References of "Duchesnes, Christiane"
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See detailParcours professionnels de médecins généralistes belges francophones diplômés entre 1999 et 2013
Lenoir, Anne-Laure ULiege; Leconte, Sophie; Cayn, Marion et al

Report (2018)

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See detailExperiences of hospital-based multidisciplinary team meetings in oncology: An interview study among participating general practitioners.
Pype, Peter; Mertens, Fyne; Belche, Jean Luc ULiege et al

in European Journal of General Practice (2017), 23(1), 155-163

Cancer care has become complex, requiring healthcare professionals to collaborate to provide high-quality care. Multidisciplinary oncological team (MDT) meetings in the hospital have been implemented to ... [more ▼]

Cancer care has become complex, requiring healthcare professionals to collaborate to provide high-quality care. Multidisciplinary oncological team (MDT) meetings in the hospital have been implemented to coordinate individual cancer patients' care. General practitioners (GPs) are invited to join, but their participation is minimal. OBJECTIVES: Aim of this study is to explore participating GPs' perceptions of their current role and to understand their preferences towards effective role execution during MDT meetings. METHODS: In May to June 2014, semi-structured interviews (n = 16) were conducted involving GPs with MDT experience in Belgium. The analysis was done according to qualitative content analysis principles. RESULTS: Attendance of an MDT meeting is perceived as part of the GP's work, especially for complex patient care situations. Interprofessional collaborative relationships and the GP's perceived benefit to the MDT meeting discussions are important motivators to participate. Enhanced continuity of information flow and optimized organizational time management were practical aspects triggering the GP's intention to participate. GPs valued the communication with the patient before and after the meeting as an integral part of the MDT dynamics. CONCLUSION: GPs perceive attendance of the MDT meeting as an integral part of their job. Suggestions are made to enhance the efficiency of the meetings. [less ▲]

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See detailYoung general practitioners’ professional activities: a survey in the French-speaking part of Belgium
Lenoir, Anne-Laure ULiege; Richelle, Lou; Ketterer, Frédéric ULiege et al

in Acta Clinica Belgica (2017)

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See detailIs langdurig ziekteverzuim voorspelbaar en meetbaar ?
Goorts, Kaat; Duchesnes, Christiane ULiege; Vandenbroeck, Sofie et al

in Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde (2017), 25(2), 59-62

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See detailWould you care for some integrated care in your fragmented health system? A participatory action research to improve integration between levels of care in a Belgian urban setting.
Belche, Jean Luc ULiege; Duchesnes, Christiane ULiege; Darras, Christian et al

Poster (2016, May 24)

Integration between levels of care is not facilitated by the Belgian health system. Indeed, patients have uninhibited access to every level of care, there is no gatekeeping system, and no structural ... [more ▼]

Integration between levels of care is not facilitated by the Belgian health system. Indeed, patients have uninhibited access to every level of care, there is no gatekeeping system, and no structural coordination between levels of care. Meanwhile, on one hand, the occurrence of more complex care situations in the ambulatory setting is enhancing the need for coordination while on the other hand, hospitals face financial constraints to provide care in the community. The aim of the research was to organize coordination between levels of care at the local level, in an urban setting. We used the “Local Health System” model (LHS) that aims at integrating hospital and primary care activities for a defined population at the local level. We chose the participatory action research (PAR) methodology and its spiral plan-do-study-act cycles, to ensure the participation and implementation of results by the targeted actors (hospital and local general practitioners (GP) organizations). [less ▲]

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See detailCoordination des soins en première ligne de soins: et Mme Dupont?
Belche, Jean Luc ULiege; Buret, Laetitia ULiege; Duchesnes, Christiane ULiege et al

in Santé Conjuguée (2016), 74

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See detailEtat des lieux de l’activité professionnelle des médecins généralistes francophones diplômés entre 1999 et 2013
Lenoir, Anne-Laure ULiege; Cayn, Marion; Fraipont, Bénédicte et al

Report (2016)

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See detailThe ecology of health care in a Belgian area
Vo, Than Liem; Duchesnes, Christiane ULiege; Vögeli, Olivier et al

in Acta Clinica Belgica (2015), 70(4), 280-286

Abstract INTRODUCTION: Focusing on the monthly prevalence of health problems and recourse to different levels of care of the population is an interesting approach to demonstrate the respective roles of ... [more ▼]

Abstract INTRODUCTION: Focusing on the monthly prevalence of health problems and recourse to different levels of care of the population is an interesting approach to demonstrate the respective roles of different levels of health care. In the present study, the ecology of health care was studied in the region of Liège, Belgium. METHOD: A survey questioning people about their health problems was conducted in 2009 in two communes of the province of Liège. For each health problem, 'health care' was defined as contact with any qualified care provider. For each consultation, three elements were recorded: the profession of the health care provider; the place where the care was provided and the kind of health care received. RESULTS: A total of 537 people were interviewed. The monthly prevalence of people who experienced a health problem during the previous month was 85.1%. The monthly prevalence of people who turned to a health care provider at least once during the month was 62.2%. The proportion of people turning to doctors, primarily local doctors, for a simple consultation was important (49.2%). DISCUSSION: Our results are highly comparable with those of other studies. Recourse to a doctor is high (49%), which probably reflects the broad accessibility of health care in Belgium and maybe its overuse. Additional questions on the current and future organisation of the Belgian health care system are debated. [less ▲]

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See detailProjet SYLOS en région liégeoise-Rapport d'activités 2014
Belche, Jean Luc ULiege; Duchesnes, Christiane ULiege; Buret, Laetitia ULiege et al

Report (2015)

Le modèle SYLOS (Système Local de Santé) est un modèle de concertation structurée entre représentants des deux lignes de soins d’un territoire. Il vise, au départ d’incidents critiques, à améliorer le ... [more ▼]

Le modèle SYLOS (Système Local de Santé) est un modèle de concertation structurée entre représentants des deux lignes de soins d’un territoire. Il vise, au départ d’incidents critiques, à améliorer le travail des professionnels au bénéfice des patients. Le projet de 2014 consistait en deux volets et c’est sur cette base que le présent rapport est structuré : d’une part, la poursuite des activités entamées entre le Centre Hospitalier Régional de la Citadelle et le cercle de médecine générale, et, d’autre part, un nouveau champ de travail pour envisager l’implication des autres professionnels de la première ligne dans le processus SYLOS. [less ▲]

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See detailTen years of multidisciplinary teams meetings in oncology: current situation and perspectives: WHAT IS THE CURRENT PERCEIVED ROLE OF GPS AT THE MDT MEETINGS? WHAT ARE THE GPS' EXPECTATIONS AND BARRIERS FOR THEIR ATTENDANCE AT THE MDT MEETINGS?
Pype, Peter; Mertens, Fien; Belche, Jean Luc ULiege et al

Report (2015)

This research aims to answer 3 questions:What are the current experiences and the perceived roles of GPs towards the MDT meeting?; What are the barriers perceived by GPs towards their participation to the ... [more ▼]

This research aims to answer 3 questions:What are the current experiences and the perceived roles of GPs towards the MDT meeting?; What are the barriers perceived by GPs towards their participation to the MDT meeting?; What are the preferences and expectations towards effective contribution during the MDT meeting? [less ▲]

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See detailRetrospective analysis of a suburban out-ofhours clinic in Belgium
Belche, Jean Luc ULiege; Berrewaerts, Marie-Astrid ULiege; Burette, Philippe ULiege et al

in Acta Clinica Belgica (2014), 69(5), 341-347

Introduction: In many countries, out-of-hours medical care is under scrutiny. The aim of this article is to study the activities recorded by the first out-of-hours clinic that has been opened, as a pilot ... [more ▼]

Introduction: In many countries, out-of-hours medical care is under scrutiny. The aim of this article is to study the activities recorded by the first out-of-hours clinic that has been opened, as a pilot study, in two Walloon communes. Material and method: A retrospective analysis of anonymized data was conducted for 2009. Coding of diagnoses was conducted using the International Classification of Primary Care (ICPC-2). Results: A total of 3949 contacts were recorded in 2009 with the out-of-hours clinic, 3294 related to inhabitants of the two communes covered, which was equivalent to 13% of the total population in question. Compared to 7.2% of contacts between midnight and 8 a.m., 82.9% of contacts took place between 8 a.m. and 9 p.m., and 91.6% of contacts were handled locally, with only 8.4% resulting in hospitalization. In addition, 52% of contacts were with patients aged between 25 and 65; 29.9% of contacts were with paediatric patients (,15 years). Patients over the age of 65 made up 18% of contacts. The most common pathologies were respiratory (R). Analysis of flu diagnoses identified two epidemic peaks. Discussion: The suburban out-of-hours clinic studied fulfilled an important role in managing the demand for health care. The large majority of health problems were resolved locally, and the inhabitants did not need to go to hospital. Appointments between midnight and 8 a.m. were in the minority, which points towards adjusting the organization of the out-of-hours service during the night. The geriatric population is not highly over-represented contrary to what might be expected considering its largest number of pathologies. The on-call doctor’s skills profile should take account of the populations and morbidities encountered. Out-ofhours clinics could possibly play a sentinel role in terms of flu epidemics. Conclusion: This study describes a pilot suburban out-of-hours clinic which met three of recommendations set by the KCE in its report on out-of-hours care in general medicine: the organization of an out-of-hours clinic with logistical support, the use of a single telephone number and merging out-of-hours areas. While debate exists on the management of out-of-hours care, this study provides evidence on the role of the physician during these hours. [less ▲]

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See detailLe Système Local de Santé (SYLOS) en 2014 : une approche de la concertation entre lignes de soins à l’échelon local par la recherche-action.
Belche, Jean Luc ULiege; Duchesnes, Christiane ULiege; van der Vennet, Jean et al

in Revue Médicale de Bruxelles (2014, May), 35(n°3), 1-20

Le vieillissement de la population et la multi-morbidité, la volonté de rationalisation des dépenses dans les soins de santé remettent à l’avant-plan la nécessité d’une articulation plus importante entre ... [more ▼]

Le vieillissement de la population et la multi-morbidité, la volonté de rationalisation des dépenses dans les soins de santé remettent à l’avant-plan la nécessité d’une articulation plus importante entre les deux lignes de soins. Alors qu’une approche intégrée et centrée sur le patient et la communauté est souhaitable, la collaboration prend actuellement la forme d’initiatives nationales ou locales, centrées sur une pathologie. L’objectif de l’étude est d’analyser les différentes modalités de concertation entre les acteurs de la 1ère ligne de soins et de la 2ème ligne de soins au niveau local et éventuellement d’en encourager de nouvelles. Le projet SYLOS Liège est une recherche-action initiée par le Département de Médecine Générale de l’Université de Liège et le Département de Santé Publique de l’Institut de Médecine Tropicale d’Anvers. Trois zones d’étude ont été définies en région liégeoise. Des rencontres individuelles de sensibilisation ont été menées pour présenter le projet et recueillir les premières réactions des protagonistes par rapport à la thématique. Des entretiens semi-dirigés ont ensuite été menés avec certains répondants intéressés pour évoquer les initiatives de concertation existantes, les difficultés et avantages perçus. Finalement, des rencontres mixtes ont été proposées aux acteurs de terrain. Trois ans après le début du projet, il est possible d’identifier les freins et les opportunités actuels à la mise en place de ce type de concertation. Le processus a permis de faire émerger, sur une des trois zones étudiées, une dynamique de réflexion et de recherche de solutions par la concertation entre professionnels concernés. La progression différente sur les trois zones montre l’importance de la prise en compte de l’échelon local. D’un point de vue méthodologique, il apparaît également que la recherche-action et sa visée praxéologique est adaptée à cette problématique. [less ▲]

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