Politique publique : Questions médicales fréquentes
Nom anglais: Public Policy
Descriptor UI:D011640
Tree Number:N03.623.500.608
Termes MeSH sélectionnés :
Delphi Technique
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"name": "Comment évaluer l'impact d'une politique publique en santé ?",
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"text": "L'impact se mesure par des indicateurs de santé, des études d'impact et des analyses de données."
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"@type": "Question",
"name": "Quels outils sont utilisés pour le diagnostic des politiques ?",
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"@type": "Question",
"name": "Quelles sont les méthodes d'analyse des politiques publiques ?",
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"@type": "Question",
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"acceptedAnswer": {
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"text": "Des inégalités de santé croissantes et une augmentation des maladies évitables peuvent indiquer un échec."
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"@type": "Question",
"name": "Comment mesurer les symptômes de l'inefficacité des politiques ?",
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"acceptedAnswer": {
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"text": "En analysant les taux de morbidité, mortalité et l'accès aux soins de santé."
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"name": "Quels indicateurs de santé révèlent des problèmes systémiques ?",
"position": 8,
"acceptedAnswer": {
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"text": "Les taux de vaccination, d'obésité et de maladies chroniques sont des indicateurs clés."
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"@type": "Question",
"name": "Comment les symptômes sociaux affectent-ils la santé publique ?",
"position": 9,
"acceptedAnswer": {
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"text": "Des problèmes comme la pauvreté et le chômage aggravent les conditions de santé et l'accès aux soins."
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"@type": "Question",
"name": "Quels symptômes peuvent signaler un besoin de réforme ?",
"position": 10,
"acceptedAnswer": {
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"text": "Une hausse des plaintes des citoyens et des résultats de santé dégradés peuvent signaler ce besoin."
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"@type": "Question",
"name": "Quelles stratégies de prévention sont efficaces en politique publique ?",
"position": 11,
"acceptedAnswer": {
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"text": "Les campagnes de sensibilisation, les programmes de vaccination et l'éducation à la santé."
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"@type": "Question",
"name": "Comment évaluer l'efficacité des programmes de prévention ?",
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"acceptedAnswer": {
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"text": "Par des études d'impact, des indicateurs de santé et des analyses de coûts."
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"name": "Quels obstacles à la prévention sont souvent rencontrés ?",
"position": 13,
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"text": "Le manque de financement, l'accès limité aux soins et la désinformation sont des obstacles majeurs."
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"@type": "Question",
"name": "Comment les politiques publiques peuvent-elles promouvoir la prévention ?",
"position": 14,
"acceptedAnswer": {
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"text": "En intégrant des programmes de prévention dans les systèmes de santé et en finançant des initiatives."
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"@type": "Question",
"name": "Quel rôle joue l'éducation dans la prévention des maladies ?",
"position": 15,
"acceptedAnswer": {
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"text": "L'éducation sensibilise la population aux comportements sains et aux risques de maladies."
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"@type": "Question",
"name": "Comment les politiques influencent-elles les traitements disponibles ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les politiques déterminent le financement, l'accès et les protocoles de traitement en santé."
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"@type": "Question",
"name": "Quels traitements sont souvent négligés par les politiques publiques ?",
"position": 17,
"acceptedAnswer": {
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"text": "Les traitements pour les maladies rares et les soins palliatifs sont souvent sous-financés."
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"@type": "Question",
"name": "Comment évaluer l'efficacité des traitements en politique publique ?",
"position": 18,
"acceptedAnswer": {
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"text": "Par des études cliniques, des revues systématiques et des analyses de coût-efficacité."
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"@type": "Question",
"name": "Quel est l'impact des politiques sur les traitements préventifs ?",
"position": 19,
"acceptedAnswer": {
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"text": "Les politiques favorisent l'accès aux vaccinations et dépistages, réduisant ainsi les maladies."
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"@type": "Question",
"name": "Comment les politiques de santé affectent-elles les traitements psychologiques ?",
"position": 20,
"acceptedAnswer": {
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"text": "Elles influencent le financement et l'accès aux soins de santé mentale, souvent négligés."
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"position": 22,
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"text": "Des politiques inefficaces peuvent aggraver les conditions de santé et limiter l'accès aux traitements."
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"name": "Quels sont les effets à long terme d'une politique de santé défaillante ?",
"position": 23,
"acceptedAnswer": {
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"text": "Une augmentation des coûts de santé, une détérioration de la santé publique et des inégalités croissantes."
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"@type": "Question",
"name": "Comment prévenir les complications liées aux politiques de santé ?",
"position": 24,
"acceptedAnswer": {
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"text": "En évaluant régulièrement les politiques et en adaptant les programmes aux besoins de la population."
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"@type": "Question",
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"acceptedAnswer": {
"@type": "Answer",
"text": "En promouvant des environnements sains, l'éducation et l'accès aux soins préventifs."
}
},
{
"@type": "Question",
"name": "Quel impact a l'environnement sur les facteurs de risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un environnement pollué ou peu sûr augmente les risques de maladies et affecte la santé publique."
}
},
{
"@type": "Question",
"name": "Comment les politiques de santé abordent-elles les facteurs de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elles intègrent des stratégies de prévention et d'éducation pour réduire les risques de maladies."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque liés aux comportements ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le tabagisme, l'alimentation malsaine et le manque d'activité physique sont des facteurs clés."
}
}
]
}
]
}
Medication adherence is a crucial component of the pharmacological treatment of smoking. Previous interventions targeted to improve adherence to smoking cessation medications (SCMs) were designed usin...
Recommendations for the design of intervention strategies were based on the BCW guide and six studies conducted by the research team. Factors related to healthcare providers and consumers (person maki...
Following a stepped approach, an adherence support wheel was designed to guide implementation strategies and programmes. Thirteen intervention strategies were selected. The selected interventions incl...
The BCW guide and a modified Delphi were applied successfully to design interventions tailored to improve adherence to SCMs. Improving adherence to SCMs requires a comprehensive intervention approach ...
Delphi Technique....
Describe the development of a decision support tool to prevent community-acquired pressure injuries (CAPrIs) in individuals with spinal cord injury (SCI) for use in SCI clinics, called the Community-A...
Veteran Health Administration Hospital, Chicago, Illinois, USA....
Concept mapping of current pressure injury (PrI) guidelines and qualitative research describing risks, actions, and resources needed to prevent CAPrIs associated with SCI were used to develop 40 veter...
Panelists were 60% female, 62% White, 33% veterans with SCI or caregivers, 33% wound care certified with a mean age of 59 years. Two survey rounds were required for consensus for 41 Item and 38 Action...
The CAPP-FIT could become a useful tool for Veterans living with SCI, caregivers, and SCI providers....
While different proposals exist for a guideline on reporting Delphi studies, none of them has yet established itself in the health and social sciences and across the range of Delphi variants. This see...
In an international Delphi procedure, Delphi experts were surveyed online in three rounds to find consensus on a reporting guideline for Delphi studies in the health and social sciences. The responden...
1,072 experts were invited to participate. A total of 91 experts completed the first Delphi round, 69 experts the second round, and 56 experts the third round. Of the 65 items in the first draft of th...
We assume a high level of acceptance and interdisciplinary suitability regarding the reporting guideline presented here and referred to as the "Delphi studies in social and health sciences-recommendat...
The relevant factors and patterns of non-adherence to self-management among patients with chronic obstructive pulmonary disease (COPD) need to be elucidated to improve self-management....
This study was a survey to prioritize the relevance of factors associated with non-adherence to COPD self-management using the Delphi technique and analytic hierarchy process (AHP)....
A total of 15 expert panels were established to determine the priority of relevant factors in a three-round Delphi survey and an AHP. To develop the preliminary conceptual framework for non-adherence ...
In developing the preliminary conceptual framework, 8 factor categories and 53 factors were identified as relevant to non-adherence to COPD self-management. Of the 53 factors, 22 factors with a CVR of...
Through consensus decision-making by experts, 14 factors were identified as relevant factors associated with non-adherence to COPD self-management. A hierarchical and systematic framework incorporatin...
The aim of the current study was to assess the accuracy of expert predictions, which were derived using a Delphi panel foresight study between 2009 and 2011, on a variety of drug-related topics in Fin...
The material used to evaluate the accuracy of the predictions consists of published reports on statistics, survey results, official register data, wastewater analyses and official documents. Whenever ...
Between 2009 and 2011, the majority - but not all - of the experts accurately predicted an increase in drug use. Indeed, more people experimented with or used drugs, and more drug residues were found ...
It seems to have been easier for the experts to foresee the continuation of existing trends, e.g., increasing use of drugs or widening approval of drugs, than to predict possible changes in the popula...
Moral distress is a psychological concept that describes the harm associated with actions or inactions that oppose an individuals' moral beliefs. Moral distress is linked to moral compromise in the wo...
The aim of this study was to develop a list of situational and outcome statements associated with moral compromise and levels of moral distress in midwifery to inform the development of a tool to meas...
This e-Delphi study was the third stage of a sequential exploratory mixed-methods study. Using an online strategy, three iterative rounds of e-Delphi were collected and analysed for consensus on situa...
Twenty participants contributed across the three rounds. Consensus was met in 40 morally compromising situation statements. The highest level of consensus related to excessive workloads and the associ...
This is the first study to use a consensus method to establish different levels of moral compromise, frustration, distress, and injury in midwifery practice. The findings of this study contribute to a...
Nasal irrigation is regularly used in infants to relieve upper airway symptoms. However, because there is no consensus on good practice, nasal irrigation in infants is described and applied heterogene...
The aim of this study was to establish consensus regarding the use of nasal irrigation in infants....
A panel of Belgian physiotherapists and physicians experienced in performing nasal irrigation in infants were surveyed using the Delphi technique. Three survey rounds were used. Participants rated the...
Thirty experts (12 physicians and 18 physiotherapists) completed all 3 questionnaires. Consensus was achieved for 47 of 75 statements (63%) distributed over the following domains: "contraindications,"...
This study provides the first well-constructed consensus on good practice on nasal irrigation in infants. Consensus on several statements across different domains were established but require validati...
Paracetamol and ibuprofen are the most commonly used drugs for pain treatment in children and their combination has shown improved analgesic effect compared to treatment with either drug alone. Curren...
The survey, conducted with Delphi methodology, involved 75 hospital and outpatient pediatricians with clinical experience in the management of pain in children. Pediatricians involved were asked to va...
The results confirm the importance of the fixed-dose paracetamol and ibuprofen combination for the control of mild-to-moderate acute pain in children. Particularly, this association seems to be approp...
Both the NGT consensus and the broader Delphi consensus confirm the usefulness of the paracetamol-ibuprofen fixed-dose combination in pediatric pain. This is attributed to its superior effectiveness c...
Intersphincteric resection (ISR) is an oncologically complex operation for very low-lying rectal cancers. Yet, definition, anatomical description, operative indications and operative approaches to ISR...
A modified Delphi approach with three rounds of questionnaire was adopted. A total of 29 international experts from 11 countries were recruited for this study. Six domains with a total of 37 statement...
Three rounds of questionnaire were performed (response rate 100%, 89.6%, 89.6%). Agreement (≥80%) reached standardization on 36 statements....
This study provides an international expert consensus-based definition and standardization of ISR. This is the first study standardizing terminology and definition of deep pelvis/anal canal anatomy fr...
The current context of the COVID-19 pandemic has demonstrated the need for home exercise strategies for the relief of neck pain, which, in recent times, has increased. However, there is a gap regardin...
This was an observational study conducted in three stages: (1) Developing an online search of databases for articles on neck pain exercises. (2) Validating a panel of 12 physical therapists, using the...
A protocol was developed with the principles of neck and scapular stabilization and upper limb movements, for a period of 4 weeks. Nine physical therapists completed two rounds online, and all items i...
A 4-week home exercise protocol was created based on the best evidence in the literature, was validated by physical therapists and adapted for the population with neck pain. It proved to be an underst...
GOV: (NCT04187001)....
