Pole Information Medicale

Sainte-Foy-lès-Lyon, France

Pole Information Medicale

Sainte-Foy-lès-Lyon, France
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Bauler S.,Pole de Reeducation et de Readaptation Fonctionnelles | Jacquin-Courtois S.,Pole de Reeducation et de Readaptation Fonctionnelles | Haesebaert J.,Pole Information Medicale | Luaute J.,Pole de Reeducation et de Readaptation Fonctionnelles | And 7 more authors.
European Neurology | Year: 2014

Objective: To describe the perceptions of French patients, caregivers and healthcare professionals on stroke and secondary preventive medications. Method: A qualitative study was conducted, based on four predetermined topics: stroke, secondary prevention medications, patient's experience, relationship between patient/caregiver and healthcare team. Results: Twenty-six interviews were conducted. Difficulties in taking medications, lack of knowledge on stroke and medication benefits, fear of overmedication were identified as barriers for adherence in patients. Doubts about generic drugs were expressed by caregivers. Healthcare professionals reported lack of knowledge and absence of clinical symptoms as barriers. On the other hand, support from caregivers and healthcare professional support is essential for compliance in all participants. Patients and caregivers expressed that fear of recurrence was a facilitator for treatment compliance. Conclusion: This study highlights the barriers and facilitators for stroke treatment adherence and underlines the similarities and differences between the perceptions of patients, caregivers and healthcare professionals. These results must be integrated into the future French educational programs to improve medication adherence. © 2014 S. Karger AG, Basel.


Viprey M.,Pole Information Medicale | Viprey M.,University Claude Bernard Lyon 1 | Caillet P.,Pole Information Medicale | Caillet P.,University Claude Bernard Lyon 1 | And 12 more authors.
PLoS ONE | Year: 2015

Treatment initiation rates following fragility fractures have often been reported to be low and in recent years numerous programs have been implemented worldwide to increase them. This study aimed at describing osteoporosis (OP) treatment initiation in a representative sample of women who were hospitalized for a distal forearm fracture (DFF) or proximal humerus fracture (PHF) in 2009-2011 in France. The data source was a nationwide sample of 600,000 individuals, extracted from the French National Insurance Healthcare System database. All women aged 50 years and older who were hospitalized for a DFF or PHF between 2009 and 2011 and who had not received any OP treatment in the preceding 12 months were included in a retrospective cohort study. OP treatments initiated during the year following the fracture were analyzed. From 2009 to 2011, 729 women were hospitalized for a DFF or a PHF and 284 were on OP treatment at the time of the fracture occurrence. Among the 445 women who had no prevalent OP treatment, 131 (29.4%) received supplementation treatment only (vitamin D and/or calcium) and 42 (9.4%) received a pharmacologic OP treatment in the year following their fracture. Pharmacological OP treatments included bisphosphonates (n = 21), strontium ranelate (n = 14), hormone replacement therapy (n = 4), or raloxifene (n = 3). General practitioners prescribed 75% of initial OP treatments. Despite the guidelines published in 2006 and the numerous initiatives to promote post-fracture OP treatment, OP treatment initiation rate in women who were hospitalized for a fragility fracture remained low in 2009-2011 in France. © 2015 Viprey et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Francois A.,University Claude Bernard Lyon 1 | Francois A.,groupement hospitalier Est | Fassier J.-B.,University Claude Bernard Lyon 1 | Fassier J.-B.,groupement hospitalier Est | And 5 more authors.
Archives des Maladies Professionnelles et de l'Environnement | Year: 2014

Aim of the study: The objective of this study was to assess the methods of implementation of the PRESLO program from the point of view of users (healthcare workers with a history of low back pain [LBP]) in order to identify potential improvements to the program. Methods: A qualitative study approach was adopted. Twenty-one participants were selected intentionally in different categories of workers. All volunteered to take part in a semi-structured individual interview exploring representations of LBP, expectations, experience of supervised sessions and adherence to the home-based exercises. All interviews were transcribed and analysed using the qualitative analysis software Atlas.ti. Results: Participation in the program was motivated by prior episodes of LBP, relief expectations and the desire to gain autonomy. The impact at 12. months of the education session showed a change in LBP representations among participants. Collective exercise sessions were highly appreciated due to the emulation generated by the group. The attendance to exercise sessions was facilitated by the proximity and accessibility (during working hours in the workplace) and by the information about the program provided in the institution. The autonomy of the participants at the end of the group sessions varied among individuals. The information materials were poorly used. Long-term compliance to the home-based exercises also varied among individuals. The impact of the program was positively evaluated by the participants in terms of empowerment, physical and psychological well-being and pain reduction. The main shortcomings were the lack of booster sessions to maintain autonomy in the practice of exercises and the motivation generated by the group. The suggestions included the need for booster sessions and follow-up in the long term. Conclusion: The results allowed a qualitative assessment of the program's impact and participants' satisfaction in several dimensions. Areas for improvement of the program have been identified. Booster sessions and long-term follow-up seem important to improve exercise compliance over time. © 2013 Elsevier Masson SAS.


PubMed | University of Toronto, University Claude Bernard Lyon 1 and Pole Information Medicale
Type: Journal Article | Journal: PloS one | Year: 2015

Treatment initiation rates following fragility fractures have often been reported to be low and in recent years numerous programs have been implemented worldwide to increase them. This study aimed at describing osteoporosis (OP) treatment initiation in a representative sample of women who were hospitalized for a distal forearm fracture (DFF) or proximal humerus fracture (PHF) in 2009-2011 in France. The data source was a nationwide sample of 600,000 individuals, extracted from the French National Insurance Healthcare System database. All women aged 50 years and older who were hospitalized for a DFF or PHF between 2009 and 2011 and who had not received any OP treatment in the preceding 12 months were included in a retrospective cohort study. OP treatments initiated during the year following the fracture were analyzed. From 2009 to 2011, 729 women were hospitalized for a DFF or a PHF and 284 were on OP treatment at the time of the fracture occurrence. Among the 445 women who had no prevalent OP treatment, 131 (29.4%) received supplementation treatment only (vitamin D and/or calcium) and 42 (9.4%) received a pharmacologic OP treatment in the year following their fracture. Pharmacological OP treatments included bisphosphonates (n = 21), strontium ranelate (n = 14), hormone replacement therapy (n = 4), or raloxifene (n = 3). General practitioners prescribed 75% of initial OP treatments. Despite the guidelines published in 2006 and the numerous initiatives to promote post-fracture OP treatment, OP treatment initiation rate in women who were hospitalized for a fragility fracture remained low in 2009-2011 in France.

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