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Biomedical subjects

A L Le Faou

Publications and source records attributed to A L Le Faou.

9 recordsLinked to original sources
PubMed2006

Difficulties of smoking cessation in diabetic inpatients benefiting from a systematic consultation to help them to give up smoking.

AIM: To assess the value of systematic smoking cessation consultations for diabetic smokers admitted to hospital. METHODS: All diabetic smokers admitted to the Diabetes Department of Georges Pompidou European Hospital between February 2003 and February 2004 were systematically offered a consultation with a physician specialised in tobacco cessation. Follow-up visits at three, six and nine months were planned. RESULTS: Of the 306 diabetic patients admitted, 38 (12.4%) were smokers. There were more men than women in the group of smokers and the diabetic smokers were younger than the non-smokers. The smokers had fewer micro-angiopathic complications than the non-smokers, but there was no difference in the frequency of macro-angiopathic complications. The level of nicotine physical dependence was moderate or high for 60% of the smokers. Although all the smokers agreed to the consultation, less than half agreed to drug-based treatments to help them to give up smoking and only 15% returned for the six-month visit. Only one patient had stopped smoking at the six-month visit. CONCLUSION: This study demonstrates the difficulties in systematic interventions to help diabetic patients to stop smoking. Diabetic smokers probably constitute a specific population for which the barriers to giving up smoking should be explored.

Adult↗
PubMed2006

[Feasibility of systematic screening for addictive behaviours of hospitalized patients].

BACKGROUND: The national policy against addiction led to the establishment of specialized units with liaison teams trained in addiction specifically to work with the in-patients. The aim of this study has been established within the context of the implementation of one of these addiction liaison units in a Parisian Hospital, the Georges Pompidou European Hospital (HEGP), that is namely to evaluate the feasibility of a systematic screening procedure concerning tobacco and alcohol dependence among inpatients in two of the hospital's specialization departments between December 6, 2001, and March 6, 2002. METHODS: Self-administered questionnaires on addictive behaviours were distributed to each patient admitted to the vascular health department and to the hypertension department They included the Fagerström Test for Nicotine Dependence and the AUDIT for evaluating levels of alcohol abuse. RESULTS: The response rate was 30.2% (110/364). Twenty-nine smokers were identified. Among them, 72.5% presented a low level of physical nicotine dependence. Nearly half of them (14/29) were not interested in participating in a smoking cessation intervention with the assistance of relevant hospital staff. Among eleven patients at risk of excessive alcohol abuse, only one accepted to be referred to a specialist. CONCLUSION: This study highlights the difficulties of the systematic screening for addictive behaviours in hospitalized patients. Nevertheless, the obstacles faced in terms of the acceptability of the screening, but the patients as well as by the hospital staff, do not lean against the development of this trend or oppose this type of approach. New methods of individual screening for addictive behaviours should be explored.

Adolescent↗
PubMed2001

Implementing health promotion in health care settings: conceptual coherence and policy support.

This article examines the level and conditions of development of the concept of "health promoting hospital (HPH)", in France and in Europe. Part of the literature on HPH was reviewed, looking at the kind of partnerships implemented within the HPH projects, and at the organisational strategies adopted by hospitals to be health promoting. The literature review is followed by an overview of the priorities defined by health policies in Europe. This research shows that there is still a lack of guidelines on how to put the health promotion concept into practice in health care settings. Moreover, it stresses that further research is needed in order to better define which personal skills ought to be developed through health education in health care settings, and how the development of such skills may be articulated to other priorities in health care settings.

Clinical Competence↗
PubMed1999

[Evolution of health care in France: comparison elements with foreign countries].

This article reviews the financial growth reports of five health systems: France, Germany, United Kingdom, United States and Canada. It is designed to provide descriptive elements related to expenditure: medical demographics and health care professionals in general, hospital densities, availability of sophisticated medical equipment, medical approach to evaluate the needs for specialists, responsible for ordering expensive technologies (especially cardiologists). The results are presented in summary table form and show that debates on health system reforms too often forget these basic descriptive elements able to diagnose a crisis situation in the system, whether it is financial and/or social and consequently the possible remedies than can be applied. Finally, these discussions also often forget the significantly different epidemiological situations observed between rich countries, as illustrated by the situation of cardiovascular diseases in the countries used as examples. In conclusion, the data presented provide a basis for reforms of health systems, which have been converging since the beginning of the 1990s: closure of short-stay hospital beds, control of medical demographics, specialties and technical procedures, attempts to take the morbidity of the population into account.

Canada↗
PubMed1995

Health promotion in France. Toward a new way of giving medical care.

Health promotion is not a concept often encountered in France, especially in university teaching hospitals. In fact, the spontaneous orientation of healthcare services tends to emphasize high-technology care, rather than preventive care. This article describes the main characteristics of the French healthcare system, some new elements of its health policy, and a specific experiment of health promotion in a new geriatric hospital.

Aged↗