Dysfunctions in the medical evacuation process out of the Republic of Congo from 2014 to 2017 (notice n° 587543)

détails MARC
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fixed length control field 02466cam a2200289 4500500
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control field 20250121143604.0
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Language code of text/sound track or separate title fre
042 ## - AUTHENTICATION CODE
Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Marie Tebeu, Pierre
Relator term author
245 00 - TITLE STATEMENT
Title Dysfunctions in the medical evacuation process out of the Republic of Congo from 2014 to 2017
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2020.<br/>
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General note 51
520 ## - SUMMARY, ETC.
Summary, etc. Background: Medical evacuation is the transfer of a patient from a health institution to another for more appropriate care. The medical evacuation process is framed by legal texts. Dysfunctions are still possible. Objective: The aim of this article is to study the medical evacuation process in order to identify possible dysfunctions. Methods: A cross-sectional qualitative study was conducted from December 2017 to August 2018. We recruited 11 people according to saturation principles. They were all involved in the medical evacuation process. Data were collected according to an interview guide and recorded using a Dictaphone. Data analysis consisted of gathering the information extracted from the verbatim. Results: Dysfunctions were noted in the doctor’s decisions for a possible evacuation, the constitution of the medical evacuation file and the signature of the clinical observation by the doctors. Irregularity in the Medical Evacuation Board meetings was also noted, leading to inappropriate decision-making. We found the absence of inter-sectorial collaboration in evacuation, leading to poor follow-up of transferred patients. We also found the payment for hospitalization and medical care in private accounts instead of selected hospitals’ accounts as stated in the evacuation guide. Conclusion: The medical evacuation process in the Republic of Congo suffers from many irregularities including the doctor’s decision, administrative and financial decisions, as well as the follow-up of patient in the host country and in the hospital abroad.
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Topical term or geographic name as entry element Africa
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element TB
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Topical term or geographic name as entry element detention
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Topical term or geographic name as entry element Covid-19
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Topical term or geographic name as entry element HIV
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element epidemics
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Honoré Woromogo, Sylvain
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Diola, Roseline
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Antaon, Jesse Saint Saba
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Akoli, Raphael
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Biez, Ulrich Judicaël
Relator term author
786 0# - DATA SOURCE ENTRY
Note Santé Publique | 32 | 4 | 2020-10-12 | p. 399-406 | 0995-3914
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/journal-sante-publique-2020-4-page-399?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-sante-publique-2020-4-page-399?lang=en&redirect-ssocas=7080</a>

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