L'impact de l'utilisation de la tarification à l'activité sur la qualité et l'accès aux soins à l'hôpital public en France

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (921 download)

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Book Synopsis L'impact de l'utilisation de la tarification à l'activité sur la qualité et l'accès aux soins à l'hôpital public en France by : Amani Ziani Aouaz

Download or read book L'impact de l'utilisation de la tarification à l'activité sur la qualité et l'accès aux soins à l'hôpital public en France written by Amani Ziani Aouaz and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Un nouveau système de financement a été introduit dans les hôpitaux français. Ce système a été créé aux Etats-Unis puis adopté par de nombreux pays à travers le monde. Le nom de ce system est le paiement prospectif basé sur des groupes de patients ou Diagnosis Related Groups. Chaque DRG regroupe des patients présentant des similitudes de diagnostic et de prise en charge. Ce nouveau mode de financement est suspecté d'avoir des effets sur la qualité et l'accès aux soins. Une revue de la littérature internationale avait démontré que quelques effets tels que le raccourcissement de la durée de séjour, le phénomène du quicker and sicker et l'augmentation des transferts vers les services de soins infirmiers avaient été notés par plusieurs études empiriques. En France, il n'y a pas eu d'études empiriques démontrant l'existence de tels effets mais le personnel travaillant au sein de l'hôpital tel que les médecins et les infirmiers éprouvent des contraintes et une surcharge de travail depuis la mise en place du nouveau mode de financement. L'expérience récente de la nouvelle tarification en France et l'absence d'études empiriques ne nous permettent pas de faire des conclusions identiques à celles retrouvées au niveau international.

Qualité des soins et tarification à l'activité comme mode de financement des activités MCO à l'hôpital public

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (949 download)

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Book Synopsis Qualité des soins et tarification à l'activité comme mode de financement des activités MCO à l'hôpital public by : Jérôme Delsol

Download or read book Qualité des soins et tarification à l'activité comme mode de financement des activités MCO à l'hôpital public written by Jérôme Delsol and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ce mémoire a pour objet d'étudier les effets théoriques et constatés empiriquement du choix de la tarification à l'activité (T2A) comme mode de financement des activités de médecine, chirurgie et obstétrique (MCO) sur la qualité de l'offre de soins à l'Hôpital public ainsi que les principaux outils disponibles pour limiter les risques de baisse de cette qualité. Dix ans après la mise en oeuvre de la réforme, instaurée par le plan "hôpital 2007", cette étude commence par la définition du champ et des modalités d'application de la T2A ainsi que du cadre d'analyse de la notion, par nature multidimensionnel, de qualité des soins. Par la suite, ce mémoire s'intéresse aux bienfaits et risques anticipés par la littérature économique, aussi bien française qu'internationale, de ce mode de financement sur la qualité du service hospitalier mais aussi sur les constats empiriques pour lesquels il est difficile de tirer des conclusions claires et univoques. Ce constat conduit, dans une dernière section, à étudier les opportunités internes et extérieures à la T2A, pour prévenir toute baisse de la qualité des soins et en permettre l'amélioration. Enfin la conclusion ouvre le débat sur les autres enjeux, notamment éthiques, qui accompagnent les récentes réformes de l'hôpital public et de son financement.

The Nature of Sympathy

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Publisher : Routledge
ISBN 13 : 1351478869
Total Pages : 280 pages
Book Rating : 4.3/5 (514 download)

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Book Synopsis The Nature of Sympathy by : Max Scheler

Download or read book The Nature of Sympathy written by Max Scheler and published by Routledge. This book was released on 2017-07-28 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Nature of Sympathy explores, at different levels, the social emotions of fellow-feeling, the sense of identity, love and hatred, and traces their relationship to one another and to the values with which they are associated. Scheler criticizes other writers, from Adam Smith to Freud, who have argued that the sympathetic emotions derive from self-interested feelings or instincts. He reviews the evaluations of love and sympathy current in different historical periods and in different social and religious environments, and concludes by outlining a theory of fellow-feeling as the primary source of our knowledge of one another.A prolific writer and a stimulating thinker, Max Scheler ranks second only to Husserl as a leading member of the German phenomenological school. Scheler's work lies mostly in the fields of ethics, politics, sociology, and religion. He looked to the emotions, believing them capable, in their own quality, of revealing the nature of the objects, and more especially the values, to which they are in principle directed.

Health System Performance Comparison: an Agenda for Policy, Information and Research

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Publisher : McGraw-Hill Education (UK)
ISBN 13 : 033524727X
Total Pages : 418 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Health System Performance Comparison: an Agenda for Policy, Information and Research by : Irene Papanicolas

Download or read book Health System Performance Comparison: an Agenda for Policy, Information and Research written by Irene Papanicolas and published by McGraw-Hill Education (UK). This book was released on 2013-06-16 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.

Healthcare Reform in China

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Publisher : Springer
ISBN 13 : 3319697366
Total Pages : 256 pages
Book Rating : 4.3/5 (196 download)

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Book Synopsis Healthcare Reform in China by : Carine Milcent

Download or read book Healthcare Reform in China written by Carine Milcent and published by Springer. This book was released on 2018-02-14 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: How efficient is the Chinese healthcare system? Milcent examines the medication market in China against the global picture of healthcare organization, and how public healthcare insurance plans have been implemented in recent years, as well as reforms to tackle hospital inefficiency. Healthcare reforms, demographic changes and an increase in wealth inequity have altered healthcare preferences, which need to be addressed. Significantly, the patient–medical staff relationship is analysed, with new proposals for different lines of communication. Milcent puts forward digital healthcare in China as a tool to solve inefficiency and rising tensions, and generate profit. Where China is leading in the digitalization of healthcare, other countries can learn important lessons. Chinese social models are also put into context with respect to current reforms and experimentation.

Innovate Bristol

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Publisher :
ISBN 13 : 9781949677072
Total Pages : pages
Book Rating : 4.6/5 (77 download)

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Book Synopsis Innovate Bristol by : Sven Boermeester

Download or read book Innovate Bristol written by Sven Boermeester and published by . This book was released on 2019-12 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Innovate Bristol highlights and celebrates those companies and individuals that are actively working at building a better tomorrow for all. Innovation Ecosystems thrive through the involvement and support of companies and individuals from all industries, which is why the Innovate series not only focuses on the innovators but also those people whom the Innovation Ecosystem, would not be able to thrive without.

Steering from the Centre

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Publisher : University of Toronto Press
ISBN 13 : 1442610697
Total Pages : 297 pages
Book Rating : 4.4/5 (426 download)

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Book Synopsis Steering from the Centre by : B. Guy Peters

Download or read book Steering from the Centre written by B. Guy Peters and published by University of Toronto Press. This book was released on 2011-01-01 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Governments face new challenges in an era marked by globalization, shifting economic and national security policies, pervasive electronic media, and policy reform. Steering from the Centre details how chief executives in ten Western democracies have responded to governance challenges in the wake of reform ideas such as the New Public Management which stress deregulation and decentralization. This volume analyzes the extent to which the centre of government can retain political and administrative control when delivery of public services is increasingly done through networks, contacts, partnerships, and a host of other devolved arrangements. International in scope, Steering from the Centre covers the experiences of diverse countries and examines how various centralization/decentralization strategies have played out in these differing national and institutional contexts.

Farewell to the God of Plague

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Publisher : Univ of California Press
ISBN 13 : 0520288831
Total Pages : 374 pages
Book Rating : 4.5/5 (22 download)

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Book Synopsis Farewell to the God of Plague by : Miriam Gross

Download or read book Farewell to the God of Plague written by Miriam Gross and published by Univ of California Press. This book was released on 2016-01-19 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: Farewell to the God of Plague reassesses the celebrated Maoist health care model through the lens of MaoÕs famous campaign against snail fever. Using newly available archives, Miriam Gross documents how economic, political, and cultural realities led to grassroots resistance. Nonetheless, the campaign triumphed, but not because of its touted mass-prevention campaign. Instead, success came from its unacknowledged treatment arm, carried out jointly by banished urban doctors and rural educated youth. More broadly, the author reconsiders the relationship between science and political control during the ostensibly antiscientific Maoist era, discovering the important role of Ògrassroots scienceÓ in regime legitimation and Party control in rural areas.

Public Management Reform and Modernization

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Publisher : Edward Elgar Publishing
ISBN 13 : 1849802289
Total Pages : 331 pages
Book Rating : 4.8/5 (498 download)

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Book Synopsis Public Management Reform and Modernization by : Edoardo Ongaro

Download or read book Public Management Reform and Modernization written by Edoardo Ongaro and published by Edward Elgar Publishing. This book was released on 2009 with total page 331 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ongaro has made a major contribution to understanding the political and adminstrative systems of Southern Europe. The work goes beyond that, however, by providing an excellent example of comparative analysis in general. This book should be read by all students of comparative administration. B. Guy Peters, University of Pittsburgh, US and City University of Hong Kong This is an important book for several reasons. Public sector reform debates and policies have been heavily perhaps too heavily influenced by Anglo-Saxon models, and literature on reforms in the Latin part of Europe has, until now, only been available in a fragmented way. However, this unique new book offers a coherent vision across Southern Europe. It refers to important parts of our history and how these still influence current times. It also shows that culture does make a difference, and that contingencies are important. European public sector reform is as diverse as the range of its administrative histories, and this book is therefore crucial in our understanding of the future in relation to the past. Geert Bouckaert, Public Management Institute, Katholieke Universiteit Leuven, Belgium, and European Group for Public Administration This systematic, thorough and insightful book offers one of the very rare comparative studies of public management reform in Italy, France, Greece, Portugal and Spain. A unique and most valuable study. Walter Kickert, Erasmus University Rotterdam, the Netherlands Scholars of public management reform have been at it for many years but there was always a gap little was really known about southern Europe, those countries that come from the Napoleonic tradition. Now, Professor Edoardo Ongaro of Bocconi University has filled that gap, and we will all profit from his diligent and insightful work. Jeffrey D. Straussman, Nelson A. Rockefeller College of Public Affairs and Policy, University at Albany, US Theoretically eclectic and empirically rich, this is a much-needed volume on the dark side of the moon, that is, public management reform outside the Anglo-Saxon world. Edoardo Ongaro sheds light on Italy and four other Napoleonic systems by producing a far-reaching comparative analysis that also captures the effects of Europeanization and multi-level governance on public management reforms. Ambitious yet ultimately accessible, this book is a must-read for those who want to explain and understand the trajectories of reform in their historical context. Claudio Radaelli, University of Exeter, UK The reader will find in Professor Ongaro s book a clear and thorough discussion of the public sector reform process both in Italy and southern European countries based upon a systematic comparative framework. This is a very useful and original work that any student in comparative politics or public administration will highly appreciate. Luc Rouban, CNRS, Centre de Recherches Politiques de Science Po (CEVIPOF), Paris, France This scholarly volume makes an interesting and distinctive contribution to the global public management reform debate by offering an analysis of reform trajectories in an important but rather neglected group of Southern European countries. Ewan Ferlie, King's College London, UK Since the 1980s, a wave of reforms of public management has swept the world. The investigation into the effects of such major transformations has, however, been unbalanced: important countries have received only limited attention. This timely book fills the gap by investigating the dynamics of contemporary public management reform in five European countries that gave shape to the Napoleonic administrative tradition France, Greece, Italy, Portugal, Spain. Edoardo Ongaro presents an in-depth investigation of the reform of public management in these countries, revisiting major topics of theoretical interest in the study of public administration. He addresses key issues regarding the influence of the past on the transformation of the public se

Continuity and Change in Public Policy and Management

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Publisher : Edward Elgar Publishing
ISBN 13 : 1849802297
Total Pages : 233 pages
Book Rating : 4.8/5 (498 download)

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Book Synopsis Continuity and Change in Public Policy and Management by : Christopher Pollitt

Download or read book Continuity and Change in Public Policy and Management written by Christopher Pollitt and published by Edward Elgar Publishing. This book was released on 2011-01-01 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: This vivid book of 'continuity and change' in policy and management by Pollitt and Bouckaert follows in the footsteps of Pollitt's previous book on the issue of time, a vital but often neglected issue.

New Public Management in Europe

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Publisher : Springer
ISBN 13 : 0230625363
Total Pages : 241 pages
Book Rating : 4.2/5 (36 download)

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Book Synopsis New Public Management in Europe by : C. Pollitt

Download or read book New Public Management in Europe written by C. Pollitt and published by Springer. This book was released on 2007-01-09 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: The New Public Management paradigm seems to have produced a convergence of administrative reform. However, specific implementations of NPM show range of forms and results including performance indicators, personal reforms and evaluations of reforms. This text demonstrates how NPM is crafted differently in various institutional contexts.

Health Politics

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Publisher : CUP Archive
ISBN 13 : 9780521413350
Total Pages : 374 pages
Book Rating : 4.4/5 (133 download)

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Book Synopsis Health Politics by : Ellen M. Immergut

Download or read book Health Politics written by Ellen M. Immergut and published by CUP Archive. This book was released on 1992-08-28 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comparative analysis of the politics of national health insurance in Sweden, France and Switzerland, showing how the Swedes have developed the most 'socialized' health system in Western Europe, the Swiss the most 'privatized' and the French a conflict-ridden compromise between the two.

Tele-oncology

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Publisher : Springer
ISBN 13 : 3319163787
Total Pages : 91 pages
Book Rating : 4.3/5 (191 download)

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Book Synopsis Tele-oncology by : Giovanna Gatti

Download or read book Tele-oncology written by Giovanna Gatti and published by Springer. This book was released on 2015-06-09 with total page 91 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explains how telemedicine can offer solutions capable of improving the care and survival rates of cancer patients and can also help patients to live a normal life in spite of their condition. Different fields of application – community, hospital and home based – are examined, and detailed attention is paid to the use of tele-oncology in rural/extreme rural settings and in developing countries. The impact of new technologies and the opportunities afforded by the social web are both discussed. The concluding chapters consider eLearning in relation to cancer care and assess the scope for education to improve prevention. No medical condition can shatter people’s lives as cancer does today and the need to develop strategies to reduce the disease burden and improve quality of life is paramount. Readers will find this new volume in Springer’s TELe Health series to be a rich source of information on the important contribution that can be made by telemedicine in achieving these goals.

Computerization And The Transformation Of Employment

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Publisher : Routledge
ISBN 13 : 0429721854
Total Pages : 146 pages
Book Rating : 4.4/5 (297 download)

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Book Synopsis Computerization And The Transformation Of Employment by : Thomas M. Stanback

Download or read book Computerization And The Transformation Of Employment written by Thomas M. Stanback and published by Routledge. This book was released on 2019-04-08 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book aims to shed light on the impact of computerization on employment in terms of changes in the nature of work and career opportunities and changes in the distribution of occupations in three groups of organizations: municipal government, hospitals, and colleges and universities. .

Conventions and Structures in Economic Organization

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Publisher : Edward Elgar Publishing
ISBN 13 : 9781840645101
Total Pages : 361 pages
Book Rating : 4.6/5 (451 download)

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Book Synopsis Conventions and Structures in Economic Organization by : Olivier Favereau

Download or read book Conventions and Structures in Economic Organization written by Olivier Favereau and published by Edward Elgar Publishing. This book was released on 2002 with total page 361 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book contributes to the current rapprochement between economics and sociology. It examines the fact that individuals use rules and interdependencies to forward their own interests, while living in social environments where everyone does the same. The authors argue that to construct durable organizations and viable markets, they need to be able to handle both. However, thus far, economists and sociologists have not been able to reconcile the relationship between these two types of constrains on economic activity." -- BOOK JACKET.

The Body Economic

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Publisher : Basic Books
ISBN 13 : 0465063977
Total Pages : 242 pages
Book Rating : 4.4/5 (65 download)

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Book Synopsis The Body Economic by : David Stuckler

Download or read book The Body Economic written by David Stuckler and published by Basic Books. This book was released on 2013-05-21 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: Politicians have talked endlessly about the seismic economic and social impacts of the recent financial crisis, but many continue to ignore its disastrous effects on human health—and have even exacerbated them, by adopting harsh austerity measures and cutting key social programs at a time when constituents need them most. The result, as pioneering public health experts David Stuckler and Sanjay Basu reveal in this provocative book, is that many countries have turned their recessions into veritable epidemics, ruining or extinguishing thousands of lives in a misguided attempt to balance budgets and shore up financial markets. Yet sound alternative policies could instead help improve economies and protect public health at the same time. In The Body Economic, Stuckler and Basu mine data from around the globe and throughout history to show how government policy becomes a matter of life and death during financial crises. In a series of historical case studies stretching from 1930s America, to Russia and Indonesia in the 1990s, to present-day Greece, Britain, Spain, and the U.S., Stuckler and Basu reveal that governmental mismanagement of financial strife has resulted in a grim array of human tragedies, from suicides to HIV infections. Yet people can and do stay healthy, and even get healthier, during downturns. During the Great Depression, U.S. deaths actually plummeted, and today Iceland, Norway, and Japan are happier and healthier than ever, proof that public wellbeing need not be sacrificed for fiscal health. Full of shocking and counterintuitive revelations and bold policy recommendations, The Body Economic offers an alternative to austerity—one that will prevent widespread suffering, both now and in the future.

Governance in a Changing Environment

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Publisher : McGill-Queen's Press - MQUP
ISBN 13 : 0773565507
Total Pages : 347 pages
Book Rating : 4.7/5 (735 download)

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Book Synopsis Governance in a Changing Environment by : Guy Peters

Download or read book Governance in a Changing Environment written by Guy Peters and published by McGill-Queen's Press - MQUP. This book was released on 1995-06-15 with total page 347 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fiscal cutbacks, the public's declining confidence in government, and new ideologies are forcing the public sector in industrialized democracies to undertake major reforms. In these essays contributing authors examine changes to the political and economic environment and the ways in which governments have responded. The essays explain what is happening in government in the late twentieth century and suggest changes that can be expected in the future.