Traduction de «decision to admit the patients » (Néerlandais → Français) :

As a result of this lack of availability, the care provided is often restricted to a vague nosographic diagnosis and a decision to admit the patients in question to the psychiatric department (the cost of which might have been saved) or to send them to a consultation. Attention is only paid to the “identified patient” rather than to devising a real therapeutic follow-up that involves the complete system.
Par ce manque de disponibilité, l’intervention se limite souvent à un vague diagnostic nosographique et à une décision d’hospitalisation en service de psychiatrie (dont on aurait pu faire l’économie) ou d’envoi en consultation, portant leur attention sur le seul « patient désigné » plutôt que d’amorcer un véritable suivi thérapeutique avec l’ensemble du système. ♦ une méconnaissance des ressources du réseau psychosocial: « Travailler avec

With a previous attempted suicide constituting the most important risk factor for a renewed attempt and with a minority of patients seeking professional help after a first attempt (according to the WHO, only one in four is admitted to hospital), it is absolutely vital that as many health professionals as possible (doctors, specialists, pharmacists, home care nurses, etc) should receive adequate training to recognise the risks of suicide and refer the patient to the appropriate health professional.
Si une tentative de suicide antérieure est le facteur de risque le plus important pour une nouvelle tentative de suicide, et si une minorité de patients font appel à l’aide professionnelle après une première tentative (seulement 1 sur 4 est pris en charge par le milieu hospitalier selon l’OMS), c’est une condition absolue qu’un maximum de prestataires de soins (médecins, spécialistes, pharmaciens, infirmières à domicile, etc) soient formés de façon adéquate pour reconnaître les risques de suicide et pour orienter vers le prestataire de soins professionnel adéquat.

When such patients are re-admitted to the hospital, they constitute a significant source from which this micro-organism can be re-introduced there. Consequently, it seems important to be able to identify these patients as soon as possible.
De tels patients constituent une source significative de réintroduction de ce micro-organisme dans l'hôpital en cas de réadmission et il semble important de pouvoir les identifier aussitôt que possible.

The optimal scenario for informing the patient with regard to decisions related to reimbursement of products linked to a specific treatment is similar to the previous one but (Figure 8) presents a higher number of respondents choosing “inside the organs” and “at each step”. Only 26% would choose to inform the patient outside the existing organs, and with a stronger preference on informing after the decision is taken.
The optimal scenario for informing the patient with regard to decisions related to reimbursement of products linked to a specific treatment is similar to the previous one but ( Figure 8) presents a higher number of respondents choosing “inside the organs” and “at each step”.

c. Ward/unit where the patient was admitted when MRSA was identified
c. Salle/unité où le patient était admis quand MRSA a été identifié

Number of patients admitted to the hospital / ward / unit that month
- Nombre de patients admis dans l’hôpital/ la salle / l’unité durant le mois concerné

presented to the Delphi panel. A consensus appeared from the first round that citizens should be involved for strategic decisions (setting budgetary priority) and patients for more operational decisions (e.g. product reimbursement decision linked to a specific disease).
that citizens should be involved for strategic decisions (setting budgetary priority) and patients for more operational decisions (e.g. product reimbursement decision linked to a specific disease).

variation in practice which affects patient outcomes and a strong research base providing evidence of effective practice, guidelines can assist doctors and other health care professionals in making decisions about appropriate and effective care for their patients.
„They are designed to help practitioners assimilate, evaluate and implement the everincreasing amount of evidence and opinion on best current practice. Clinical guidelines are intended as neither cookbook nor textbook but, where there is evidence of variation in practice which affects patient outcomes and a strong research base providing evidence of effective practice, guidelines can assist doctors and other health care professionals in making decisions about appropriate and effective care for their patients.

Decision analytic model (time horizon 1 year) US Payer (third party payer or patient) Pharmacist advice alone Pharmacist advice+NRT patch Pharmacist advice+NRT gum Pharmacist advice+bupropion Study funded by an American Pharmaceutical Association Foundation Incentive Grant
Decision analytic model (time horizon 1 year) US Payer (third party payer or patient) Pharmacist advice alone Pharmacist advice+NRT patch Pharmacist advice+NRT gum Pharmacist advice+Buproprion Study funded by an American Pharmaceutical Association Foundation Incentive Grant

In order to facilitate this co-operation, the decision was made to work with a case-manager for suicidal patients.
Afin de faciliter cette collaboration, l’option consistant à travailler avec un case-manager pour les patients suicidaires a été privilégiée.