[Evolution of polyvalent intravenous immunoglobulins (IVIg) prescription, at the Assistance Publique - Hopitaux de Paris between 1988 and 1997. Results of the plan of action set up in order to regulate the prescription]. / Evolution des prescriptions des immunoglobulines intraveineuses polyvalentes (IgIV) à l'Assistance Publique -Hôpitaux de Paris entre 1988 et 1997.

In 1991 the public hospitals in Paris set up a plan to regulate the prescription of IVIg. The plan includes an expert committee and reliable data collection. The expert committee has a threefold mission: i) perform an annual up-date of IVIg classification using three categories: accepted indications (group I), currently deabated indications (group II), and unwarranted indications (group III); ii) develop guidelines for improved therapeutic strategies; iii) stimulate research. Data on use of IVIg are collected in 16 pilot hospitals. These data designate IVIg prescriptions by indication. Data are centralized by the CEDIT which publishes an annual report. Between 1988 and 1991, prescription of IVIg increased at an average annual rate of 33%. Between 1991 and 1996, the amount of IVIg used leveled off: approximately 330 kilograms/year, excluding research protocols. In 1997 there was a decline to 299 kilograms accounting for a total expenditure of 44 million French francs (US$ 6.7M). In 1997, group I prescriptions represented 80% of all IVIg prescriptions, group II 9.8% and group III 9.1%. Comparison of medical practice with a scientificaly recognised reference made it possible for AP-HP to set up an effective regulation of IVIg prescriptions. The longevity of this evaluation work is by itself a success.

[An analysis of the organization, profile of the clientele and pathologies managed in the urology division of the Public Assistance-Hospital of Paris. A 15-day cross-sectional survey of 10 services]. / Analyse de l'organisation, du profil de clientèle et des pathologies prises en charge en consultation d'urologie à l'Assistance Publique-Hôpitaux de Paris. Enquête transversale de 15 jours dans 10 services.

A cross-sectional study was carried out in ten urology departments over a two-week period. Three categories of data were collected concerning socio-economic status and epidemiological profiles and management of the patients. The results are presented with comparative analysis of performance of the clinics, and the epidemiological data are analysed with reference to the inpatient case mix.

[Endocrinology in Paris Public Assistance hospitals. Development of hospitalization activity from 1981 to 1990]. / L'endocrinologie à l'Assistance Publique-Hôpitaux de Paris. Evolution de l'activité d'hospitalisation de 1981 à 1990.

An analysis of data of thirteen endocrinology wards gives an overview of hospital activity and epidemiological profiles for a ten-years period. The decrease of the A.L.O.S., the extra-regional recruitment and the shift of in-patient care toward day care show the development of specialization of this discipline.

[Analysis of endocrinology consultations in Paris public assistance hospitals: cross-sectional survey of 15 days in 10 departments]. / Analyse des consultations d'endocrinologie à l'assistance publique-hôpitaux de Paris: enquête transversale de 15 jours dans 10 services.

A cross-sectional study was carried out in ten endocrinology departments for a two-week period of time. Three categories of data were collected concerning socio-economic status and epidemiological profiles and management of the patients. The results are presented with comparative analysis of performance of the clinics, and epidemiological data are analysed with reference to the inpatient case mix.