ORCID Profile
0000-0001-7475-1120
Current Organisations
Haute École Spécialisée de Suisse Occidentale Institut et Haute École de la Santé La Source
,
PRISM - Promotion des réseaux intégrés de soins aux malades
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Related Links
Publications
Comprehensive overview of integrated care in Switzerland: Results of the 1st Swiss Survey on Integrated Care (Abstract - 17th International conference on integrated care, Dublin, May 2017)
Publisher: Ubiquity Press, Ltd.
Date: 17-10-2017
DOI: 10.5334/IJIC.3428
Financial Barriers Decrease Benefits of Interprofessional Collaboration within Integrated Care Programs: Results of a Nationwide Survey
Publisher: Ubiquity Press, Ltd.
Date: 18-03-2020
DOI: 10.5334/IJIC.4649
Integrated care in Switzerland: results from the first nationwide survey
Publisher: Elsevier BV
Date: 06-2018
Serological Evidence of Exposure to Spotted Fever Group and Typhus Group Rickettsiae in Australian Wildlife Rehabilitators
Publisher: MDPI AG
Date: 12-06-2021
DOI: 10.3390/PATHOGENS10060745
Abstract: Rickettsioses are arthropod-borne zoonotic diseases, several of which occur in Australia. This study aimed to assess the exposure levels and risk factors for Rickettsia spp. among Australian wildlife rehabilitators (AWRs) using serology, PCR and a questionnaire. Antibody titres against Spotted Fever Group (SFG), Typhus Group (TG) and Scrub Typhus Group (STG) antigens were determined using an immunofluorescence assay. PCR targeting the gltA gene was performed on DNA extracts from whole blood and serum. Logistic regression was used to identify risk factors associated with seropositivity. Of the 27 (22.1% 27/122) seropositive participants all were seropositive for SFG, with 5/27 (4.1%) also positive for TG. Of the 27 positive sera, 14.8% (4/27) were further classified as exposure to R. australis, 3.7% (1/27) to R. honei, 3.7% (1/27) to R. felis and 77.8% (21/27) were classified as ‘indeterminate’—most of which (85.7% 18/21) were indeterminate R. australis/R. honei exposures. Rickettsia DNA was not detected in whole blood or serum. Rehabilitators were more likely to be seropositive if more than one household member rehabilitated wildlife, were older than 50 years or had occupational animal contact. These findings suggest that AWRs are at increased risk of contracting Rickettsia-related illnesses, however the source of the increased seropositivity remains unclear.
Written interprofessional communication in the context of home healthcare: A qualitative exploration of Swiss perceptions and practices.
Publisher: Informa UK Limited
Date: 22-05-2019
Realist evaluation of a pilot intervention implementing interprofessional and interinstitutional processes for transitional care
Publisher: Informa UK Limited
Date: 02-10-2021
Molecular detection of Coxiella burnetii in raw meat intended for pet consumption
Publisher: Wiley
Date: 29-04-2020
DOI: 10.1111/ZPH.12707
Integrated Care in Switzerland: Strengths and Weaknesses of a Federal System
Publisher: Ubiquity Press, Ltd.
Date: 2021
DOI: 10.5334/IJIC.5668
Switzerland
Publisher: Springer International Publishing
Date: 2021
Transitional shared decision‐making processes for patients with complex needs: A feasibility study
Publisher: Wiley
Date: 20-03-2021
DOI: 10.1111/JEP.13561
Abstract: Shared decision‐making (SDM) processes, combining patients' and professionals' perspectives, are especially necessary for patients with complex needs (CNs) during their care transitions. In 2016, we started implementing interprofessional and interinstitutional SDM processes (IIPs) for patients admitted to a short‐stay unit (SSU) for inpatient care and then followed‐up by primary care providers. Two types of IIPs were identified: (a) iterative IIPs, and (b) meeting IIPs. These differed in terms of the timing of SDM processes: whereas the former were multilateral and iterative, meeting IIPs were simultaneous. However, the two processes had similar outcomes and participants had similar characteristics. The intervention included other components, such as CNs assessment and a care coordinator position. The present study aimed to assess the feasibility of the intervention's implementation. The intervention's feasibility was assessed using fidelity and coverage indicators. We collected data from the patients' records on (a) patients' and professionals' characteristics, (b) the fidelity (CNs evaluations and occurrences of IIPs), and (c) the intervention's coverage (types of IIPs, participants). The study included 453 patients between September 2017 and February 2019: mean age of 82.3 years, 65.6% women and 61.1% considered to have CNs. For patients with CNs, iterative IIPs and meeting IIPs occurred in 78.3% and 23.8% of cases, respectively. 35.1% of iterative IIPs and 8.8% of meeting IIPs for patients with CNs involved patients or their informal caregivers, inpatient professionals, primary care physicians and homecare professionals. These results showed that an intervention targeting the implementation of formalized IIPs for SDM in transitional care was feasible. However, to improve the evaluation of such interventions, other methods should be used to measure their appropriateness and acceptability. Additionally, assessing the effects of IIPs would legitimize their funding, supporting their sustainability and generalisability.
Appropriateness of colonoscopy in Europe (EPAGE II). Chronic diarrhea and known inflammatory bowel disease
Publisher: Georg Thieme Verlag KG
Date: 11-03-2009
Healthcare system maturity for integrated care: results of a Swiss nationwide survey using the SCIROCCO tool
Publisher: BMJ
Date: 02-2021
DOI: 10.1136/BMJOPEN-2020-041956
Abstract: To assess the maturity of the Swiss healthcare system for integrated care and to explore whether this maturity varied according to several variables. A Swiss nationwide in idual electronic survey in November 2019. Stakeholders identified via lists of the Swiss Forum for Integrated Care and of the integrated care unit of the Swiss Federal Office of Public Health, and representatives of 26 cantonal public health departments, were invited to participate. The outcome was the maturity of the Swiss healthcare system for integrated care, measured with the Scaling Integrated Care in Context maturity model tool (SCIROCCO tool), which comprises 12 dimensions and questions rated on a 6-point scale. Univariate analyses were first performed, followed by bivariate analyses, to find out whether maturity varied according to working linguistic region, healthcare profession, main domain of professional activity, implication in integrated care, attitude towards integrated care and attitude towards the Swiss healthcare system. The 642 respondents were 53.7 years on average, 42.5% were women, 60.0% and 20.7% worked in the German and French-speaking parts of Switzerland, respectively. Overall, the maturity of the Swiss healthcare system for integrated care was evaluated as low, with dimension means ranging from 1.0 (±1.0) for the ‘Funding’ dimension to a maximum of 2.7 (±1.1) for ‘eHealth Services’. Results only varied according to the working linguistic region. Results highlight a limited maturity of the Swiss healthcare system for integrated care, as assessed at a national level by a large and varied number of healthcare stakeholders. They represent important information for the further development of integrated care in Switzerland, and should help identify areas requiring attention for a successful transformation of the Swiss healthcare system towards more integrated care.
Appropriateness of colonoscopy in Europe (EPAGE II) – Functional bowel disorders: pain, constipation and bloating
Publisher: Georg Thieme Verlag KG
Date: 11-03-2009
Abstract: To summarize the published literature on assessment of appropriateness of colonoscopy for the investigation of functional bowel symptoms, and report appropriateness criteria developed by an expert panel, the 2008 European Panel on the Appropriateness of Gastrointestinal Endoscopy, EPAGE II. A systematic search of guidelines, systematic reviews and primary studies regarding the evaluation and management of functional bowel symptoms was performed. The RAND/UCLA Appropriateness Method was applied to develop appropriateness criteria for colonoscopy for these conditions. Much of the evidence for use of colonoscopy in evaluation of chronic abdominal pain, and/or constipation and/or abdominal bloating is modest. Major limitations include small numbers of patients and lack of adequate characterization of these patients. Large community-based follow-up studies are needed to enable better definition of the natural history of patients with functional bowel disorders. Guidelines stress that alarm features ("red flags"), such as rectal bleeding, anemia, weight loss, nocturnal symptoms, family history of colon cancer, age of onset > 50 years, and recent onset of symptoms should all lead to careful evaluation before a diagnosis of functional bowel disorder is made. EPAGE II assessed these symptoms by means of 12 clinical scenarios, rating colonoscopy as appropriate, uncertain and inappropriate in 42 % (5/12), 25 % (3/12), and 33 % (4/12) of these, respectively. Evidence to support the use of colonoscopy in the evaluation of patients with functional bowel disorders and no alarm features is lacking. These patients have no increased risk of colon cancer and thus advice on screening for this is not different from that for the general population. EPAGE II criteria, available online (www.epage.ch), consider colonoscopy appropriate in patients of > 50 years with chronic or new-onset bowel disturbances, but not in patients with isolated chronic abdominal pain.
Related Organisations
Agence Pour Le Développement Et L'évaluation En Santé
Location: Switzerland
Haute École Spécialisée De Suisse Occidentale Institut Et Haute École De La Santé La Source
Location: Switzerland
Geneva Health Department / University Of Geneva
Location: Switzerland
PRISM - Promotion Des Réseaux Intégrés De Soins Aux Malades
Location: Switzerland
Institute Of Social And Preventive Medicine IUMSP
Location: Switzerland
Related Funding Activities
No related grants have been discovered for Séverine Schusselé Filliettaz.