of more stable Cd(II) complexes.
View Article and Find Full Text PDFPerformance metrics and mechanistic considerations for the development of 3D batteries.
Nat Rev Chem
January 2025
Department of Chemistry, Colorado State University, Fort Collins, CO, USA.
There is an urgent need for improved energy storage devices to enable advances in markets ranging from small-scale applications (such as portable electronic devices) to large-scale energy storage for transportation and electric-grid energy. Next-generation batteries must be characterized by high energy density, high power density, fast charging capabilities, operation over a wide temperature range and safety. To achieve such ambitious performance metrics, creative solutions that synergistically combine state-of-the-art material systems with advanced architectures must be developed.
View Article and Find Full Text PDFTask-sharing with families for early detection of postoperative complications in resource-limited settings.
Br J Anaesth
December 2024
NIHR Global Health Research Unit on Global Surgery, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
Postoperative mortality in Africa is twice that of wealthier countries. The SMARTER trial underscores this critical issue and aims to address the high mortality rates by harnessing a readily available resource requiring minimal funding. Conducted in Mbale, Uganda, this innovative trial trained family members to monitor basic vital signs following surgery.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!