References of "Crismer, André"
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See detailLocal coordination between levels of care: opportunities and threats
Belche, Jean-Luc ULg; Duchesnes, Christiane ULg; Van der Vennet, Jean et al

Conference (2012, October 20)

Background: Coordination between levels of care is not compulsory in the Belgian health system. Patients have direct access to specialists. Hence, competition between professionals and fragmentation of ... [more ▼]

Background: Coordination between levels of care is not compulsory in the Belgian health system. Patients have direct access to specialists. Hence, competition between professionals and fragmentation of care do occur, leading to poor quality of care and waste of resources. A strategy that improves communication and coordination between actors and stakeholders at a local scale represents a solution to develop integrative care oriented to people and community. The Local Health System (LHS), launched 15 years ago with some success in specific settings in Belgium, is the model used for this experience. What could be the opportunities and threats to improve coordination between levels of care in various local contexts? [less ▲]

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See detailPrise en charge de l'insuffisance rénale chronique légère à modérée
Krzesinski, Jean-Marie ULg; Crismer, André ULg

in Revue Médicale de Liège (2006), 61(5-6, May-Jun), 405-13

The prevalence of chronic renal insufficiency, the cost related to its presence and the associated high cardiovascular risk are increasing. Early detection is needed, with, in parallel, identification of ... [more ▼]

The prevalence of chronic renal insufficiency, the cost related to its presence and the associated high cardiovascular risk are increasing. Early detection is needed, with, in parallel, identification of all frequently associated cardiovascular risk factors. The general practitioner here plays a major role. Sometimes, a first reference to the nephrologist is requested, for instance in the presence of a nephritic or nephrotic syndrome, of an alteration of glomerular filtration rate without any clear explanation , or of a rather advanced renal dysfunction (a GFR < 60 ml/min in people < 65 years or < 45 ml/min in the others). This paper is concerned with mild and moderate forms of kidney disease (stages 1 to 3). In case of progression, a closer collaboration must exist between the general practitioner, the nephrologist and a trained dietician to slow down this progression, limit its consequences and delay as long as possible the initiation of kidney function supplying techniques. [less ▲]

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