Biological Procedures, Civil and Military Health Facilities, and Recommendations for Good Practice and Hospital Reform: The Case of Diabetes Management (notice n° 585521)

détails MARC
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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 Garrabé, Éliane
Relator term author
245 00 - TITLE STATEMENT
Title Biological Procedures, Civil and Military Health Facilities, and Recommendations for Good Practice and Hospital Reform: The Case of Diabetes Management
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2009.<br/>
500 ## - GENERAL NOTE
General note 90
520 ## - SUMMARY, ETC.
Summary, etc. In the context of implementing hospital reforms, this study compares practice in relation to evidence-based guidelines and recommendations for diabetes screening and management. Laboratory test intake was determined for patients hospitalized for diabetes in 2005 in three public hospitals in France (one civilian, two military). For the 395 admissions in these three hospitals during 2005 (Diagnosis-related group [DRG] 10M02V “Diabetic, age 36 to 69 years without comorbidity”), the average length of stay and the number of biological actions performed were lower than those administered by the French national health cost study scale and by the Montpellier University Hospital database. In terms of qualitative coherence between the guidelines and recommendations for treatment, the total number of biological actions is higher than if we were to strictly apply the good practice suggested by the Haute Autorité de Santé (HAS). These three hospitals apply different guidelines for practice in the area of diabetes management. The implementation of reforms such as procedure-based payment may provide additional leverage to ensure that the recommendations for best practice are effective. Improved methods and instruments for data collection and monitoring are essential, especially for estimating revenue and expenditure.
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Topical term or geographic name as entry element quality of care
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Topical term or geographic name as entry element DRG-based payment scales
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Topical term or geographic name as entry element hospital reforms
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Topical term or geographic name as entry element civil health institutions civil
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Topical term or geographic name as entry element biology
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Topical term or geographic name as entry element estimated revenue and expenditure
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Topical term or geographic name as entry element diabetes
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Topical term or geographic name as entry element activity cluster
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Bréchat, Pierre-Henri
Relator term author
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Personal name Romary, Patrick
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Massit, Bruno
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Meas, Taly
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Rymer, Roland
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Guillausseau, Pierre-Jean
Relator term author
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Note Santé Publique | 21 | 4 | 2009-10-05 | p. 403-414 | 0995-3914
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/journal-sante-publique-2009-4-page-403?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-sante-publique-2009-4-page-403?lang=en&redirect-ssocas=7080</a>

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