| Records |
| Author |
Wapf, Bettina; Peters, Matthias |
| Title |
Evaluation des services médicaux régionaux (SMR) : rapport dans le cadre du programme de recherche pluriannuel sur l'assurance invalidité (PR-AI) |
Type |
Report |
| Year |
2007 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages  |
xxxi, 94 |
| Keywords |
program planning, implementation, and evaluation; insurance; AODR disability; medical examiner; Switzerland |
| Abstract |
Au début des années 90, la forte augmentation du nombre de bénéficiaires de prestations AI et donc des coûts, entraînant une aggravation régulière de la situation financière de l’assurance, a abouti à la 4e révision de l’AI. Celle-ci prévoyait, entre autres, la création des services médicaux régionaux (SMR), dotés de la compétence de procéder eux-mêmes à des examens médicaux. L’objectif du présent mandat est d’évaluer de manière approfondie les SMR et la manière dont ils collaborent avec les offices AI. Nous avons mis l’accent, d’une part, sur les structures et les processus et, d’autre part, sur les conséquences de la création des SMR. Nous avons à cet effet analysé des documents et réalisé des entretiens dans les SMR et les offices AI. En résumé, l’évaluation conclut que la création des SMR a produit une partie des effets escomptés, même s’il reste des améliorations à apporter et que les objectifs ne sont pas encore atteints. La structure de l’AI étant fédéraliste, la mise en œuvre des SMR l’est aussi ; ceux-ci ont donc pris des formes très diverses sans guère de points communs. Il est par conséquent difficile de tirer des conclusions nettes sur le lien entre les caractéristiques des SMR ou de leur collaboration avec les offices AI d’un côté et l’activité des SMR de l’autre. Nous supposons en outre qu’une valeur clé comme le taux de rentes et les chiffres qui en découlent sont déterminés par de multiples facteurs, avant tout d’ordre contextuel, et que les caractéristiques organisationnelles de l’AI ne jouent qu’un rôle mineur. Par ailleurs, les données sont insuffisantes pour permettre une analyse précise de ces liens. Une évaluation fiable ne sera possible que lorsque les données seront recueillies d’une manière clairement définie, uniforme et systématique, comme l’étude de faisabilité l’avait proposé. Les données fournies par les SMR ne sont pas très utiles, car leur collecte comporte trop d’imprécisions. Anfang der 1990er Jahre führte eine starke Zunahme der IV-Leistungsbezügerinnen und IV-Leistungsbezüger und damit verbunden eine zunehmend Verschlechterung der finanziellen Situation der IV zur 4. IVG-Revision. Im Rahmen dieser Revision wurden unter anderem die regionalen ärztlichen Dienste (RAD) mit eigener Untersuchungskompetenz eingeführt. Das Ziel dieser Evaluation besteht darin, die RAD und das Zusammenspiel zwischen RAD und IV-Stelle umfassend zu evaluieren. Schwerpunkte sind dabei zum einen die Aufbau- und Durchführungsprozesse, zum andern die Auswirkungen der RAD-Einführung. Neben Dokumentenanalysen wurden Interviews in den RAD und IV-Stellen durchgeführt. Zusammenfassend kommt die Evaluation zum Schluss, dass die Einführung der RAD die erwarteten Entwicklungen eingeleitet hat, wenn auch weiter daran gearbeitet werden muss und die Ziele noch nicht erreicht sind. Aufgrund der föderalistischen Struktur der IV-Organisation und damit auch der Umsetzung der RAD entwickelte sich eine grosse Vielfalt unterschiedlicher Erscheinungsformen von RAD, die nur beschränkt Gemeinsamkeiten aufweisen. Es lassen sich deshalb auch keine schlüssigen Zusammenhänge zwischen den Merkmalen der RAD bzw. der Zusammenarbeit von RAD und IV-Stelle auf die Tätigkeit der RAD feststellen. Zudem vermuten wir, dass Schlüsselgrössen wie die Berentungsquote und die daraus ableitbaren Folgegrössen durch eine Vielzahl, vor allem kontextueller Faktoren bestimmt werden und die Merkmale der IV-Organisation nur beschränkt von Bedeutung sind. Einer präzisen Analyse der oben erwähnten Zusammenhänge steht auch die schlechte Datenlage entgegen. Eine verlässliche Evaluation kann nur vorgenommen werden, wenn klar definierte Daten einheitlich und systematisch gesammelt werden, wie das die seinerzeitige Machbarkeitstudie vorschlug. Die von den RAD gelieferten Daten sind wenig hilfreich, da es zu viele Ungenauigkeiten in der Erfassung gibt. Il forte aumento del numero di beneficiari di prestazioni AI all’inizio degli anni Novanta e il conseguente peggioramento della situazione finanziaria dell’AI hanno portato alla 4a revisione AI. Una delle novità di quest’ultima è stata l’introduzione di Servizi medici regionali (SMR) dotati della competenza di svolgere propri esami. L’obiettivo di questo studio è di fornire un’ampia valutazione dei SMR e della loro collaborazione con gli uffici AI. L’analisi si concentra principalmente sulla costituzione dei SMR, sui processi esecutivi e sulle conseguenze dell’introduzione dei SMR. Oltre all’analisi della documentazione, gli autori dello studio hanno proceduto ad una serie di interviste presso i SMR e gli uffici AI. In sintesi, la valutazione giunge alla conclusione che l’introduzione dei SMR ha innescato gli sviluppi auspicati. Il lavoro non è però terminato e gli obiettivi non sono ancora raggiunti. A causa della struttura federalistica dell’organizzazione dell’AI e quindi anche dell’introduzione dei SMR, si è assistito allo sviluppo di una moltitudine di forme di SMR che si assomigliano solo parzialmente. Per questa ragione, non è possibile determinare l’influenza delle caratteristiche dei SMR o della collaborazione tra SMR e uffici AI sull’attività dei SMR. Si presume inoltre che alcuni indicatori chiave quali la quota delle nuove rendite e gli indicatori che ne derivano siano determinati da numerosi fattori, soprattutto contestuali, e che le caratteristiche dell’organizzazione dell’AI abbiano un’influenza marginale. Un altro fatto che impedisce un’analisi precisa delle summenzionate relazioni è la lacunosità dei dati disponibili. Per una valutazione attendibile è indispensabile raccogliere in modo uniforme e sistematico una serie ben definita di dati, come proposto a suo tempo nello studio di fattibilità. I dati forniti dai SMR sono di scarsa utilità, poiché sono stati rilevati con troppa imprecisione. In the early 1990s, a strong increase in DI (disability insurance) beneficiaries and the resulting deterioration of the DI system’s financial situation gave rise to the 4th revision of DI legislation. Among other things, this revision provided for the introduction of regional medical services (regionale ärztliche Dienste RAD) with their own evaluating competence. The aim of the present study is to assess RAD and the interplay between RAD and the DI office, with a special focus on introduction and implementation processes, as well as the impact of RAD implementation. It is based on a study of relevant documents, and interviews with RAD and DI representatives. The evaluation arrives at the conclusion that the introduction of RAD has launched the expected developments, although the ultimate goals have not yet been reached and further work is required. Due to the federal structure of the DI and consequently of RAD implementation, RAD assumed a variety of different forms, which make it impossible to establish binding similarities between RAD characteristics or the cooperation between RAD and DI offices. We also assume that key values such as pension recipients’ quotas and resulting other values are determined by a number of primarily contextual factors and that the characteristics of DI organisation have only limited significance. Moreover, a precise analysis of the above-mentioned relationships is rendered difficult by a poor data base. A reliable evaluation is only possible if clearly defined data are gathered in uniform and systematic manner, as suggested by the feasibility study. The data provided by RAD are not very helpful, since they are not precise enough. |
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Thesis |
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| Publisher |
Office fédéral des assurances sociales (OFAS) |
Place of Publication |
Berne |
Editor |
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| Language |
French; German; Italian; English |
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| Notes |
Französischer Text, Vorwort und Zusammenfassung auf Deutsch, Italienisch und Englisch; testo in francese, premessa e riassunto in tedesco, italiano ed inglese; French text, foreword and summary in German, Italian, and English; auch auf Deutsch vorhanden |
Approved |
no |
| Call Number |
50-aab |
Serial |
56081 |
| Permanent link to this record |
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| Author |
Jeanrenaud, Claude; Widmer, Gaëlle; Pellegrini, Sonia |
| Title |
Le coût social de la consommation de drogues illégales en Suisse |
Type |
Report |
| Year |
2005 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
vii, 94, annexes |
| Keywords |
illicit drug; economic cost of AODU; social cost of AOD; Switzerland |
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| Publisher |
Université de Neuchâtel, Institut de Recherches économiques et régionales (IRER) |
Place of Publication |
Neuchâtel |
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| Language |
French |
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Approved |
no |
| Call Number |
50-10984 |
Serial |
56350 |
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| Author |
Burris, Scott; Strathdee, Steffanie A.; Vernick, Jon S. |
| Title |
Syringe access law in the United States : a state of the art assessment of law and policy |
Type |
Report |
| Year |
2002 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
94 |
| Keywords |
public policy; harm reduction; needle distribution and exchange; laws and regulations; assessment; United States |
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| Publisher |
Center for Law and the Public's Health at Johns Hopkins and Georgetown Universities, Johns Hopkins Bloomberg School of Public Health |
Place of Publication |
Baltimore |
Editor |
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| Language |
English |
Summary Language |
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no |
| Call Number |
50-13301 |
Serial |
56641 |
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| Author |
Cloutier, Marcelin |
| Title |
Etude sur la consommation de psychostimulants, la violence, l'appartenance culturelle avec pour réponse un projet de travail de rue |
Type |
Report |
| Year |
2000 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
94 |
| Keywords |
harm reduction; street work; Switzerland; Jura; Delémont |
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| Publisher |
Ligue jurassienne contre les toxicomanies (LJT) |
Place of Publication |
Delémont |
Editor |
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| Language |
French |
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Approved |
no |
| Call Number |
02.02-010 |
Serial |
56676 |
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| Author |
Ledermann, Simone; Sager, Fritz; Zobel, Frank |
| Title |
Die Drogenpolitik der Schweiz : drittes Massnahmenpaket des Bundes zur Verminderung der Drogenprobleme (MaPaDro III) 2006-2011 |
Type |
Book Whole |
| Year |
2006 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
93 |
| Keywords |
government and politics; Switzerland |
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Thesis |
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| Publisher |
Bundesamt für Gesundheit (BAG) |
Place of Publication |
Bern |
Editor |
Bundesamt für Gesundheit |
| Language |
German |
Summary Language |
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Original Title |
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| Series Editor |
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ISBN |
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| Notes |
Kurzversion auf Deutsch auch vorhanden: 13.01-061; aussi disponible en français: 50-05853 |
Approved |
no |
| Call Number |
50-05852 |
Serial |
49344 |
| Permanent link to this record |
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| Author |
Hubbard, Ron L. |
| Title |
La purification : une réponse illustrée au problèmes de drogues |
Type |
Book Whole |
| Year |
1985 |
Publication |
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Abbreviated Journal |
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Issue |
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Pages |
93 |
| Keywords |
treatment and maintenance; outpatient care |
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| Publisher |
New Era |
Place of Publication |
Copenhague |
Editor |
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| Language |
French |
Summary Language |
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| Notes |
Ron L. Hubbard = Gründer von Scientology |
Approved |
no |
| Call Number |
01.02-007 |
Serial |
49368 |
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| Author |
Dobler-Mikola, Anja; Grichting, Esther; Reichlin, Marcus; Schaaf, Susanne; Berger Hoins, Christa |
| Title |
Der Forschungsverbund stationäre Suchttherapie FOS im Jahr 1999 : Tätigkeitsbericht und Jahresstatistik : Gegenüberstellung von Kurz-, Mittel- und Langzeittherapie |
Type |
Report |
| Year |
2000 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
93, Anhänge |
| Keywords |
monitoring; addiction care; treatment and maintenance; inpatient care; patient; treatment duration; quality; statistical data; AOD dependence; chemical addiction; Switzerland; Aargau; annual report |
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| Publisher |
Forschungsverbund stationäre Suchttherapie (FOS); Institut für Suchtforschung (ISF) |
Place of Publication |
Zürich |
Editor |
Koordinationsstelle des FOS |
| Language |
German |
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| Notes |
Aussi disponible en français: 10-010; Recyclingpapier! |
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no |
| Call Number |
10-009 |
Serial |
50351 |
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| Author |
Osservatorio europeo delle droghe e delle tossicodipendenze |
| Title |
Relazione annuale 2007 : evoluzione del fenomeno della droga in Europa |
Type |
Report |
| Year |
2007 |
Publication |
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Abbreviated Journal |
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Issue |
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Pages |
93 |
| Keywords |
AOD public policy strategy; public policy on illicit drugs; other drug laws; cannabis; MDMA; ecstasy; LSD; cocaine; crack cocaine; intravenous injection; opioids in any form; piperazine; ketamine; gamma-hydroxybutyric acid; communicable disease; AODR mortality; Europe; annual report |
| Abstract |
The report on the state of the drugs problem in Europe presents the EMCDDA’s yearly overview of the drug phenomenon. This is an essential reference book for policy-makers, specialists and practitioners in the drugs field or indeed anyone seeking the latest findings on drugs in Europe. Published every autumn, the report contains non-confidential data supported by an extensive range of figures. |
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Ufficio delle pubblicazioni ufficiali delle Comunità europee |
Place of Publication |
Lussemburgo |
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Italian |
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Series Title |
Relazione annuale |
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| ISSN |
1609-6169 |
ISBN |
978-92-9168-294-2 |
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| Notes |
Auch auf Deutsch vorhanden: 13.02-036; aussi disponible en français: 50-11651; also available in English: 50-11653 |
Approved |
no |
| Call Number |
50-z |
Serial |
50483 |
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| Author |
Huber, Milo; Weber, Rainer; Oppliger, Robert; Vernazza, Pietro; Schmid, Patrick; Schönbucher, Peter; Bertisch, Barbara; Meili, Daniel; Renner, Eberhard |
| Title |
Interferon-alpha2a plus ribavirin 1000/1200 mg versus interferon-alpha2a plus ribavirin 600 mg for treatment of chronic hepatitis C among patients in opiate substitution programs : an open-label randomized multicenter trial : Korrekturexemplar |
Type |
Journal Article |
| Year |
2005 |
Publication |
Infection |
Abbreviated Journal |
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| Volume |
33 |
Issue |
1 |
Pages |
93-97 |
| Keywords |
health promotion; viral hepatitis; hepatitis C |
| Abstract |
Background: Many intravenous opiate users are infected with hepatitis C virus (HCV) but few are treated. Although this complies with various guidelines, virtually no published evidence supports such a recommendation. Patients and Methods: In a multicenter study, HCV-infected patients in opiate maintenance treatment programs received interferon plus high- or low-dose ribavirin (1000/1200 mg or 600 mg). HIV-coinfected patients were not included. Endpoints were feasibility, efficacy, side effects, and reasons for dropout. Results: Of the 420 patients who tested positive for HCV, 27 (6%) were enrolled; 393 (94%) either failed to meet the inclusion criteria or refused treatment. Virologic end-of-treatment response was achieved in 12/27 patients, and sustained response in 13/27 (48%). Response depended on viral genotype, not ribavirin dose. The two doses of ribavirin did not differ in their side effects. Conclusion: In a small fraction of HCV-infected intravenous drug users in an opiate maintenance treatment program, antiviral therapy was feasible, safe and effective. The success rate was comparable to that achieved in controlled studies that excluded drug users. |
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English |
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| Notes |
Der Entwurf dieses Artikel ist auf Deutsch vorhanden, allerdings ohne EndNote-Eintrag (vgl. zweites pdf-file). |
Approved |
no |
| Call Number |
50-02758 |
Serial |
59746 |
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| Author |
Soulignac, Rodolphe; Croquette-Krokar, Marina |
| Title |
Paternité et toxico-dépendance |
Type |
Journal Article |
| Year |
2003 |
Publication |
Dialogue : recherches cliniques et sociologiques sur le couple et la famille |
Abbreviated Journal |
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Issue |
162; 09/2003 |
Pages |
93-100 |
| Keywords |
addiction; AOD dependence; chemical addiction; gender differences; woman; man; AOD dependent; father; role of father; literature review; treatment and maintenance; psychotherapy |
| Abstract |
Dans la plupart des lieux de soins qui accueillent des toxicomanes, la répartition classique de la population rencontrée est deux tiers d’hommes pour un tiers de femmes. La problématique apparaît davantage masculine que féminine. Il est frappant de constater que les parcours de vie de ces toxicodépendants les conduisent répétitivement à rencontrer des figures paternelles avec lesquelles ils ont des relations très souvent construites sur le mode du défi : enseignant, éducateur, médecin, policier, juge, sont quelques-unes de ces figures. La toxico-dépendance semble avoir quelques liens avec la question paternelle. Jean Bergeret, en 1980, après examen de 186 dossiers de patients toxico-dépendants, constate que plus de 50 % des patients déclarent avoir de mauvaises relations avec leur père. Notre propre expérience clinique corrobore ce constat : les toxicomanes que nous avons rencontrés déclarent pour la plupart avoir, ou avoir eu, une mauvaise relation avec leur père, voire pas de relation du tout. Après un survol de la littérature sur les pères des toxicomanes, nous présenterons nos propres observations sur les toxicomanes pères et les conclusions que nous en tirons pour la psychothérapie. |
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French |
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Edition |
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| ISSN |
0242-8962 |
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| Notes |
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Approved |
no |
| Call Number |
50-11673 |
Serial |
59375 |
| Permanent link to this record |
