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Biomedical subjects

P F Chanoit

Publications and source records attributed to P F Chanoit.

9 recordsLinked to original sources
PubMed1992

[Sectionalized care].

Explore the source record for details and available documents.

Community Mental Health Services↗
PubMed1991

[Epidemiology and prevention of mental disorders].

From a bibliographic analysis and personal experiences, the authors present the advantages of the epidemiologic method in psychiatry. They point out its specificity and the methodological difficulties. Since the psychiatric practices are being deeply transformed, it becomes essential to know precisely the importance and the distribution of mental diseases in the population. It is not possible to image changing a care system trend without knowing the real needs of the population. The descriptive epidemiologic method contributes to this. The aim of analytic epidemiology is ever more important since it allows to spot the circumstances in which mental diseases appear and are developed, and to elaborate etiological hypotheses. Finally, this favors preventive approaches where evaluative epidemiology permits to measure the validity and effectiveness of programs which, like those elaborated for other social calamities (transmissible diseases, degenerative diseases), take place for studies in the field of mental health disorders.

Epidemiologic Methods↗
PubMed1990

[Planning in mental health--is it possible?].

The author opens the subject by questioning "why" and "how" to plan for mental health. Planification is a public health process. This process made modern countries able to develop health care policies in accordance to scientific progress. This allowed to stop the transmission of communicable diseases. Mental health disorders are one of the 4 public health priorities along with cardio-vascular diseases, cancers an consequences of accidents. New care methods have to be found in order to be adapted to recent needs. In many countries, mental health care have been and still are on the way to be modified. These major modifications will be illustrated by the French "sectorisation" which will be replaced in the context of complete reconversion of the French mental health care system. Two research streams will be proposed: research focused on the health care system which will enlight the different systems, their characteristics, activities and adequation; epidemiological studies in order to measure population needs in term of mental health, to clarify how mental health disorders appear and what sort of care are used by the persons. To illustrate these themas, the author will present his own experience. For more than 25 years he was operating on complex private mental health care system using the resources of an epidemiological unit in order to plan the development of this care system.

Delivery of Health Care↗
PubMed1988

[The place of the patient or the misfortune of the institution].

Changes in psychiatric practices derive from noticeable revision of conceptual framework and from the presence of different resources available to treat mental health problems. After an absolute priority given to the psychiatric hospital which in hand of an able doctor like Esquirol was certainly a splendid instrument of care, has followed the "Sector concept" (catchment area) which ideally insists on preventive and therapeutic measures directed toward the sick or presumably sick individual. But such evolutions are seldom linear and vicious genius tends to slow if not to reverse the process. The author retraces here the evolution of a psychiatric care system managed by himself for 25 years. Originally created by Sivadon in the context of relative freedom due to appurtenance to the private sector, this experience has been developed through addition of a variety of therapeutic structures to end up with a comprehensive System of social psychiatric deserving a catchment area. The author gives us his insights on the slowly made modifications to the functioning of this structure. He confirms the value of the catchment area framework but in the same time underlines his risks.

Catchment Area, Health↗
PubMed1986

[Evaluation of day hospital care. Improvement factors and chronicity factors].

From a long term study, the authors analyse the becoming of a 337 psychiatric patients cohort, treated in a day hospital. They examine particularly the correlations between the results (individual and institutional), the primary therapeutic objective and the means employed to reach it. The factor analysis of correspondence (Benzecri's method) permitted them to point out and classify some groups related to the therapeutic projects and their destiny. The relation between the length of stay (cost indicator), the means employed (mean indicator) and the results obtained (result indicator), requires a very thorough analysis to evaluate the possible determinants of health economy studies.

Adult↗