The treatment of type 2 diabetics through a spatially-centered care network: what contributions? Case of DIABIR
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Date
2019-07-01
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Abstract
A health care system faces a number of limitations which, all of them, can make the organization of its distribution of care, at a given moment, its inoperative evolution. Indeed, the traditional organizational patterns on which this distribution of care is based can experience a shortness of breath since the care provided to patients has several characteristics: continuous care, global care, quality care ... To answer these legitimate quests of sick to be better informed and to benefit from a more humane, better coordinated and closer to their place of life, care networks can help to correct a number of difficulties inherent in the distribution of care through schemas classics.
The organization by network is called to play a primordial role and to hold a prominent place in the current organization of the distribution of care and this by its triple contribution to know:
- adopt a new patient-centered approach;
- make changes in organizational patterns to distribute the care focused for the time on public health care facilities and private medicine;
- to guide the reflection of all health care providers to become real actors for the restructuring of the healthcare system and hospital reform by fighting against hospital-centrism but also to decompartmentalize practices.
The birth of the DIABIR network follows the global explosion of T2 diabetes underpinned by the pandemic of obesity. Algeria is a country that does not escape this fact since type 2 diabetes is considered a major public health problem given the growing number of patients and the feeling of failure of health professionals in this disease , this on the one hand. On the other hand, this network has the mission of early detection and education of patients in this disease in other words it is to make the prevention of T2 diabetes and its possible complications.
The central question that we ask ourselves and on which rests all our writing is to know what are the contributions able to bring out of the care of the type 2 diabetics through a space-centered care network: case of DIABIR?
It is a matter of recounting the experience lived by health professionals by having created a DIABIR network of care intended for a population pool at the level of a health sector of Algiers center, with a focus on changes in health. practices that this experiment has with regard to the activity of these professionals and their auxiliary by emphasizing the contributions of this network with regard to the complementarity and coordination of care in relation to the individualization of care. What does the classic scheme of care entail, putting the doctor in touch with his patient?
Indeed, in this paper, we will wonder about the changes brought about by the setting up of this DIABIR care network on certain practices of the health professionals resulting, for the most part, from the system of care in question whereas this last one has difficult to know an improvement either in terms of practices or the organizational schema of care.
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healthcare network, DIABIR network, health professionals, traditional care plan, complementarity of care, contribution of care networks.