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Dos Santos Mamed, Marcelo
Nom
Dos Santos Mamed, Marcelo
Affiliation principale
Fonction
Post-doctorant
Email
marcelo.dossantos@unine.ch
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Voici les éléments 1 - 2 sur 2
- PublicationAccès libreNavigating outpatient care of patients with type 2 diabetes after hospital discharge - a qualitative longitudinal study(2024-04-23)
; Marie P. SchneiderBackground The transition from hospital to outpatient care is a particularly vulnerable period for patients as they move from regular health monitoring to self-management. This study aimed to map and investigate the journey of patients with polymorbidities, including type 2 diabetes (T2D), in the 2 months following hospital discharge and examine patients’ encounters with healthcare professionals (HCPs). Methods Patients discharged with T2D and at least two other comorbidities were recruited during hospitalization. This qualitative longitudinal study consisted of four semi-structured interviews per participant conducted from discharge up to 2 months after discharge. The interviews were based on a guide, transcribed verbatim, and thematically analyzed. Patient journeys through the healthcare system were represented using the patient journey mapping methodology. Results Seventy-five interviews with 21 participants were conducted from October 2020 to July 2021. The participants had a median of 11 encounters (min–max: 6–28) with HCPs. The patient journey was categorized into six key steps: hospitalization, discharge, dispensing prescribed medications by the community pharmacist, follow-up calls, the first medical appointment, and outpatient care. Conclusions The outpatient journey in the 2 months following discharge is a complex and adaptive process. Despite the active role of numerous HCPs, navigation in outpatient care after discharge relies heavily on the involvement and responsibilities of patients. Preparation for discharge, post-hospitalization follow-up, and the first visit to the pharmacy and general practitioner are key moments for carefully considering patient care. Our findings underline the need for clarified roles and a standardized approach to discharge planning and post-discharge care in partnership with patients, family caregivers, and all stakeholders involved. - PublicationAccès librePerspectiva sócio-histórica da educação terapêutica do paciente: O corpo explicado(2020-12-23)Due to the high prevalence of diabetes in the world, educational approach has been gradually introduced as a strategy to hinder its potential complications. Therapeutic patient education (TPE) is rarely described as a practice, although it is recognised as an effective strategy and as a new form of relationship in health care. Studies related to TPE have largely focused on the biomedical results of these interventions. By means of explanation, the main discursive procedure for the professional activity of TPE, doctors, nurses and dietitians align themselves in the transmission of the knowledge that is necessary for the daily management of diabetes. Inspired by a socio-historical perspective, this article offers an analysis of the explanation as a situated professional activity. Using theoretical tools from disciplines such as Linguistics and Clinic of Activity, this study attempts to understand the accomplishment of the explanation in this specific context of health care. Using a simple self-confrontation method, we propose an analysis of Denise’s (a dietitian who works in a TPE team in the French-speaking region of Switzerland) explanation in two ways: a) the interactive analysis of the explanation; b) Denise’s discourse analysis as she analyses her own explanatory activity while watching a recorded video. The analysis points to the explanatory process as an interactive and dialogical accomplishment which updates the representations of the body and the patient guided by the psychological dimensions of professional activity.