RESUMO
Skillmix is often proposed as a measure to address the growing needs of an aging population with its expected increase in chronic diseases. This article reports on a symposium on interprofessional collaboration which took place in the canton of Valais in Switzerland. Reviews of the literature on interprofessional collaboration show evidence in favor of the effectiveness of having interactions between physicians, nurses, pharmacists and physiotherapists. A critical analysis of different forms of coordinated care within family medicine supports the effectiveness of these approaches. However, these approaches now need to be tested in Switzerland.
Parmi les mesures évoquées pour faire face au vieillissement de la population et à l'augmentation attendue des maladies chroniques, de meilleurs partage et emploi des compétences entre les différents professionnels de santé sont souvent évoqués. Cet article est le compte rendu d'un colloque sur l'interprofessionnalité qui a eu lieu en Valais. Ont été présentées des revues de la littérature sur l'interprofessionnalité, mettant l'accent sur les preuves de l'efficacité d'une interaction entre médecins, infirmiers, pharmaciens et physiothérapeutes. Une analyse critique des différentes formes de coordination des soins en médecine de famille montre l'efficacité de ces approches. Il est toutefois nécessaire de les tester en Suisse.
Assuntos
Comportamento Cooperativo , Relações Interprofissionais , Equipe de Assistência ao Paciente/organização & administração , Humanos , Equipe de Assistência ao Paciente/normas , Farmacêuticos/organização & administração , Farmacêuticos/normas , Médicos/organização & administração , Médicos/normas , SuíçaRESUMO
Today's dentistry should aim at minimizing cost, simplifying techniques, allowing procedural revi sions and finally at facilitating corrections and repairs. The development of direct or indirect light-cured composite resin copings, coupled with ball attachments (Dalbo-Rotex according to Brunner) and a suprastructure which is veneered by means of light-cured composite or acrylic resin, may offer a cost-effective perio-overdenture without compromising on periodontal health and providing optimal esthetics. Since July 2003, eighteen new perio-overdentures with a total of 70 copings made of light-cured microhybrid composite resin were delivered. The aim of this article is to discuss the technical aspects and preliminary results regarding this technique.