ABSTRACT
The ten-year cancer control strategy launched in 2021 highlights the structuring of supportive care as a strong axis to limit the side effects of treatments and simplify the patient's journeys. On the other hand, the "Gradation instruction" published in 2020, introduced new invoicing rules for outpatient hospital wards, which facilitates the coordinated interventions of several health professionals (medical, paramedical, or socio-educational) around patients. Among these professionals, the pharmacist has a particular role, inside the multidisciplinary oncology teams, since cancer oral therapies require therapeutic adherence and a continuum of care with retail pharmacists. Until now, these clinical pharmaceutical activities, which include carrying out medication reviews, developing personalized pharmaceutical plans and conducting pharmaceutical interviews with patients, have struggled to develop in a sustainable manner due to a lack of funding in hospitals. Finally, the "gradation instruction" represents a real opportunity to support clinical pharmacy actions, particularly in outpatient hospital wards. In order to save time for hospital teams wishing to initiate or consolidate these activities, we should consider points of vigilance and facilitating factors.
Subject(s)
Drug-Related Side Effects and Adverse Reactions , Neoplasms , Pharmacy Service, Hospital , Pharmacy , Humans , Neoplasms/drug therapy , Pharmacists , Pharmaceutical PreparationsABSTRACT
Since a French organization (2016) has defined "the territorial hospital groupings", public hospitals must share medical-economic knowledge and decision-makers expect prospective analyses. PoleSat aims, quick hospital-catchment area modellings, completed by population analyses. Modellings are based on "diagnostic and interventional vascular catheterizations" acts and Nouvelle-Aquitaine, and they are carried out 3 times, through the graphical user interface's main-setting values, coupled with 3 activity-scenarios. Scenario results cannot confirm the NA02-Atlantique's H0. The experts have approved PoleSat's method as a robust help-tool; therefore they project to repeat its usages.
Subject(s)
Catheterization , Hospitals, Public , Prospective StudiesABSTRACT
Medical geo-informatics allows the Health world to address major challenges thanks to attractive concepts, methods and user-friendly IT. PoleSat-web-2018 presents a decision support system - a modelling "variable geometry" IT tool for simulation of hospital spatial planning. The outputs enable quasi-instantaneous analytic visualization at several geographic levels. PoleSat-web-2018 provides prospective views of hospital catchments (by grouping, closing) and proves to be relevant for the French planners of the Ministry of Health.
Subject(s)
Geographic Information Systems , Hospital Design and Construction , Internet , Prospective Studies , SoftwareABSTRACT
UNLABELLED: Health geography and geomatics have become major disciplines in the last few years and are the source of attractive concepts for medical informatics. POLESAT's e-geoplatform was built to present information and support decision-making during medical consultation. We have improved its usability with innovative and modern methodology. Results show five steps of the process. 1: we select one of three hospitals. 2: thanks to PiNoKio's anatomy, the related activity segments are displayed. 3: the activity segment "AB-Orthopedics, Rheumatology" is displayed. 4: click on "AB02-Amputations" product line and 5: go to hospital activity choropleth map. CONCLUSION: This third e-geoplatform version is a showcase for advanced open-source geomatics via web-mapping possibilities. Health management based on geography concepts, geomatics, an amusing avatar for children, health and/or geographic open data represent the technology of tomorrow. This e-geoplatform concept presents an opportunity for the serious games industry, education and will reduce health access inequalities.
Subject(s)
Decision Support Systems, Clinical/organization & administration , Geographic Information Systems/organization & administration , Medical Informatics Applications , Health Facilities , Health Information Management , InternetABSTRACT
UNLABELLED: Health geography and geomatics have become major disciplines in the last few years and are the source of attractive concepts for medical informatics. POLESAT's e-geoplatform was built to present information and support decision-making during medical consultation. We have improved its usability with innovative and modern methodology. Results show five steps of the process. 1: we select one of three hospitals. 2: thanks to PiNoKio's anatomy, the related activity segments are displayed. 3: the activity segment "AB-Orthopedics, Rheumatology" is displayed. 4: click on "AB02-Amputations" product line and 5: go to hospital activity choropleth map. CONCLUSION: This third e-geoplatform version is a showcase for advanced open-source geomatics via web-mapping possibilities. Health management based on geography concepts, geomatics, an amusing avatar for children, health and/or geographic open data represent the technology of tomorrow. This e-geoplatform concept presents an opportunity for the serious games industry, education and will reduce health access inequalities.
