Tesi sul tema "Planification en santé communautaire"
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Bordas, Florence. "Étude de facteurs communautaires intervenant dans la réalisation d'un programme de soins de santé primaires : à partir d'une mission de médecins du monde au Guatemala". Bordeaux 2, 1990. http://www.theses.fr/1990BOR25228.
Testo completoVieira, Gildas. "La promotion de la santé pour les populations d'Afrique subsaharienne en France". Thesis, Tours, 2017. http://www.theses.fr/2017TOUR2034/document.
Testo completoWe wanted to accompany sub-Saharan African population in France, on a community health approach, to act on health inequalities. This work allows to measure the effects and consequences of health behavior promotion from an inter-cultural relations angle. This approach is based on an exploratory methodology made up of both psychological research tools, protocols for intervention in public health with the psycho-social problematic of inter-culturality. Behavioral changes in favor of health promotion actions are significantly related to this approach, which will combine group focus and the application of planned behavior theory (PBT). Such an approach allows a reflection on the social inequalities in health of the migrant communities, and the accompaniment towards care, favouring relations between inhabitants and health professionals on an intercultural approach. The objectives of the study were (i) to better understand the intention of African migrants to adopt a personal approach to community health problems and (ii) to assess the influence of developing members’ awareness and skills of the community on their health promotion behavior
Cassan, Maryse. "L'Europe communautaire de la santé". Aix-Marseille 3, 1986. http://www.theses.fr/1986AIX32044.
Testo completoThis work covers the development of the legal system for treaties establishing the european communities : its origin, its application and an evaluation of its achievements. A part from chapter iii of the euratom treaty, which is devoted to health protection, health issues are not mentioned in their own right in the original european treaties. Even the notion of public health in itself becomes a problem with regard to determining an autonomous health policy. Yet the dynamism of the institutions and extensive interpreting of treaties are due to the system of regulations laid down in the treaties themselves. Indeed within each community policy, there is room to develop a health policy in its oxn rights. There are a series of dispositions laid down which cover areas as diverse as freedom of establisnment for health practitioners, free movement of medecines, environment, protection, of workers, consumer protection, research, agriculture and external relations. The legal integration is assend in itself, but the real question is to discover if those measures taken will result in better health protection for european citizens. At this point, health protection in the european communities is still facing many problems, notably in the application of measures already taken. However in spite of these obstacles a community health policy is a reality, since to this day, most of the conditions necessitating the etablishment if a community policy have been net
Macchi, Virginie. "Protection de la santé publique et droit communautaire". Thesis, Metz, 2007. http://www.theses.fr/2007METZ004D/document.
Testo completoFifty years after the creation of the European Common Market and fifteen years after the introduction of a chapter concerning public health in the CE Treaty, we can question about the consequences of the European law's influence on public health. To answer this question we must beforehand explain how public health was ruled by European law. In spite of uncertain legal basis, the European Community has become involved in public health questions and introduced material European law in a matter distant fiom the original concems of the European Community thus contributing to public health improvement, some States having yet no legislation regarding this matter. In spite of public health protection rema.ining, in principle, in the field of competence of the States members, the national objective of public health is at the same time infiuenced by communautarisation. The latter don't however conflict against the fact that members of an integrated system based on the fiee tratnc of goods pass public health constraints providing that these are justified, improve the health of citizens of States who wish develop the protection of their nationals
Dabrion, Marlyne. "La santé communautaire : mythe ou réalité ? : le cas de la Guadeloupe". Paris 5, 1995. http://www.theses.fr/1995PA05H068.
Testo completoThe "socio-anthropological" investigation intends to find out the Guadeloupian images about health in itself, the reached health types being : - community view -hedonist view or -other a sample survey has been held over 785 persons with a set of 29 close-up questions. The study of health in Guadeloupe through this inquiry shows out a patchwork concerning the different levels of society : man, family, friends, neighborhood, district, borough, it shows out diverse characters. Clos-up observations prove or don't prove a split between apriorism and sanitary image. Contrary to common ideology health at the subspace levels : man, family, neighborhood. A partially community subspace formed by the entity the friends. The adjustment between health policy and health image will take into account these results. Beside from the comparison with the Dominican Republic it must be remembered : -one side, it's a small state which has sad records of bad health indexes, with a knowledge of community approach but without any financial means. - on the other side, a French district with health indexes close to the average French national level but with no community approach
Bérubé, Marie-Pierre. "La diversité au coeur des soins de santé: pour une organisation de santé compétente culturellement - Le cas de la clinique médicale l'Actuel". Thesis, Université Laval, 2009. http://www.theses.ulaval.ca/2009/26518/26518.pdf.
Testo completoMiloudia, Faouzi. "Protection de la santé et mutation du processus d'intégration communautaire". Lyon 3, 2008. https://scd-resnum.univ-lyon3.fr/in/theses/2008_in_miloudia_f.pdf.
Testo completoThe establishement of the Communities aimed to settle prosperity and joint interests between the peoples of Europe. It set up a backward movement from the Global project and has consecrated the choice of a framework contriving the progressive integration of the domestic markets and the elimination of barriers to trade. Free trade concepts implementation appeared as the first step of an ambitious waves of measures. The realization of the common market was taken as an opportunity to rise above the apparently insurmontable political apathy of the countries involved in the european construction. But it doesn't correspond to Paul RIBEYRE's Project shaped on the cooperation contracted in the field of health since 1851. Although reference to health protection is both deduced from the single market progressive establishment and the full-play of the free-trade principles, it however took a significant place in the european project and contribute to strengthen the enhanced application of its pivotal mechanisms. Moreover it became, especially after the BSE crisis, a emphatic key element of the balanced run of its particular institutions and a decisive way to carry on the political evolution of the European Union beyond the purely economic goals. The relevance of Health's contengencies, the single market achievement and the attention paid on the european citizens'social demands are already being experienced or included amond the European Union's paradigms. This unexpected issue singularize the new direction taken by the Union and doesn't fit any more the liberal option drafted in 1951. The deep changes in the balance of international relations called into question the european standards levels. The protection of Health concerns many fields and seems to direct the debate about the regulation of the international trade led by the WTO and its atypical dispute settlement system. European standards may nevertheless be suitable to structure the global governance and should participate in the construction of the complex world order
Brunet, Philippe. "Recherches en droit communautaire positif de la santé : étude critique". Bordeaux 1, 1990. http://www.theses.fr/1990BOR1D028.
Testo completoThe object of this thesis is to present the state of community law in the run-up to the 1992 milestone. Whilst concern health matters was not paramount in the minds of the founders of the treaties, it is nevertheless a fact that community laws cover at present, a large part of this domain. Notably, the single act, has apportioned responsibility in these matters, in particular through article 118a, and, indirectly through articles 100a and 130r. The foundations of these laws, namely treaties, general principles and various extraneous sources, are first examined. The preferential development of the resulting statutes is then described, in particular from the standpoint of the completion of the internal market. The second part deals with the relevant case law of the court of justice of the european communities. A review of the workings of that institution is followed by an examination of the use of health legislation in establishing case law as a fundamental and specific contribution to the promotion of free circulation which is one of the fundamental tenets of the treaty of rome. Indeed, alloase law thus examined revolves around the themes of free circulation of goods and persons, the principles and doctrines of which are analysed. In the concluding discussion, the results of the second part of community laws are presented and the way forward is sketched. Finally, certain proposals are made concerning relevant future amendment of the treaties
Dupéré, Sophie. "Rouge, jaune, vert ... et noir : expériences de pauvreté et rôle des ressources sociosanitaires selon des hommes en situation de pauvreté à Montréal". Thesis, Université Laval, 2011. http://www.theses.ulaval.ca/2011/28277/28277.pdf.
Testo completoThis research project is in the field of public health and focuses on the study of poverty, its links to health and the role health and social resources can play in this regard. The project, which takes the form of a thesis composed of articles, pursued three objectives. First, it aimed to better understand how men living in poverty experience and perceive their situation and conceive of ways to change it. Secondly, it attempted to elucidate how health and social services influence the processes that cause men to fall in, and sometimes escape from, poverty. Thirdly, it drew on the knowledge thus generated to suggest interventions relevant to the fight against poverty. This qualitative and participatory oriented research was done in collaboration with a community Center in a disadvantaged neighbourhood of Montreal. The data were collected through a diary, 80 days of participant observation, 22 semi-directed interviews and 6 group discussions with men living in poverty. We based our analytical strategy on Charmaz’s interpretive grounded theory methods and Bertaux’s life-history approach. The first objective of the thesis is covered by two chapters. In Chapter 3, the first article of the thesis presents the representations of poverty and its exit collected through a popular education tool named My life course in the «red, yellow, green». Chapter 4, a complementary chapter, presents the experiences of poverty as perceived by men themselves and reveals the main dimensions they see about it. In addition to identifying several significant dimensions of poverty and its exit, the results of these two chapters show how the perspectives of the participants about their situation can challenge commonly held social representations about them. In Chapter 5 we first summarize the main results pertaining the second objective of our thesis with «Charlot Laforce», a participatory validation tool used in the study. The second article of the thesis then presents the experiences of men living in deep poverty regarding their decision not to seek out health and social services in moments of crisis, even when they recognized needing help. The results about the third objective of the thesis are found in chapter 6. Men’s suggestions and recommendations of relevant interventions to fight poverty and improve services are offered there. Finally, Chapter 7 reviews the main findings of the study, the limits and strengths of the project and the implications of these results for future research and interventions.
Dubé-Quenum, Mélissa. "Enfants d’ici venus d'ailleurs : Expérience de la violence et stratégies d’adaptation déployées pour y faire face". Thesis, Université Laval, 2013. http://www.theses.ulaval.ca/2013/29988/29988.pdf.
Testo completoDiouf, Ndeye Thiab. "L'implication des bénéficiaires dans la mise en oeuvre du programme de renforcement de la nutrition du Sénégal: les femmes de Vélingara, un exemple plein d'espoir". Thesis, Université Laval, 2014. http://www.theses.ulaval.ca/2014/30724/30724.pdf.
Testo completoParent, André-Anne. "Organisateurs communautaires et développpement des communautés : le cas du Centre de santé et de services sociaux de la Vieille-Capitale". Thesis, Université Laval, 2014. http://www.theses.ulaval.ca/2014/30753/30753.pdf.
Testo completoIn 2003, public health authorities of the Province of Quebec, Canada, published their first national public health program in which a strategy known as the “Support for the development of communities” was included. In order to enrich the knowledge on the implementation of the strategy and its influence on the practice of the professionals mandated to update same, community organizers from the local Health and Social Services Centers, this thesis had three main objectives which were investigated through three different research processes. The first part had for objective to study a community development process. An ethnographic study revealed the complexity of the strategy, underlined the role of the socio-cultural and historic factors and targeted elements to be considered for practice. It also highlighted the importance to adopt a health equity perspective. The second part aimed at describing how the strategy influenced community organizing practices. The analysis of a reflexive practice group, composed of community organizers, helped identify key challenges related to the strategy: the need to clarify the role of community organizers in community development, the difficulties to stimulate and support citizen participation and finally the difficulties associated with this function within the organizational context of Health and Social Services Centres. Finally, the third part sought to identify favourable and unfavourable elements to the integration of the strategy in the practice of community organizers and the organizations that employ them. In addition to the interviews realised in the ethnographic study and the reflexive practice group, nine semi-structured interviews with key actors were realised. The participants indicated that the strategy brings a paradigm shift in favour of health equity, which cannot be achieved without important changes to professional and organizational practices. This thesis has thus contributed to provide new knowledge on the development of communities for the field of public health and the results indicate that it still has to be refined and that its implementation could be improved. In this regard, a heuristic model to generate a conversation between community organizers and public health practitioners, is offered in conclusion.
Douville, Frédéric. "Comment favoriser le don d'organes et de tissus : un enjeu pour les professionnels de la santé". Thesis, Université Laval, 2013. http://www.theses.ulaval.ca/2013/30419/30419.pdf.
Testo completoThe lack of reference of potential organ and tissue donors by health professionals results from potential donor identification issues, concerns when approaching families for consent and lack of notification to organ procurement representatives. This thesis studied interventions towards healthcare professionals to increase potential donor notification. First, a systematic review was designed to identify and analyze the impact of interventions aimed at health professionals to improve donation-promoting professional practices in clinical settings. A total of 15 studies were identified. Interventions were either educational, organizational or a combination of both, and had a weak theoretical basis. The most common behaviour change technique was providing instruction on the donation process. However, it was not possible to establish whether an intervention was efficient due to methodological flaws, poorly described samples or the lack of details on the content of the interventions and evaluation. Therefore, a questionnaire-based implementation intentions intervention (asking nurses to plan specific actions if faced with a number of barriers when reporting potential ocular donors) was developed and assessed through a randomized study clustered at the level of hospital departments. Twenty-six departments from five hospitals participated in this trial. The primary outcome was the potential ocular tissue donors’ notification rate before and after the intervention. Potential and achieved numbers of ocular tissue donors were evaluated six months before and three months after the intervention The study could not demonstrate a significant increase in the rate of ocular tissue donors (x2=1.14, 2; p=0.56). The follow-up period had to be shortened because the Ministry of Health introduced a legislative change making notification of all potential donors to donation stakeholders mandatory in clinical settings. The effectiveness of this new regulation on the potential ocular tissue donor notification rate in clinical settings was assessed. The notification rate of ocular tissue donors did not increase significantly after legislative changes (x2=0.01, p=0.93). Policy formulation and policy implementation issues are two possible reasons for this failure.
Martin, Élisabeth. "Analyse des conditions d'implantation des centres de santé et de services sociaux (CSSS) : études de cas de l'intégration verticale de la gouvernance des établissements dans deux régions". Thesis, Université Laval, 2014. http://www.theses.ulaval.ca/2014/30499/30499.pdf.
Testo completoVertical integration of healthcare organizations is one of various solutions put forward to reorient health systems and services around primary care, but such experiments remain limited. We examined the implementation of Health and Social Services Centres (HSSCs), introduced by the 2003-2004 reform and aimed at merging healthcare facilities in the province of Quebec. Our research objective intends to show how and under what conditions the integration of healthcare organisations’ administrative governance was made possible. Rooted in a political economy analytical framework, six case studies were conducted in territories within two regions (Bas-Saint-Laurent and Chaudière-Appalaches), using documentary analysis and 32 semi-structured interviews. Our results unveil the singularity of experiences across the six territories, the implementation dynamic and strategies being highly influenced by local context. Our key findings are organized around four convergent axes. First, territoriality portrays the institutionalized status of the regional county municipality (RCM) as an historical and contemporary scheme around which health care services are organized. Second, from an institutions’ history perspective, the research brings to light that HSSC’s implementation is more broadly part of an evolutionary and sequential process, made of interconnected phases of often conflicting mergers and other more consensual forms of organizational integration put in place since the 1990s. Third, the axis of organisations and missions reveals how the initial opposition between hospital and community services fell short rapidly, but also that the healthcare institutions’ missions showed resilience and therefore integrated at different paces in each territory. Finally, under the actors axis, the research shows how individuals had a greater impact than groups in the implementation processes. The practices described in our research share a common dynamic of constant tension between two logics: resistance and belonging. These logics generate conflicts which are mediated through negotiation and compromise. This leads to conclude to the political nature of the mergers’ implementation process, given that it meets the definition of politics, in both its objects and its actions modes.
Velasco, Ferrin Laura Sofia. "Analyse organisationnelle des services de santé offerts aux populations réfugiées dans la région de la Capitale-Nationale". Thesis, Université Laval, 2012. http://www.theses.ulaval.ca/2012/28909/28909.pdf.
Testo completoBoudreau, François. "Diabète de type 2 et activité physique : Développement, mise en oeuvre et effet d'une intervention éducative sur mesure à l'aide des technologies de l'information". Thesis, Université Laval, 2010. http://www.theses.ulaval.ca/2010/27200/27200.pdf.
Testo completoBa, Mamadou. "Des hommes et le dépistage du VIH/Sida au Sénégal les dessous du refus". Thesis, Université Laval, 2012. http://www.theses.ulaval.ca/2012/29648/29648.pdf.
Testo completoDiaw, Mamadou. "L’appropriation communautaire des cases de santé selon la perspective des populations". Thesis, Université Paris-Saclay (ComUE), 2019. http://www.theses.fr/2019SACLV074.
Testo completoThe health hut model in Senegal is the result of a socio-historical process as well as the health policy evolution. It underpins the health pyramid and is integrated into the health system. Paradoxically, communities struggle to appropriate their health huts. The lack of understanding of the community appropriation process justified this research, which makes it original.The research hypothesis is that the dynamics of community participation influence the health hut appropriation.Through a qualitative, empirical and exploratory research using a multiple case study strategy, three cases were selected in the Thiès region. Four types of qualitative data were collected: in-depth interviews, focus groups, semi-structured interviews and direct observation.A relational perspective based on flexible conceptual framework inspired by Bourdieu’s theory and an Eliasian socio-historical approach guided the research.Data were analyzed by means of the grounded theory method using a coding based on progressive abstraction; which allowed the emerging of categories used to develop the theoretical framework.Results show that the appropriation process mechanisms are expressed through the capacity of communities to manage critical events; and the immersion of the health hut in the social fabric.The agency of action, the sense of community and the capacity of community members to mobilize their social practices of participation are the driving forces of the appropriation process, that is sustained by the interrelations between the cultural, social and symbolic capitals. The latter displays at the community level by coming into play in the appropriation construction as process and not as an aim, and by renewing the trust and reciprocity space that is essential for collective actions. Of originality, is the discursive building of identity, recognition; and space of trust and reciprocity.Are discussed, methodological aspects and the operationability of the appropriation concept: among others, appropriation appears as a process and not as an aim.The study opens new research paths as it relates to the widening of the geographical area of such type of study; and by taking into account the supra-community level factors. It recommends a paradigm shift from the part of development agents who need to consider communities as unit of participation, as systems full of potential and solutions that wait to be stimulated and mobilized; and not as problem nets to be addressed using imported solutions
Agueh, Victoire D. A. "Effets d'une approche communautaire de prévention et de traitement de la malnutrition protéino-énergétique infanto-juvénile: expérience du programme alimentaire et nutritionnel à base communautaire dans le département du Mono au Bénin". Doctoral thesis, Universite Libre de Bruxelles, 2005. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/210924.
Testo completoCaillard, Simon. "Planification et optimisation de ressources pour la formation en santé". Electronic Thesis or Diss., Amiens, 2021. http://www.theses.fr/2021AMIE0084.
Testo completoIn this thesis, we propose different algorithms to solve a timetabling problem proposed by the SimUSanté center. The center offers a large number of training sessions, based on learning by simulation, and intended for health actors, whether they are professionals or students. The SimUSanté problem is close to the academic problem of Curriculum-Based Courses Timetabling (CB-CTT). The data and constraints of our problem are presented in detail using a 0-1 linear program.To solve this problem we propose different methods: a dedicated greedy algorithm SimUG is used as an initial and relevant solution for the SimUVNS algorithm, a variable neighborhood search (VNS) algorithm. SimUVNS combines different neighborhood stemmed from the saturator, intra, extra and extra + operators. A diversification operator is applied when research is trapped in a local optimum.Next, several Ant Colony Optimization type algorithms were proposed: SimUACO, SimUMACO-VNS, and SimUTACO. They are respectively derived from Ant System, MinMax Ant System and Ant Colony System algorithms. SimUACO is inspired by the ant behavior to find food and return back to the nest. Each ant leaves pheromones on the trail from their nest to the food source. An ant moves randomly but when it detects pheromones, it follows the trail and reinforces it by leaving additional pheromones. The more ants follow a trail, the more attractive that trail becomes. Pheromones evaporate over time and therefore the least used or slower paths become the least attractive. Ants can then find the fastest trail from the nest to a source of food. We represent the SimUSanté problem by a graph in which each possible path is associated with a quantity of pheromones and corresponds to a triplet: an activity, a time slot, and a set of resources. Any ant can decide to follow a path. This decision is based on heuristic information and on the quantity of pheromones associated with each path. If an ant follows a given path, an additional quantity of pheromones, which is proportional to the quality of the solution built, is deposed on it. SimUMACO-VNS, and SimUTACO are based on SimUACO, but different from this one by the managment of pheromones. In SimUMACO-VNS the values of pheromones is blocked within a minimum and maximum value so that no path is preponderant. Moreover, it tries to improve the solutions built by the ants using SimUVNS. SimUTACO uses a taboo path system in order to push the ants to find new solutionsSimUVNS, SimUACO, SimUMACO-VNS, and SimUTACO were tested on hundred instances derivated from those of the CB-CTT, which were adapted to the SimUSanté problem. Experiments show that the strength of SimUVNS is to plan all activities, even for the largest instances, without violating any hard constraints. SimUACO slightly improves the results of SimUVNS, while SimUMACO-VNS, and SimUTACO always outperform our other methods, and can get optimal solutions. Nevertheless, we note that only SimUTACO is able to do it regularly and for any instance. The solutions given by SimUVNS, SimUACO, SimUMACO-VNS, and SimUTACO respectively have an average difference with the optimal solutions of 5.55%, 4.80%, 2.59% and 0.15%
Zombré, Inès. "Savoirs communautaires et expérientiels d'engagements volontaires comme contributions éducatives pour les sciences infirmières : étude de cas d'un organisme communautaire de lutte contre le VIH/sida". Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/38553.
Testo completoDRAME, ALIOU. "Système de santé et ajustement structurel dans les pays en développement : cas du Sénégal". Paris 10, 1999. http://www.theses.fr/1999PA100031.
Testo completoDionne, Émilie. "Analyse de genre de l'expérience de la bonne santé mentale". Thesis, Université Laval, 2010. http://www.theses.ulaval.ca/2010/27186/27186.pdf.
Testo completoDeries, Béatrice. "La santé communautaire dans la politique de la ville : genèse et récits d'expérience". Lyon 2, 2008. http://theses.univ-lyon2.fr/documents/lyon2/2008/deries_b.
Testo completoThe first concern of this thesis is a look on an emerging area of activities who built up from the last quarter of the twentieth century, at the boundaries of the social and sanitary themes in the peripheral urban spaces marked by the cazualisation process. This blur ensemble, legitimated by the institutional frame of the city's policy, reveal a reappering of the health topic in the urban context in the same time of a come back of the community in the work of the social "par la fenêtre" of health theme. The research takled to the genealogical reenactment making this theme a story of the sociologic thought on urban social and public health as well as a device's genesis. The personnal histories has been recorded as a privileged element to study the resemantic and reproblematic process along with the reconfigurations of the localised intervention. Three kinds of narrations are collected and put into perspective : tellings of experience, inseperably biographical and collective ; publicized tellings, among which the intellectual productions of the interrogated actors ; "stopped" tellings coming from ethnographic sightings of a few community health scenes. The research chore has to unconstruct a empiric objet a priori given as professionnal and surrounded in a new address of the public action to rewrite it in a sociologic grasp of the ways to talk and to make social work ; the ways to "make community" through health in a society of persons whose citizenship is unaccomplished. By the way, it shows that biographical commitments are part of a significant and indispensable constituent
Blersch, Raillard Susanne. "La régulation du système de santé allemand". Paris 9, 1996. https://portail.bu.dauphine.fr/fileviewer/index.php?doc=1996PA090069.
Testo completoToday, the purpose of health care systems' regulations is to improve the efficiency of the expense allocation process while containing the expense growth. Ever since the 1970's, the German state crafts the health care policy through reforms, the most interventionist of which being the reform set up by Seehofer. Up until now, the regulation mechanisms to move the German health care system out of the crisis have respected the founding principles of the German social security established by chancellor Bismarck in 1883. In this study, the economic relationships which characterize the German health care system, have been analyzed thoroughly, the decisions of the different groups of economic interest. Up until the reforms of 1989 and 1993, the German health care system has been characterized by a neoliberal-like regulation whose process was determined by the relationships between professional unions. In the crisis context of the existing formal and decentralized regulation, the German state has acted to rescue the social security system. The purpose of this study is to show that it is possible to introduce limited free market elements in a health care system without changing its founding socio-political principles. The example of Germany shows that the instruments set up by Seehofer are aimed at inducing decentralized players (public and private payors and health care professionals) to behave in an efficient manner within strict budget guidelines. These regulation mechanisms are pushing towards a buyer's market environment fostering competition among health care suppliers. Eventually, the German health care system will be managed according to the usually prevailing rules of the "social market economy". The role the German state would, then, be to oversee the overall competitive environment and warrant health care coverage for low income citizens and the poorest among them
Debil, Fanny. "Quand la santé devient écologique : Acteurs et transferts de la planification en santé environnement(ale) (OMS-France)". Thesis, Montpellier, 2016. http://www.theses.fr/2016MONTD011.
Testo completoWhat if health was too serious to be left to health actors ? What if risks can disappear ? These interrogations have driven some of the national environmental health action plans. This specific planning is structurally a matter of transfers and changes, uncertainty and controversies. This thesis deals with its genesis, making, and effects. It integrates a transnational scene, the World Health Organization that initiates the planning. It also considers a national level, the French one precisely, that imports the planning. Two rationale are used : an actor-centered approach, a balanced examination of preexistence and innovation. This work thus foresees the political dimension of the national environmental health planning in France. It requires health and ecological state actors with adequate resources. These actors go beyond sanitary engineers that are historical advocates of environmental health. Besides, the ecological actors determine the continuity of the planning. This suggests that the owners of the environmental health problem have now changed. This also means a distance with the initial project of WHO. For more than twenty years, the national planning reduces the ubiquity of environmental health. It also suggests its exploding aspects. This thesis provides some insight to understand the making of this problem, its actors and debates, its times and quantities. It explores the inside, the highest level and the boundaries of the state. It enlightens the transcendence of systemic expertise with respect to scientific expertise for governing the human-environment relationships. More broadly, it leads to question the vigorous relation between the cross-cutting and sectoral aspects of public intervention
Macé, Jean-Marc. "Le bassin de santé hospitalier : un outil de planification en Ile de France". Montpellier 3, 2000. http://www.theses.fr/2000MON30067.
Testo completoMachikou, Ngameni Nadine. "Les chemins de l'état observateur : contribution des observatoires régionaux de santé". Amiens, 2010. http://www.theses.fr/2010AMIE0050.
Testo completoFoussard, Ernest. "Planification et ordonnancement de la maintenance conditionnée par la santé de l'équipement". Electronic Thesis or Diss., Université Grenoble Alpes, 2023. http://www.theses.fr/2023GRALI103.
Testo completoMaintenance is one of the crucial issues in the management of industrial production systems.Effective maintenance policies limit equipment breakdowns and malfunctions, and thus improve availability and level of service. It also plays a central role in the lifespan of equipment, and is thus at the heart of economic schemes aiming at extending lifespan and re-usability, such as circular economy. The rise of 4.0 Industry and recent technological advances in sensors have made it possible to establish precise degradation models for industrial equipment, enabling the emergence of new maintenance strategies, known as predictive maintenance, based on the evolution of the condition of its components over time.In this thesis, we focus more specifically on maintenance planning and scheduling problems in the presence of a health indicator on the components of the equipment.In the first part, we propose a broad framework for modeling and solving maintenance planning problems at the tactical decision level in the presence of a health indicator on the components of the equipment.Observing that health could be treated as a production potential for the equipment, we show that these problems can be reduced to variants of lot-sizing problems and present various theoretical results. More specifically, we focus on a bi-criteria problem involving a resource constraint dependent on health of the components of the equipment over time, and propose a multi-objective integer linear programming model. Then, a decision-support methodology is proposed, providing a decision-maker with a restricted set of diversified solutions.In the second part of this manuscript, we study joint production and maintenance scheduling based on the health of the components of the equipment. A new extension of the classical scheduling notation and classification system is proposed to incorporate joint production and maintenance scheduling problems. We propose a complexity mapping for the studied problem and its variants, an integer linear programming model, and study the properties of maximum and average completion time minimization problems. Secondly, we introduce a constraint of acceptable health thresholds for task processing, and study a special case of the problem as a variant of the classical bin-packing problem. Several solution approaches based on integer linear programming are then presented and compared
Dupuy, Olivier. "Le régime des autorisations administratives et la recomposition de l'offre hospitalière : étude des relations entre l'Etat et les établissements de santé privés à but lucratif". Paris 7, 2003. http://www.theses.fr/2003PA070088.
Testo completoAs regard health institutions regulations, the French administration resorts to State prerogatives and such regulations are the result of some authoritarian planning. Authorities now have a tendency to foster concerted approaches. In that sense, it is in contradiction with the present-day orientations which tend to make dialogue and negotiations part and parcel of the decision-ma king process. The development of contractual links between the administration on the one hand, hospitals on the other as well as the maintaining of the aforementioned regulations make these relationships: difficult and barely consistent. Throughout this research, the consistency of maintaining those regulations was out under scrutiny, as it required both the study of its founding principles and the ability for the contractual patterns to substitute for the current regulation system
Arseneau, Bussières Stéphanie. "Agentes communautaires de santé : être intermédiaires au coeur des inégalités sociales de santé : l'exemple de deux postes de santé de Salvador, Bahia, Brésil". Thesis, Université Laval, 2006. http://www.theses.ulaval.ca/2006/23861/23861.pdf.
Testo completoBlais, Jocelyne. "Le caring comme indicateur en évaluation de la qualité des soins infirmiers en santé communautaire". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ38736.pdf.
Testo completoFiset, Karine. "Facteurs perçus par les étudiant(e)s du cours «Formation interprofessionnelle en santé» comme influençant le développement de leur compétence pour une pratique de collaboration interprofessionnelle en santé". Thesis, Université Laval, 2011. http://www.theses.ulaval.ca/2011/28140/28140.pdf.
Testo completoJacquet, Frédéric. "Les stratégies participatives pour une promotion de la santé". Montpellier 1, 1996. http://www.theses.fr/1996MON11009.
Testo completoSoubeiga, André. "Les stratégies des soins de santé primaires au Burkina Faso : mobilisation communautaire et logiques paysannes : l'exemple de la Sissili". Bordeaux 2, 1993. http://www.theses.fr/1993BOR21004.
Testo completoIn common with most countries of the third world, members of the world health organization (W. H. O. ), Burkina Faso has adopted, within the framework of its health policy the primary health care strategy, decided at Alma Ata in 1978. The present study attempts through a village based study, to take account of the principal factors (economic, social, cultural and political) which determine the process governing adhesion or no-adhesion to this governmental program, within a village community (situated in Sissili, a southern province). Thus, the state strategy, which is based on the philosophy of the villager's self-governing their health, corresponds only rarely with their own conception of health care and the role of the state. This conception constitutes the principal ground of resistance among the villagers, who exercise multiple strategies with the intention of escaping from the state's constraints. These phenomena are revealed through peasant's behavior and encountered in socio-cultural and socio-political studies of rural mobilization, as well as in the relationship between community health workers (key figures) and the primary health care strategy
Chantelot, Laurence. "Les objectifs du droit pharmaceutique au regard des principes généraux du droit communautaire". Lyon 3, 2002. http://www.theses.fr/2002LYO33008.
Testo completoBuetti, David. "Comprendre afin de renforcer les capacités en évaluation des organismes d’action communautaire". Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/41874.
Testo completoSaïas, Thomas. "Déterminants relationnels de la santé mentale périnatale : approche psychosociale". Phd thesis, Université Rennes 2, 2009. http://tel.archives-ouvertes.fr/tel-00794797.
Testo completoDuperré, Martine. "Le partenariat public-communautaire : offre et planification régionalisée des services en santé mentale au Saguenay-Lac-Saint-Jean /". Thèse, Chicoutimi : Université du Québec à Chicoutimi, 1993. http://theses.uqac.ca.
Testo completoRodrigue, Guillaume. "L'intégration communautaire dans les ressources d'hébergement non institutionnelles en santé mentale de la région de Québec". Master's thesis, Université Laval, 2018. http://hdl.handle.net/20.500.11794/29601.
Testo completoHundreds of people with a severe mental health disorder live in intermediate and family-type resources in the Quebec region. The main purpose of these structures is to integrate vulnerable people into the community. The aim of this research is to determine the impact of intermediate and family-type resources owners’ as well as their employees’ interventions on the community integration of their residents. This study uses Segal and Aviram’s (1978) community integration model as a conceptual framework. Their model proposes to divide the community integration into two concepts: internal and external integration. Internal integration refers to the evolution of residents in the housing environment, whereas external integration concerns the engagement of residents outside the residence. Semi-structured interviews were conducted with residents, owners, and employees of intermediate and family-type resources in the Quebec region. The sample was comprised of 12 actors involved in the field of mental health housing resources including five residents, four owners, and three employees. The data collected were analyzed using a thematic content analysis. The main interventions carried out by owners and employees to ensure the residents’ community integration are grouped into six categories: the establishment of rules, group activities, management of the consumption of goods and services, the formation of a residents’ committee, support for family relationships, and the sustainment of activities independently carried out by residents. It was shown that owners’ and employees’ interventions focus on two objectives: developing residents’ autonomy and ensuring their protection. Owners’ and employees’ authority status is used as one of the main tools to intervene with their customers. Results from this research confirm, but also contradict, previous findings regarding the tension between residents’ need for protection and autonomy, owners’ and employees’ authority status, and the impact of these individuals on the community integration of residents. Keywords: intermediate resource, family-type resource, community integration, mental health, mental illness, resident, autonomy, protection, authority.
Mathieu, Maryse. "Évaluation des facteurs organisationnels influençant le processus de définition et la mise en place des actions de l'organisme communautaire Maghreb Afrique Comité des familles pour Survivre au sida". Thesis, Université Laval, 2011. http://www.theses.ulaval.ca/2011/27745/27745.pdf.
Testo completoThe organization ''Maghreb Afrique Comité des familles pour Survivre au sida'' is a social NGO in Paris, France. Its aim is to support seropositive people and their families to cope with everyday life and to make plans for the future. The organization also has an advocacy mission, defending the rights of these persons in the French society. This study sought to investigate the dynamics between the stakeholders that play a role in the achievement of the Comité’s objectives. An analysis framework based on of Gamson’s coalition theory and Hinings and Greenwood’s archetype was used. The main observations are related to the identification of the stakeholders concerned by the attainment of the Comité’s goals, the facilitating factors and barriers of interactions between players, and their satisfaction level within this collaboration.
Coulibaly, Abdourahmane. "Anthropologie d'une pratique de santé publique : le cas de la planification familiale au Mali". Paris, EHESS, 2008. http://www.theses.fr/2008EHES0350.
Testo completoThis thesis is an anthropological study of family planning in Bamako, Mali. It aims at understanding the behaviours of social actors facing family programs propositions. One of important aspects of our demonstration is the fact that the programs norms are not the only normative referents for the individuals. Among other normative universes which influence their behaviours, some value the reproduction (customs, religion) and the others the infertile sexuality and the research for the sexual pleasure (Globalized sexual models). By analyzing actors' practices, we made the report that, on one side the social actors conjugate all these normative sets in their sexual and reproductive behaviours and that, by other side, they divert the norms of the programs
Marqué, Gwen. "Développement d’une planification équitable des soins pour lutter contre les inégalités territoriales : l’expérience française". Thesis, Lille 1, 2013. http://www.theses.fr/2013LIL12007/document.
Testo completoThe health of the French population is among the best in the world. However, inequalities characterize our health system. The latest amendments to the health care system may increase. Thus, DGRs, new pricing method should be associated with a control system. For this, the RAWP model provides useful analytic grid. First, at the local level, an experiment needs analysis, use and provision of care for a population of a territory allows us to show that we can detect problems of access care and reorganize supply. Experience from 2006 to 2011 the Nord-Pas-de-Calais region offers a first approach to target setting activities as needed, but the volume of care increases. Second, support for the development of a national approach to the volume control regions of France based on a comparative analysis of healthcare consumption adjusted by age and sex-adjusted mortality is one of the results of this thesis. This helped to develop a systemic model of regulation of national, regional and local care.Finally, to open the discussion to the level of health territories, a typology of health territories of France was carried from the main factors in the model (health status, use and provision of care) and socioeconomic factors the population, and those related to the care pathway. The analysis shows that there are three types of areas of health and therefore to adapt the control strategy: "Attractive-overproducing", "all healing" and "sub-dependent consumers."
Samson, Esther. "Évaluation de la collaboration interorganisationnelle : le cas de la clinique communautaire de santé et d'enseignement SPOT-CCSE". Master's thesis, Université Laval, 2017. http://hdl.handle.net/20.500.11794/27907.
Testo completoSerfaty, Annie. "Le réseau périnatal de l'est parisien en 2008-2010 : de l'évaluation des besoins à l'évaluation des résultats : proposition pour un système d'information (raisonné)". Paris 6, 2010. http://www.theses.fr/2010PA066523.
Testo completoParent, André-Anne. "Organisateurs communautaires et développement des communautés : le cas du Centre de santé et de services sociaux de la Vieille-Capitale". Doctoral thesis, Université Laval, 2014. http://hdl.handle.net/20.500.11794/25104.
Testo completoIn 2003, public health authorities of the Province of Quebec, Canada, published their first national public health program in which a strategy known as the “Support for the development of communities” was included. In order to enrich the knowledge on the implementation of the strategy and its influence on the practice of the professionals mandated to update same, community organizers from the local Health and Social Services Centers, this thesis had three main objectives which were investigated through three different research processes. The first part had for objective to study a community development process. An ethnographic study revealed the complexity of the strategy, underlined the role of the socio-cultural and historic factors and targeted elements to be considered for practice. It also highlighted the importance to adopt a health equity perspective. The second part aimed at describing how the strategy influenced community organizing practices. The analysis of a reflexive practice group, composed of community organizers, helped identify key challenges related to the strategy: the need to clarify the role of community organizers in community development, the difficulties to stimulate and support citizen participation and finally the difficulties associated with this function within the organizational context of Health and Social Services Centres. Finally, the third part sought to identify favourable and unfavourable elements to the integration of the strategy in the practice of community organizers and the organizations that employ them. In addition to the interviews realised in the ethnographic study and the reflexive practice group, nine semi-structured interviews with key actors were realised. The participants indicated that the strategy brings a paradigm shift in favour of health equity, which cannot be achieved without important changes to professional and organizational practices. This thesis has thus contributed to provide new knowledge on the development of communities for the field of public health and the results indicate that it still has to be refined and that its implementation could be improved. In this regard, a heuristic model to generate a conversation between community organizers and public health practitioners, is offered in conclusion.
Ammar, Walid. "Système de santé et réforme au Liban". Bordeaux 2, 2001. http://www.theses.fr/2001BOR28837.
Testo completoThe objective of this thesis is to study the situation of nurses in Lebanon based on a long experience in this field in this country. We decide to seek the causes of this occultation and list the encountered problem. We have started in 1996 study that has shown that nurses in Lebanon belong to a young, single female population with a very short professional carrier averaging 5 years. Nurses live badly due work conditions described, as stressful and hard. The load is both physical and mental. The burn out syndrome affects the majority, of this group. Adding to their lifestyle, the lack of esteem to their not well defined profession. This social group was unable to find structures that will help him to be organized. The study helps us to identify the problems that impeach this group from having its well-defined identity. We were able to formulate four major causes : - The immaturity of the young nurses. - The lack of the elaboration of their specific science. - The lack of structure. Suggestions, that can help this social group to find it self and acquire a real identity, the structures that well help this group to be organized. The reorientation of teaching programs towards specific knowledge, consequently, towards an essential role able to health needs of the human being
Garnotel, Véronique. "L'hôpital de district et la santé communautaire : à propos d'une expérience à Odienne , république de Côte d'Ivoire". Bordeaux 2, 1992. http://www.theses.fr/1992BOR2M135.
Testo completoBédard-Lessard, Jordan. "Développement et santé : pratiques et besoins socio-sanitaires locaux. L’expérience d’un organisme communautaire dans le district de Comas, à Lima, au Pérou". Thèse, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/31030.
Testo completoPierre, Bruno. "Les bassins de naissance en Basse-Normandie : analyse et développement d'un nouvel outil de planification sanitaire". Caen, 1991. http://www.theses.fr/1991CAEN3087.
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