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Qualite Des Soins Et Tarification A Lactivite Comme Mode De Financement Des Activites Mco A Lhopital Public
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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.
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.
Book Synopsis Réforme du financement à l'hôpital by : Sandra Avoinet
Download or read book Réforme du financement à l'hôpital written by Sandra Avoinet and published by . This book was released on 2006 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: La réforme du mode de financement des établissement de santé constitue un axe majeur du plan "Hôpital 2007" lancé par le gouvernement en début de mandat. Avec la dynamisation de l'investissement et la simplification des règles d'organisation de l'offre de soins, l'évolution du monde hospitalier passe par l'introduction de la tarification à l'activité (T2A). Ce nouveau mode de financement tend à mieux prendre en compte l'activité médicale et le service rendu dans les établissements publics et privés en garantissant ainsi une allocation plus équitable des ressources. Ce travail rapelle le fonctionnement du finanacement à l'hôpital avant la réforme, explicite les buts de la réforme, les moyens d'y parvenir, l'impact de cette réforme sur le fonctionnement des établissement de santé et plus particulièrement sur les systèmes informatiques hospitaliers. Enfin, est également réalisé le lien entre la T2A et la liste des produits rétrocédables, autre réforme à l'hôpital concernant plus spécifiquement le médicamant mais ayant la même finalité que la tarification à l'activité.
Book Synopsis La réforme du mode de financement des établissements de santé by : Michel Angelloz-Nicoud
Download or read book La réforme du mode de financement des établissements de santé written by Michel Angelloz-Nicoud and published by . This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Du « 100% T2A » à la plurimodalité pour financer l'hospitalisation MCO by : Lawrence Nadin
Download or read book Du « 100% T2A » à la plurimodalité pour financer l'hospitalisation MCO written by Lawrence Nadin and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: La tarification à l'activité (T2A) est souvent accusée d'avoir contribué à l'émergence d'une logique de rentabilité économique au sein de l'hôpital public, au détriment de la qualité des prises en charge. Par ailleurs, elle inciterait peu à adopter une vision de long cours, et serait ainsi inadaptée aux enjeux épidémiologiques actuels. Face à ce constat, les autorités ont engagé un ambitieux processus de réforme du financement de l'hospitalisation MCO, basé sur une réduction de la part de T2A dans les recettes au profit d'une diversification des modalités. L'objectif de cette étude était d'analyser la concordance entre les attentes des praticiens de terrain concernant les modalités de financement d'une part, et le projet de réforme élaboré par les autorités d'autre part. Pour ce faire, nous avons réalisé une dizaine d'entretiens semi-dirigés auprès de praticiens hospitaliers bas-normands, qu'ils soient cliniciens, pharmaciens ou médecins DIM. Ces entretiens révèlent un accord sur l'intérêt d'un système plurimodal pour tempérer l'effet inflationniste de la T2A, ainsi que pour mieux adapter le financement aux spécificités de chaque type d'activité. Les répondants alertent toutefois sur la lourdeur logistique qu'implique un tel système, et insistent sur l'importance d'une montée en charge prudente. Le déploiement effectif des différentes propositions, retardé par la crise sanitaire, devra quoi qu'il advienne faire l'objet d'une évaluation extensive afin d'en déterminer la pertinence pour le système de santé.
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.
Book Synopsis The Globalization of Managerial Innovation in Health Care by : John Kimberly
Download or read book The Globalization of Managerial Innovation in Health Care written by John Kimberly and published by Cambridge University Press. This book was released on 2008-12-18 with total page 395 pages. Available in PDF, EPUB and Kindle. Book excerpt: An examination of patient classification systems in fifteen different countries throughout the world.
Book Synopsis Tourism, Magic and Modernity by : David Picard
Download or read book Tourism, Magic and Modernity written by David Picard and published by Berghahn Books. This book was released on 2011-09-01 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing from extended fieldwork in La Réunion, in the Indian Ocean, the author suggests an innovative re-reading of different concepts of magic that emerge in the global cultural economics of tourism. Following the making and unmaking of the tropical island tourism destination of La Réunion, he demonstrates how destinations are transformed into magical pleasure gardens in which human life is cultivated for tourist consumption. Like a gardener would cultivate flowers, local development policy, nature conservation, and museum initiatives dramatise local social life so as to evoke modernist paradigms of time, beauty and nature. Islanders who live in this 'human garden' are thus placed in the ambivalent role of 'human flowers', embodying ideas of authenticity and biblical innocence, but also of history and social life in perpetual creolisation.
Book Synopsis The Social Transformation of American Medicine by : Paul Starr
Download or read book The Social Transformation of American Medicine written by Paul Starr and published by . This book was released on 1982 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt: Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. "The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review
Book Synopsis The Future of Anthropology by : Akbar S. Ahmed
Download or read book The Future of Anthropology written by Akbar S. Ahmed and published by Burns & Oates. This book was released on 1995 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is anthropology relevant to our lives today? Does anthropology have anything to contribute in the coming time? How are anthroplogists responding to the post-colonial, post-modernist world? Leading anthroplogists attempt to answer these questions, identifying and exploring key issues where anthropology connects with the problems of the contemporary scene.
Book Synopsis Creating the National Health Service by : Marvin Rintala
Download or read book Creating the National Health Service written by Marvin Rintala and published by Routledge. This book was released on 2004-11-23 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: The origins of the NHS are the subject of this study that presents evidence on the key players who participated in the founding of the system. The author also traces those who opposed the NHS.
Author :Commission on the Future of Health Care in Canada Publisher :University of Toronto Press ISBN 13 :9780802086198 Total Pages :404 pages Book Rating :4.0/5 (861 download)
Book Synopsis Romanow Papers: The governance of health care in Canada by : Commission on the Future of Health Care in Canada
Download or read book Romanow Papers: The governance of health care in Canada written by Commission on the Future of Health Care in Canada and published by University of Toronto Press. This book was released on 2004-01-01 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: The twelve papers in this third volume of the research program for the Romanow Commission offer a detailed analysis of the governance of health care in Canada from the perspective of constitutionalism, intergovernmental relations, and societal context. In the first section, the authors deal with the formal division of powers regarding health care as outlined in the Canadian constitution and the Charter of Rights and Freedoms. The second section outlines the strengths and weaknesses of the intergovernmental governance of health care. Finally, the third section focuses on governance of health care outside of the governmental sphere. The theme that resonates throughout the contributions - and which is in itself a call for deeper analysis - is that health care governance has become locked in a cycle of mutual recrimination, blame assigning, and blame avoidance from the federal and provincial levels right down to the level of the individual citizen.
Book Synopsis A Disease-based Comparison of Health Systems What is Best and at what Cost? by : OECD
Download or read book A Disease-based Comparison of Health Systems What is Best and at what Cost? written by OECD and published by OECD Publishing. This book was released on 2003-05-14 with total page 347 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book combines a collection of essays by leading experts from several OECD countries with papers discussing the results of the OECD Ageing-Related Diseases study.
Download or read book Nostalgia written by Clay Routledge and published by Routledge. This book was released on 2015-10-05 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nostalgia is a topic that most lay people are familiar with, but, until recently, few social scientists understood. Once viewed as a disease, nostalgia is now considered to be an important psychological resource. It involves revisiting personally cherished memories that involve close others. When people engage in nostalgia, they experience a boost in positive psychological states such as positive mood, feelings of social connectedness, self-esteem, self-continuity, and perceptions of meaning in life. Since nostalgia promotes these positive states, when people experience negative states (such as loneliness or meaninglessness), they use nostalgia to regulate distress. This book explains in detail what nostalgia is, how views of it have changed over time, and how it has been studied by social scientists. It explores issues like how common nostalgia is and whether people differ in their tendency to be nostalgic. It looks at the triggers and inspiration for nostalgia, and the emotional states that are associated with it. Finally, the psychological, social, and behavioral effects of engaging in nostalgia are discussed. This volume provides the most comprehensive overview to date of the social scientific research into the complex and intriguing phenomenon of nostalgia. It will be of interest to a range of students and researchers in psychology and beyond, and its accessible writing style and engaging anecdotes will also be appreciated by a wider, non-academic audience.
Download or read book Geosimulation written by Itzhak Benenson and published by John Wiley & Sons. This book was released on 2004-08-20 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Geosimulation is hailed as ‘the next big thing’ in geographic modelling for urban studies. This book presents readers with an overview of this new and innovative field by introducing the spatial modelling environment and describing the latest research and development using cellular automata and multi-agent systems. Extensive case studies and working code is available from an associated website which demonstrate the technicalities of geosimulation, and provide readers with the tools to carry out their own modelling and testing. The first book to treat urban geosimulation explicitly, integrating socio-economic and environmental modelling approaches Provides the reader with a sound theoretical base in the science of geosimulation as well as applied material on the construction of geosimulation models Cross-references to an author-maintained associated website with downloadable working code for readers to apply the models presented in the book Visit the Author's Website for further information on Geosimulation, Geographic Automata Systems and Geographic Automata Software http://www.geosimulationbook.com
Book Synopsis Hyperbaric Physiology and Medicine by : Yu-Chong Lin
Download or read book Hyperbaric Physiology and Medicine written by Yu-Chong Lin and published by . This book was released on 1988 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book On Holiday written by Orvar Löfgren and published by Univ of California Press. This book was released on 1999-10-27 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Löfgren takes us on a tour of the Western holiday world and shows how two centuries of "learning to be a tourist" have shaped our own ways of vacationing. We see how fashions in destinations have changed through the years, with popular images (written, drawn, painted, and later photographed) teaching the tourist what to look for and how to experience it. Travelers present and future will never see their cruises, treks, ecotours, round-the-world journeys, or trips to the vacation cottage or condo in quite the same way again. All our land-, sea-, and mindscapes will be the richer for Löfgren's insights.
