Prise en charge des patients diabétiques de type 2 par les centres de santé associatifs de la ville de Grenoble (notice n° 1001501)
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| fixed length control field | 04446cam a2200361 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250125134126.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | François, Patrice |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Prise en charge des patients diabétiques de type 2 par les centres de santé associatifs de la ville de Grenoble |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2011.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 97 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | RésuméLes centres de santé associatifs de la ville de Grenoble ont pour vocation d’offrir aux populations des zones urbaines sensibles des soins primaires de qualité intégrant les actions de prévention. L’objectif de cette étude était d’évaluer la qualité de la surveillance des patients diabétiques de type 2 pris en charge par les médecins des centres de santé de la ville de Grenoble. Il s’agissait d’une étude transversale incluant des patients consultant une semaine donnée parmi les patients suivis pour un diabète de type 2 par un médecin des centres de santé. Lors de la consultation chaque médecin recueillait les éléments de surveillance du diabète consignés dans le dossier dans l’année précédente. Les données étaient interprétées par rapport au guide Affection de Longue Durée-diabète édité par la Haute Autorité de Santé en 2006. 121 patients diabétiques ayant consulté un médecin des centres de santé ont été inclus dans l’étude. Un dosage de l’Hémoglobine A1c datant de moins de 3 mois était présent dans le dossier de 80 % des patients. Les examens biologiques à fréquence annuelle étaient présents dans 95 % des cas pour la créatininémie, 91 % pour les lipides sanguins, et 77 % pour la microalbuminurie. Le poids du patient, datant de moins d’un an, était noté dans tous les dossiers. Une consultation d’ophtalmologie était réalisée dans l’année pour 57 % des patients et 55 % ont eut un électrocardiogramme. La conformité des pratiques de surveillance du diabète dans ces centres de santé apparait satisfaisante, ce qui amène à s’intéresser à leur mode d’organisation. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Community health care centers in Grenoble aim to provide quality primary health care, including prevention, to populations living in disadvantaged urban areas. The objective of the study was to assess the quality of follow-up provided by physicians in health care centers in Grenoble to patients with diabetes mellitus. A cross-sectional study was conducted for an observation period of one week in June 2007. All type 2 diabetes patients seen in community health care centers during this given week were included in the study’s sample (n=121). During the consultation, the physician collected the data on diabetes follow-up recorded in the patient’s medical record over the last year. The data were compared with the recommendations and guidance published by the French National Authority for Health in 2006. The result of a hemoglobin A1c test dated less that three months-old was present in 80% of patients’ medical records. Serum creatinine concentration, blood lipids, and microalbuminuria levels were obtained and confirmed with annual tests, and were present and recorded in the last year in 95%, 91%, and 77% of cases, respectively. The patient’s weight, recorded within the last year, was noted in all cases. An ophthalmology consultation had been provided within the year for 57% of patients and 55% had received an electrocardiogram. Compliance with French National Authority for Health recommendations for the follow-up of diabetics in the community health care centers was satisfactory. Thus, it seems relevant to analyze their organizational methods. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | médecine générale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | centres de santé communautaires |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | qualité des soins |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | diabète sucré |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | évaluation des pratiques professionnelles |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health care quality |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | community health centers |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | diabetes mellitus |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | evaluation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | professional practices |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | general practice |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Pichon, Philippe |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Poulizac, Morgan |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Cruaud, Anna |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bal, Gaelle |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Hirsch, Martin |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 22 | 6 | 2011-01-24 | p. 665-674 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-sante-publique-2010-6-page-665?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-sante-publique-2010-6-page-665?lang=fr&redirect-ssocas=7080</a> |
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