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Evin, Claude. "Les concepts fondateurs des droits des usagers du système de santé". Paris 8, 2001. http://www.theses.fr/2001PA081937.
Pełny tekst źródłaBehrens, Ronaldo. "Le système de santé brésilien et les droits des usagers". Thesis, Lille 2, 2014. http://www.theses.fr/2014LIL20014/document.
Pełny tekst źródłaAfter 25 years of existence, the Brazilian health-care system shows good results, mainly because our population's social condition has improved, mostly through the advent of currency stability and State organization and, also, through the transfer of income to the poverty-stricken populations. Nevertheless, despite having been created from a people-driven movement (the so-called sanitary movement) and having citizen participation as one of its tenets, the Brazilian health-care system does not allow for a direct contribution by the users who, in view of the system's serious structural problems, have been demanding further participation, which can be seen through the increase in number of lawsuits against the public and the private systems and against professionals and hospitals. To face up to this problem and make the participation of the citizen an effective one, we take this opportunity to introduce the French system to the Brazilian system, to encourage further exchange between these two countries and draw on the former for inspiration on the evolution of the latter, specifically with respect to some aspects of Kouchner Act dated March 4, 2002
Assoko, Mve Diane. "Pour une codification réelle du droit de la santé publique au Gabon". Electronic Thesis or Diss., Toulon, 2022. http://www.theses.fr/2022TOUL0151.
Pełny tekst źródłaThe administrative and health authorities seem to demonstrate a desire to guarantee and protect people's health. However, the current state of public health law does not reflect this desire to improve the health conditions of the populations. This research work contains elements from field surveys to identify the reality of the country. This study responds to the need for the real codification of public health law to organize the public health administration, to supervise the activities related to public health, to secure medical and traditional medical practice, to determine the rights of the health system users, to protect the health of people through public health means, by showing the strengths and the weaknesses of the Gabonese health system. Recommendations were made to encourage the competent authorities to carry out improvements aimed at making the Gabonese health system efficient and of high quality
Ventola, Cécile. "Prescrire, proscrire, laisser choisir : Autonomie et droits des usagers des systèmes de santé en France et en Angleterre au prisme des contraceptions masculines". Thesis, Université Paris-Saclay (ComUE), 2017. http://www.theses.fr/2017SACLS082/document.
Pełny tekst źródłaContraceptive use in France and England differs strongly with regard to male methods: half of English users resort to vasectomy and condoms, compared to just15% of the French population. From the 1960s on, the medicalization of contraception has gone hand in hand with its feminization but it appears that national contraceptive norms allow for different levels of male involvement in each country.In order to understand the process leading to variously gendered contraceptive models, this research draws a comparison between the institutional contexts of contraceptive prescription, which contribute to defining possible and desirable contraceptive choices. In addition to anin-depth historical and institutional analysis, this comparison draws upon 34 semi-structured interviews with prescribers in both countries in order to unveil the logic behind their actions and their influence on contraceptive norms.This analysis underlines the consequences of contrasting political perspectives on birth control in both countries: the legacy of the British eugenicist movement proves more liberal regarding sterilization methods than the French pro-natalist context. Moreover, the National Health Service in England and the French health system address the issues of medical regulation very differently. In France, public supervision of clinical practice is low, which allows for considerable heterogeneity between professionals, and, notably, a paternalistic approach to contraceptive choice and the influence of gendered reluctance towards male methods. In England, public regulation of medical training and practices encourages the standardization of prescribers’ approaches to contraceptive choice and more respect for users’ preferences
Stefanova, Deyana. "Le rôle de la notion de service public dans l'organisation du système de santé en droit français". Thesis, Bordeaux, 2020. http://www.theses.fr/2020BORD0273.
Pełny tekst źródłaSince the 1970s, the notion of public service has been conceived as the basis of the health system in French law. However, this notion has not become an integral part of city care services within the scope of the health system. At the same time, the concept of the hospital system, which refers to the coordination of the entire supply of hospital care by the state, was constructed outside the spectrum of the concept of public service. This leads us the to observe the failure of the notion of public service as the basis of the health system in French law. Since the 2000s, the emergence of the concept of the health system in domestic health law, as well as the influence of European Union law on the design of public service in the field of social and health services, have led to the renewal of the role of the public service in the domain of health. Public service then gradually became an instrument for organizing the health system through its legal regime. In this sense, the reintroduction of the concept of public health service, operated by the Touraine law of January 26, 2016, appears paradoxical. The shift to an exclusively functional public service approach in health involves defining and building "service to the public" missions within the health system
Mesnil, Marie. "Repenser le droit de la reproduction au prisme du projet parental". Thesis, Sorbonne Paris Cité, 2015. http://www.theses.fr/2015USPCB217.
Pełny tekst źródłaStarting from the concept of "parental project", we aim to deconstruct the traditional roles of women in reproductive matters from a legal standpoint. Gender stereotypes, especially those related to gendered division of labour, are indeed sustained by the current reproductive legal framework. The parental project is a concept introduced by law regulating the new reproductive technologies and yet, the analysis of legal aspects of medically assisted reproduction (MAR) stresses how gender stereotypes are in fact strengthened. The legal criteria to access MAR methods are defined based on Nature and comparing French and Swiss legal frameworks shows there are no fixed rules and thus, that references to Nature are not unbiased. Moreover, when it comes to rules of filiation, the naturalistic framework is further reinforced: on the one hand, when the parental project is carried out within the legal framework, filiation is established based on general law, corroborating the gendered legal basis of filiation; on the other hand, parental projects outside of the naturalistic framework are marginalized, and if nowadays filiation should also be recognized for children born in such conditions, it is only because of legal and jurisprudential developments. In spite of this, we think that the concept of "parental project" should promote, within the legal framework of reproduction, both gender equality and reproductive autonomy. Based on the principle of sex-equality and reproductive autonomy, our proposals aim to change dispositions regarding filiation and reproductive medical acts so that they could improve gender equality and reproductive autonomy. In particular, MAR should be addressed by the general law of filiation in order to make of will the main basis of parentage. Likewise, promoting autonomy in reproductive medical acts cannot proceed without rights of the health care users. Finally this research in reproductive law could be seen as a striking example of how law could foster gender equality and individual autonomy in society
Belassene, Ingrid. "La personne âgée : quel usager du système de santé ?" Aix-Marseille 3, 2010. http://www.theses.fr/2010AIX32024.
Pełny tekst źródłaThe old person, someone as the others, would know how to be only considered, or even principalement, from the point of view of his pathology, from its disability or of son âge. En effect, the French law in an universal conception of equality thank you does not in theory allow to favour an edge of the population according to its age, its religion, its origin. However this category de persons, very often fragile, vulnerable or out of state to express its will, deserves a particular attention. If the legislator does not envisage specific dispositions for the old person, it is however interested in the persons out of state to express their will. In this sense, the law of March 4th, 2002 proves to be particularly beneficial in geriatrics since she envisages the possibility of indicating a person of trust, who will be able to bring back will, in others, of the old person in the medical team when this one is out of state to express its will. In this sense, the law of March 4th, 2002 proves to be particularly beneficial in geriatrics since she envisages the possibility of indicating a person of trust, who will be able to bring back will, in others, of the old person in the medical team when this one is out of state to express its will. This new implement is also going to allow the development of medical research in geriatrics, particularly necessary, since the legislator envisages that an approval in research can be given by the person of trust. However if the new measurements, adopted by law, seem wholly beneficial, practice shows difficulties of application. That's how a more strict supervision of the implement seems necessary. Concerning the respect for the rights of the sick man at the end of life, the law n ° 2005- 370 of April 22nd, 2005 relating to the rights of the sick and at the end of life introduces for the first time, in France, directives anticipated beside collegiate procedure and of transparence of practices. This law was said "LEONETTI", dedicates to the treated person a right to the refusal of care which must be, particularly in geriatrics, handled with caution. In several countries, the legalization of euthanasia appears and risks it seeing stretching this disposition in France exists. It seems therefore key to put the emphasis and to reveal drift which it would procreate in geriatrics. The question of old age proves to be very important as much as the number of nobody old does not cease augmenting and, the concerning anxiety the taking care of these numerous persons and the respect for the rights which are them dûs grows. The old person is going to benefit from different rights offered to the patients, and notably from novelties of the law of January 2nd, 2002 which reinforces the rights of the users of the system of health and offers to assure the real access of these rights, of obligatory documents. The different re-form of our system of health be going to allow a remarkable improvement of our system of care in which the old person, as the other persons, can benefit. However, if our system of health dedicates an enlarging place to the old person, as manifest the improvement it of geriatric course of study, life remains nevertheless than difficulties of taking care of these old persons exist
Mallet, Jacinthe. "La gestion des plaintes des usagers des services de santé : réflexion sur la transposition du droit québécois au droit Néo-Brunswickois". Mémoire, Université de Sherbrooke, 2003. http://hdl.handle.net/11143/10667.
Pełny tekst źródłaContis, Maïalen. "Secret médical et évolutions du système de santé". Toulouse 1, 2001. http://www.theses.fr/2001TOU10056.
Pełny tekst źródłaMedical confidentiality in French law seems unalterable. Yet its absolute character is, on a purely judicial level, contestable. Furthermore, the French health-care system has experienced developments likely to impact on this concept. Despite these developments, medical confidentiality has remained a static concept, locked in its rigidity, leading to the need to foresee modifications
Lennuyeux-Comnene, Elsa. "Droit de substitution : quels enjeux pour quels acteurs du système de santé ?" Paris 5, 1996. http://www.theses.fr/1996PA05P167.
Pełny tekst źródłaMahdjoub, Azzedine. "Le droit à la santé à travers l'évolution du système sanitaire algérien". Paris 13, 1991. http://www.theses.fr/1991PA131021.
Pełny tekst źródłaMbouna, Murielle-Natacha. "Analyser la participation des usagers à la gouvernance du système de santé : une perspective de la théorie des parties prenantes". Lyon 3, 2010. https://scd-resnum.univ-lyon3.fr/out/theses/2010_out_mbouna_m.pdf.
Pełny tekst źródłaSince 1996, consumers are entitled to sit in the Boards of directors of French public hospitals. The law of March 04th, 2002 dealing with patients' rights dedicates them as actors of the health care system governance. This phenomenon, which is called sanitary democracy, organizes consumers' involvment within health policies decision processes. By questionning consumers power in decision-making, the sanitary democracy remains problematic. Are consumers salient stakeholders or not in the French health care system governance? My theoretical Framework mainly deals with the Stakeholder Theory. The salience of stakeholders is thus, determined by three factors : the attributes of legitimacy, urgency and power (Mitchell et al. , 1997). In short, salience in an organization depends on the identification of stakeholders' attributes. The concept of power (Dhal, 1957; Etzoni, 1998) is aslo mobilized to explain the relationship between thoses attributes on the one hand and consumers' contribution as stakeholders on the other hand. Secondary analysis of primary data is undertaken with the method of the Data quality review (DQR). Our primary data stems from four research studies (DGS 05-06; Cruq 07; Cissra 07 and Cissra 08) which are used to improve the empowerment of consumers in the French health system governance. In conclusion, three types of consumers (conceived as stakeholders) are highlightened by Mitchell et al. : non stakeholder, dependent stakeholder and definitive stakeholder. Futhermore, three perceptions of managers' minds are pointed out Etzoni' s notion of utilitarian power : non salient, poorly salient and highly salient. Thus, various types of power blur the reality of consumers' power in the French health system governance
Guimiot-Bréaud, Hélène. "Le régime juridique du médicament remboursable : l'archétype d'un système social de protection de la santé". Nantes, 2010. http://www.theses.fr/2010NANT4028.
Pełny tekst źródłaBy their nature, Refundable Drugs cause contention between three kinds of standards : As they are potentially lethal, they are subject to Health Policy regulations for their manufacture and introduction to the Market as provided mainly by the Code de la Santé Publique ; Being also a Health and Prevention product, which ensures both individual and collective health Wellness, they must comply with specific rules for their distribution in public by the Code de la Sécurité Sociale ; And finally as Consumer goods, products of manufacture, they are governed by General Consumer and Trade Regulations. The interaction of these three governing standards results in an intertwining of rules which form an independent body of statutes that establish the Refundable Drugs legal structure. These address all problems linked to the confrontation between health rights protection against the balance of accounts by Sécurité Sociale. And standards of their application are governed by law according to scientific and economic criteria as well as by social assurance needs. Accordingly in this manner, being involved in all discussions about healthcare cost and care, especially in their regulation, Refundable Drugs are the point of convergence for issues linked to Health rights, Social protection and Health economics
Prigent, Amélie. "Qualité de vie des usagers des services de psychiatrie et facteurs associés". Thesis, Paris 11, 2014. http://www.theses.fr/2014PA11T047/document.
Pełny tekst źródłaBACKGROUND: Assessment criteria which take patients’ perceptions into account, such as quality of life, are becoming increasingly important in health services assessment and policy and clinical decision-making. Despite the fact that mental disorders represent a significant burden in terms of prevalence and economic consequences, there is a lack of knowledge regarding quality of life of patients cared for by mental health care services which impedes informed decision-making in the field of psychiatry.OBJECTIVES: Our objectives were to measure quality of life using utility scores of people cared for by mental health care services in France; to assess the loss of quality of life attributable to mental disorders; and to identify factors associated with quality of life.MATERIAL AND METHODS: After a literature review describing quality of life tools used in the field of mental health, we undertook a survey to measure the quality of life of people suffering from mental disorders who were treated in the general psychiatric sector using two tools and the corresponding utility scores: the SF-36, allowing calculation of utility scores by the SF-6D, and the EQ-5D. We compared them in terms of performance, and we assessed their consistency. We evaluated the quality of life loss attributable to mental disorders considering data from the French general population-based survey on health and disabilities as a reference. Finally, we used several models adapted to the specificities of the utility score distributions to identify socio-demographic, clinical and mental health care utilization characteristics associated with quality of life.RESULTS: 212 patients were included. The mean utility score was 0.684 when assessed by the SF-6D, and 0.624 when assessed by the EQ-5D. Utility scores of patients suffering from mental disorders were 11% lower than those of the general population. Being a woman and being severely ill were factors associated with lower utility scores using both tools. In comparison with no hospitalization, voluntary hospitalization within the past 12 months was associated with lower SF-6D utility scores, whereas part-time hospitalization was linked with higher SF-6D utility scores. SF-6D and EQ-5D utility scores showed poor agreement in measuring quality of life. These instruments were similar in terms of acceptability as well as discriminant and convergent validity; however, the EQ-5D showed lower sensitivity, illustrated by a ceiling effect, and the models used to study factors associated with this score showed poor performances.CONCLUSION: We objectivized the negative impact of mental disorders on quality of life. Considering the significant differences identified between the SF-6D and EQ-5D utility scores, the choice of the most adapted instrument constitutes a major issue. The lack of sensitivity of the EQ-5D and the difficulties experienced in finding a model adapted to the specificities of this score would suggest that the SF-6D is better suited to the field of mental health. However, our results must be confirmed by analysis on larger samples
Vincent, Hélène. "Les mutuelles de santé dans le système d'assurance maladie français : dynamique et enjeux". Grenoble, 2010. http://www.theses.fr/2010GRENE010.
Pełny tekst źródłaThe role and position of mutual funds within the healthcare system have evolved greatly over time. Nonetheless, they remain a key player whose role may yet be strengthened further. Indeed, within the current context of controlling public spending, whilst the cost of care escapes such control, the most recent National Health Insurance reforms have entailed a significant shift of cover from the remit of National Health Insurance to that of complementary policies. The public system is thus being drawn towards the line of minimal assistance. As a consequence, complementary policies, both individual and collective, fulfil an increasingly important role. Within this context, mutual healthcare funds are a particularly relevant object for analysis because, although they are in effect private insurance policies, they do not function according to market, principles but rather place emphasis upon the principles of solidarity inherent to social and Welfare economics. The issue is all the more important given that many geographical and social inequalities continue to rise and undermine the health insurance system. However, national and international competition in this field has risen over recent decades and places social economic organizations, including mutual health insurance policies, in a difficult position. In order to preserve their principles of solidarity in face of rising commercial practices in the healthcare field, and an unprecedented search for profit on the part of insurance companies, mutual funds have to firmly establish their presence, sometimes through substantial reorganization. Despite these difficulties, the field of mutual funds continues to reaffirm its intention to resist and perpetuate an economic model based upon solidarity between individuals
Pooter, Hélène de. "Le droit international face aux pandémies : vers un système de sécurité sanitaire collective ?" Thesis, Paris 1, 2013. http://www.theses.fr/2013PA010343.
Pełny tekst źródłaIn the face of pandemics, is international law organized as a "system of collective health security" (foregoing excessive unilateral measures - guaranteed by the community through joint action - upholding State rights to adopt necessary individual measures)? The study of instruments adopted by the WHO (International Health Regulations, Pandemic Influenza Preparedness Framework), of unilateral acts of the UN (resolutions of the General Assembly, the Security Council and the Economic and Social Council), of cooperation between international organizations and of the WTO's Agreements (GATT, SPS Agreement and TRIPS Agreement) reveals that the answer to each segment of the question is positive. However, one cannot ignore the highly imperfect result of the fight against pandemics. If there are undeniable indices which illustrate the existence of a nascent system of collective health security, international law in the face of pandemics is nevertheless thus far characterized by an agglomerate of fragments at odds with a coherent legal edifice
Siranyan, Valérie. "Actes et responsabilités du pharmacien d'officine : évolution et perspectives du fait de la modernisation du système de santé". Lyon 1, 2004. http://www.theses.fr/2004LYO10196.
Pełny tekst źródłaThoreux, Marie. "Les systèmes mutualistes de santé: un financement alternatif du système de santé dans un pays à faible revenu? : Le cas de la Mutua La Fundadora- Nicaragua". Versailles-St Quentin en Yvelines, 2012. http://www.theses.fr/2012VERS0135.
Pełny tekst źródłaCommunity-based health insurance is becoming the dominant paradigm in health financing systems within developing countries. Considering community-based health financing challenges, we wonder to what extent this new argumentation for transferring health costs from government to community level solves the problem of the poor’s inability to finance quality care ? From a survey (Mutua La Fundadora, Nicaragua) we show that the younger the household, the more it belongs to the richest income categories and the less this household will be influenced by enrolling into the mutual health organization. The more a household will have had access to loans and stable employment, the greater the probability of the members becoming part of mutual health. Community-based health insurance does not prove its performance in terms of financial viability or in terms of fair redistribution within a community. It is dangerous to blame the community for health financing system in poor developing countries
Delcourt, Diane. "L'évolution du droit international des brevets de médicaments : vers l'insertion du modèle européen de droit pharmaceutique dans le système commercial multilatéral". Aix-Marseille 3, 2008. http://www.theses.fr/2008AIX32040.
Pełny tekst źródłaProfit-making merchandises, as well as therapeutic goods, drugs (understood in the sense of pharmaceutical products) are now exploited by an authentic industry, which dynamism is essential to the economic development of the states and to the welfare of the populations. In an international context characterized by a constant increasing of costs of Research and Development, the will to preserve this dynamism leads to the creation of devices offering real incentives to drugs producers. This is one of the purposes the TRIPS Agreement, attached to the “Final Act” establishing the WTO, is seeking to enforce. Prescribing to its signatories to deliver pharmaceutical patents, this treaty is designed to foster innovation by providing the industry for exclusive rights over its inventions for a limited time. These exclusive rights have, however, their disadvantages. Leading to an increase in pharmaceutical prices, they can penalize penniless consumers, unable to buy the medicinal products they need to exercise their universal “right to health”. Concerned with the reconciliation of its rules with international human rights law, the WTO tried to sort out this conflict by promoting the evolution of TRIPS Agreement. The European Community, which is now a Member of this Organisation, there seized an opportunity to raise its international normative influence. Embodying a model of pharmaceutical regulation always striving to conciliate the protection of public health and the preservation of economic competitiveness, the Community is currently trying to spread it on the international scene. The present research is assessing the means, the results and the effects of this strategy
Abu-Zaineh, Mohammad. "Contribution à l'analyse de l'équité en santé : trois essais sur les inégalités du système de santé en Palestine."quelques réponses à partir de la première enquête sur les comptes nationaux de la santé"". Aix-Marseille 2, 2008. http://www.theses.fr/2008AIX24008.
Pełny tekst źródłaThe question of relative inequalities in many dimensions of wellbeing reveals prominent on the front of the international scene. Foremost, however inequalities in health came out to place on the top to the global policy agenda. This thesis sharpens its focus on the measurement and explanation of income-related inequality and inequity in health. It considers the feasibility and applicability of standard measures previously proposed in health economic literature in the context of low-income and developing countries. The omnipresence of massive socioeconomic inequalities within these countries along with the systemic features of health financing systems, in particular the heavy reliance on direct payments and the incomplete coverage of risk-sharing schemes, imply quite varied equity issues compared to those in high-income countries. Under conditions, refined approaches to the measurement and explanation of equity are required should these be informative for complex debate on the health sector reforms. The thesis consists of three self-contained essays, which all deal with the analysis of equity in finance and delivery of health care in the Palestinian health care sector. Several policy-relevant factors, which have to be taken into account for future attempt aiming at limiting existing inequalities in the Palestinian health care sector are discussed and identified. The thesis concludes by advancing some reflections on equity issues and the future research required to better apprehend them
Guerriaud, Mathieu. "La formation des professionnels de santé pour une efficience de la pharmacovigilance : une analyse juridique d'un système en manque de pédagogie". Thesis, Dijon, 2014. http://www.theses.fr/2014DIJOPE01/document.
Pełny tekst źródłaPharmacovigilance is a fundamental discipline for safety and confidence in the medicines. This discipline has evolved over time, and has been strengthened, but still suffers from imperfections. We proposed through this work to provide an original solution for its improvement.In the first part, we describe and analyze the evolution of pharmacovigilance and its current functioning from both the legal and the scientific point of view and at both national and European levels. We analyzed the legal and practical weaknesses and have formulated proposals to address them. Then we review a number of possibilities before developing in the second part an original approach: pedagogy. Having established that the field pharmacovigilance is based on health professionals, we studied the provision of training of these professionals and offering to provide more qualitative and enough quantitative academic training in pharmacovigilance and iatrogenic, keeping in mind that we must rely on teaching methods and tools that should be adapted to current students. The proposed pedagogical paradigm is based on a pedagogy of explanation, on research in pharmaceutical law and a hybrid innovative pedagogy, combining face to face courses and e-learning resources. The tools used include lectures supplemented by formative assessments as tests done with electronic voting boxes and clinical cases in e-learning available on a platform. This education should lead students to a better understanding of pharmacovigilance and practical management of iatrogenic drug events.Consequently, the work done, allows us to better train, health professionals for drug risk management with an ultimate goal of strengthening the pharmacovigilance system. This will be complemented in the future by simulation and role-playing
Gimenès, Paul. "Les associations de malades et d'usagers : d'un tiers-pouvoir à un contre-pouvoir au sein du système de santé". Toulouse 1, 2011. http://www.theses.fr/2011TOU10064.
Pełny tekst źródłaThe participation of patients' associations is nowadays institutionalized in French healthcare system. However, the effectiveness of this participation and the real influence of these associations can be questioned. If these associations are the legitimate representatives of patients and also the interlocutors of governments and health professionals, it is clear, at the same time, that they are not able to effectively influence the decisions unlike the other decision makers. In fact, the structure of these associations on the one hand and their participation based on ''participatory democracy" and the practice of lobbying on the other hand, appear currently inadequate to meet the requirements of such participation. In other words, these associations are now unable to act as "checks and balances". Therefore, new devices must emerge to increase their participation and finally give patients a real influence on decisions that concern them
Diarte, Elsa. "Les informations sanitaires à visée économique relatives à la spécialité pharmaceutique remboursable émanant de la Direction des études et de l'information pharmaco-économiques". Bordeaux 2, 1999. http://www.theses.fr/1999BOR2P054.
Pełny tekst źródłaOusseini, Abdoulaye. "Les politiques publiques de financement de l'accès aux soins : la fabrication et la mise en oeuvre d'une exemption de paiement dans le système de recouvrement des coûts au Niger". Paris, EHESS, 2014. http://www.theses.fr/2014EHES0583.
Pełny tekst źródłaThis thesis focuses on a specific public health policy in Niger, namely the fee exemption. It examines the design and the implementation of the policy, the reasons put forward to legitimizeit, the practices and representations of the actors involved in the process, and the new ad-hoc intitutional arrangements that are set up to lead the process. The study is grounded in a socio-anthropological approach that relies heavily on empirical data gathered from the views of the actors involved and observation in situ. It combines two approaches to public policies - from below and from abnove - that complement each other. A closer look at the introduction of the policy shows both hastiness and unpreparedness in the formulation of public health policies. The inconsistencies and significant gaps between the political commitment and the actual implementation in addition to the daily practices of health services and their users are understood as some of the challenges to equal access to health care in Niger. This thesis introduces a debate on the implementation of health care policies as they aim to achieve universal coverage in Niger
Bernier, Dominique. "Le droit pénal dans le continuum des soins de santé: Réflexions sur le rôle des acteurs du système judiciaire et sur les mécanismes de protection de l’usager de drogue ou d’alcool dans les formes de prise en charge thérapeutique". Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35895.
Pełny tekst źródłaLi, Lingwei. "Les places respectives de la médecine chinoise et de la médecine occidentale dans le droit chinois entre 1840 et 1982". Thesis, Aix-Marseille, 2017. http://www.theses.fr/2017AIXM0276/document.
Pełny tekst źródłaFor millennia, Chinese medicine has been of some renown. However, during the period going from the first opium war of 1840 to the promulgation of the constitution of 1982, this medicine has slowly declined. This change is mainly due to the radical mutation of Chinese society on its whole, and to its increasing confrontation with western culture and medicine. Successive political regimes have tried to set up diverse health systems, which they modernized or westernized, in order to remedy the delicate health situation and relieve some burden from existing institutions. They either openly supported Western medicine, even to the point of wanting to abolish its Chinese counterpart, or tried to stimulate some form of collaboration between the two medicines. Based on this history of clashes and forced cohabitation, and on the specific aspects of each of them, it seems a sound goal to proceed to a deeper collaboration between these two medicines, to help and manage public health more efficiently. Indeed, this collaboration could in itself better the current health system, would stimulate medical activity, could reduce healthcare costs and finally should improve global health and wellbeing of the Chinese population. But of course, it is first and foremost a pressing duty to enhance the current status of existence and state of development of Chinese traditional medicine
Chayata, Karim. "La prise en charge des dépenses de santé par la solidarité nationale : l'exemple du système tunisien d'assurance maladie". Phd thesis, Université Rennes 1, 2013. http://tel.archives-ouvertes.fr/tel-00864973.
Pełny tekst źródłaM'Voula, Annicet Brice. "Le système de protection sanitaire et sociale en République du Congo et les droits de l'homme". Grenoble 2, 1998. http://www.theses.fr/1998GRE21048.
Pełny tekst źródłaBoutin, Cécile. "Le systeme de santé irlandais de 1947 à 1987". Thesis, Sorbonne Paris Cité, 2015. http://www.theses.fr/2015USPCA171.
Pełny tekst źródłaBetween the birth of the Ministry of Health in 1947 and 1987, has Ireland managed to jump on the bandwagon of health and welfare for its people? True enough, more and more money was poured into healthcare year after year and the results were indisputable if one focuses on the various health indicators. Ireland quickly managed to get rid of tuberculosis, for instance...The very notion of healthcare changed a lot during the period. It used to focus on curing the sick, and gradually gave more and more importance to prevention, regarding the patient as a full-fledged person with a whole series of social facets.Still, healthcare for the people also implies eligibility and equality of treatment for all, which has not always been the case – the classic reproach against the Irish healthcare system being that it is a two-tier system, the holders of a medical card being in fact discriminated against by a system which allows those who do not benefit from free access to it to actually enjoy a better service together with shorter waiting lists.In order to analyse the way the Irish system functioned in 1987, forty years after its birth, this PhD attempts at deciphering the imprint History had left on its infrastructures (hospitals, for instance) and on its administrative structures.The next step consists in studying the evolution of the system, which was slow and hindered by various forces fighting against change (like the catholic Hierarchy or the doctors).Finally, our study highlights the impact of Ireland’s EEC membership and the country’s stance in the great debate of the eighties over the notion of welfare crisis, stemming from the economic conservative ethos that prevailed at the time
Dessales, Thomas. "Le règlement amiable des accidents médicaux depuis 2002 : un système en recherche de nouveaux équilibres". Thesis, Université de Lorraine, 2021. https://docnum.univ-lorraine.fr/public/DDOC_T_2021_0353_DESSALES.pdf.
Pełny tekst źródłaThe law of March 4th, 2002 relative to the rights of the sick and to the quality of the health system said law Kouchner has in a new way in France set up a state system of amicable settlement and compensation of the victims of medical accidents. In maintaining 15 years of existence it is interesting to make a current situation on these procedures to observe if the fixed objectives were filled. It will also be a question of comparing this system in term of access, procedure and efficiency with what exists at our European partner's
Brasselet, Renato. "La circulation de la donnée à caractère personnel relative à la santé : disponibilité de l’information et protection des droits de la personne". Thesis, Université de Lorraine, 2018. http://www.theses.fr/2018LORR0333/document.
Pełny tekst źródłaHealth, m-health and self quantification connect the body and disrupt the traditional model of care. They are moving it from curative and monopoly medicine to preventive medicine and taking a WHO-defined approach to health. By this means, the person is no longer simply placed at the center of the care device he becomes one of the actors including in the intimacy of his privacy.On the other hand, in search of the realization of economy but also of quality, the health system, has mutated, under the effect of the deployment of e-health. As a result, it is now substantially landscaped and can no longer be synthesized into the classic dichotomy between health and social medicine. The vector and resultant of this phenomenon consists in the circulation of health information. From now on, it has become largely digital and essential for the care and functioning of the healthcare system. The care is now conceived around categorical and inter-categorical exchange and sharing, even man-machine or machine-machine and no longer on a medicine based on secrecy. The Man who has become a homo Numericus is not without all rights and privacy. Law and techno-law are part of this scholarly game, the slightest inconsistent reform of which could upset its precarious balance
Kananovich, Katsiaryna. "Comparaison internationale des systèmes de santé de onze pays : Allemagne, Biélorussie, Canada, Cuba, Danemark, EtatsUnis, France, Norvège, Royaume-Uni, Russie, Suède". Thesis, Paris, HESAM, 2021. http://www.theses.fr/2021HESAC002.
Pełny tekst źródłaThis dissertation proposes a vision on the comparative analysis of health care systems and the transmission of knowledge through the exchange of organisational practices. The dissertation focuses on the analysis of the components of health care systems, the interaction between these different elements and the external environment to study the advantages and disadvantages of each organisational model. The dissertation involves the analysis and synthesis of information from 4 foreign languages
Moncada, Marie. "L’homéostasie idéelle. Comprendre la stabilité de l’accès aux soins des étrangers irréguliers en France et aux États-Unis (1970-2016)". Thesis, Université Paris-Saclay (ComUE), 2019. http://www.theses.fr/2019SACLV028/document.
Pełny tekst źródłaHow to understand the stability of the access to care for unauthorized immigrants in France and in the United States, from 1970 to 2016, regarding the controversies and the reforms this access is subjected to? This PhD dissertation uses two hypotheses: on one hand, negative feedbacks would control the French policy; on the other hand, a deep core belief seems to stabilize the US one. A mixed analysis (qualitative and quantitative) is done with the NVivo software on data written by interest groups (680 files in France, 881 in the United States), the press (15 625 and 16 970), the Parliament (1 366 and 1 110) and the administration (190 and 105). A hundred of interviews refined the results.This analysis ends in a belief homeostasis pendulum highlighting three activities of the deep core beliefs: a belief locking (self-censorship), a positive feedback (self-reinforcing) and a negative feedback (self-correcting). In this sense, the US policy is subjected to a belief locking while its French counterpart is dominated by negative and, to a lesser extent, positive feedbacks. But these two countries have their own deep core beliefs. The French deep core, originated from Catholicism, is tolerant towards infringement and favors equality. On the contrary, the US deep core, deriving from Protestantism, is less lenient towards breach and opts for liberty
Romanens, Jean-Louis. "Permanences, mutations et renouveau du service public hospitalier". Thesis, Montpellier 1, 2014. http://www.theses.fr/2014MON10007/document.
Pełny tekst źródłaPermanencies, mutations and revival of hospital public utilities : The legislative corpus initiated on July, 21st, 2009, by the law reforming the hospital and relative to the patients, health and territories, put a new legal paradigm concerning the hospital public utilities. So we have questioned this concept, its constraints, its permanencies but also mutations and apparent revival. The concept of a public hospital service, may be the first public service created in our history, emerged from a slow maturation, based on that rule: ''serve the other one'', canonically appeared during the Orleans Council, 511. Since one thousand and five hundred years, it has often mutate but has kept this mental content, on which transplanted the hospital experiment. Two new mutations were developed during the last decade. In a formal legal break-off, distinguishing public services missions opened to any health actor, and the public utilities' guaranties of equality, continuity, mutability, the public utilities originating from hospital, leaving its organicity, built for itself a euro-compatibility. In return, mainly supported by the French hospital and its nine million hospitalizations a year, it shaped the concept of general economic interest service of the European Union. Through another mutation of its autonomous management, it has found the ethic of a new synergy between systemic medical quality and economic management grounded on activeness. However, it weighs on its future, other imperatives. On one hand, the cooperations between establishments require their elevation into a public utilities mission rank. And a management of the user's representatives and the various hospital staff must be integrated to the strategy. On the other hand, the heavy current stakes in public health, worsening the social deficits, paralyzed by the corporatism and sanitary powerlessness, would quickly require a personalized coverage in health routes of chronic diseases, and of populations in social dislocation. The rise of a territory health public utilities mission opened to any health actor whose legislation we propose, would contribute to the inter-professional coordination and the relevance of the health system. In continuation, we propose legislative and organizational modalities of creation of specific entities by the health establishments, in territories of exception agreed with the Regional Health Agency (Agence Régionale de Santé). It would be a matter of Inter professional hospital poles of health (PHIS) on ambulatory medicine of prevention, therapeutic education, organic care, mental care, reeducation and rehabilitation follow-up. Health centers included into health poles, they would allow restoring population accessibilities adapted to each territory, bettering the town-hospital relationship, and a research-teaching valuing the general medicine. In its society and for the citizen, the public hospital utilities have to stay the experiment of future
Dumartin, Catherine. "Cadre juridique du bon usage des antibiotiques : analyse comparative dans 12 Etats de l’Union européenne et étude de l’impact sur l’utilisation des antibiotiques dans des établissements de santé du Sud-Ouest de la France". Thesis, Bordeaux 2, 2010. http://www.theses.fr/2010BOR21744/document.
Pełny tekst źródłaAntimicrobial resistance (AMR) is a public health problem worldwide. As antibiotic (AB) use is one of the drivers of AMR, the Council of the European Union adopted in 2001 a recommendation on the prudent use of antimicrobial agents. To analyze the way Member States (MS) had implemented this recommendation and to approach its efficacy, we performed a survey under the auspices of the European Commission in 2008, completed by a thorough analysis of the legal framework in twelve Member States. In addition, relationships between AB stewardship programmes (ABS) and trends in AB consumption were studied from 2005 to 2009 in 74 voluntary hospitals in Southwestern France. MS had implemented a broad range of activities to improve AB use, but differences were seen namely in evaluation systems. Further analysis in 12 MS highlighted discrepancies regarding the scope of the legal framework, incentives for its enforcement, and means of evaluation. A legal framework regarding surveillance and national organisation seemed in favor of higher citizens’ knowledge and awareness and appeared to be associated with lower increase in fluoroquinolone (FQ) use. In French hospitals, ABS had sharply improved and AB consumption remained stable when adjusted on activity. The presence of an antibiotic advisor combined with provision of training and use of prescriptions with stop-orders was associated with a significant decrease in FQ use. Progress in the use of AB could be achieved by sharing experience on best practices and by enforcing legal framework, tailored to MS organisation and epidemiology, targeting activities such as surveillance and evaluation
Villeneuve, Lucie. "La circulation de l'information clinique dans un réseau de services intégrés : des facteurs d'adoption et de résistance à l'implantation d'un système informatisé". Thesis, Université Laval, 2007. http://www.theses.ulaval.ca/2007/24534/24534.pdf.
Pełny tekst źródłaGuindo, Abdoulaye. "L’hôpital « pour de vrai » : une ethnographie de l’ordinaire d’un service de pédiatrie à Bamako au Mali". Thesis, Paris, EHESS, 2017. http://www.theses.fr/2017EHES0061/document.
Pełny tekst źródłaThis thesis is an ethnographic study of a hospital through its pediatric department. The research question relates to practical norms and their effects on the quality of care for sick children. This qualitative study addresses jointly the diachronic and the synchronous dimensions of the hospital. The diachronic dimension develops the history of the construction of pediatrics at the intersection of three data domains: a medical specialty with pediatricians, a type of patient (childhood) and various transformations of sensitivities. The synchronous dimension followed the care path of 25 sick children and the thematic analysis of 122 interviews. It informs the daily life of the pediatric department of the Gabriel Touré University Hospital Center in Bamako (Mali). Our study highlighted, the divide between institutional arrangements and the empirical processes of care. This divide is influenced by social traditions and practices, but also by the behavioral logics of health workers at all levels of the patient's pathway. Limited financial resources of the parents and the ineffectiveness of the various medical technics and materials are also important explanatory factors of this divide. Those elements, together, make it complicated to respect the institutional norms and deconstruct the profession and the medical act. The concept of “child actor” is emerging in the relations between children and adults. This role of actor is often difficult for some children from disadvantaged groups, as they are expected to remain in their position of social younger, subject to the decisions of the elders
Capron, Sophie. "La responsabilité sociale des entreprises à la lumière de la santé et de la sécurité au travail". Thesis, Paris 2, 2016. http://www.theses.fr/2016PA020029.
Pełny tekst źródłaTo save health and safety at work is today, in the language of the management and step-by-step of lawyers, bound with the notion of “corporate social responsibility”. Beyond legal pressures progressively integrated in the positive law, employers must take care about them in their decisions to have the adhesion of employees and to contribute to the conservation of a healthy environment. Goals are as those including by the “triple bottom line” of Elkington (economic, social and legal), as those corresponding to the logic via media and politicians with the management of the appearance of the firm. In addition, it’s possible to ask you: how long can we continue to have a balance about responsibility and reparation around health and safety? How firms can succeed with taking care about interests of actual and future employees too? The answer ask you to study how France choose a “corporate social responsibility” with an important place for the State in opposition of what could be prefered by some authors. But the problem is that this system can be excessively interpreted by Judges. They often accept the responsibility of the employer in cases while it’s not sure that he (or the activity of the firm) created the risk. In addition, the French “corporate social responsibility” can’t be adapted enough and quickly as it’s necessary concerning health and safety at work. That is why, you must see if other ways can been more satisfying. They can be with the same persons (employers and employees or their representatives) or with others stakeholders. It don’t mean that the State can’t be have a role in the “corporate social responsibility” about health and safety at work. But it’s important to see if it can be interesting to give firms possibilities to act voluntarily and ask you if we have to change the repartition of powers concerning this questions in France. An independent control of results must be planned
Gabarro, Céline. "L’attribution de l’aide médicale d’Etat (AME) par les agents de l’Assurance maladie : entre soupçon de fraude, figures de l’étranger et injonctions gestionnaires". Thesis, Sorbonne Paris Cité, 2017. http://www.theses.fr/2017USPCC167/document.
Pełny tekst źródłaIn this dissertation, we address the issue of healthcare access for undocumented immigrants through the study of State Medical Aid (referred to as AME – Aide Médicale d’Etat) – a healthcare coverage specifically dedicated to them. Based on an ethnographic study carried out on both sides of the counter at Health Insurance Offices (referred to as CPAM - caisses primaires d’Assurance maladie), we question the impact of an increasingly managerial approach to healthcare and of CPAM occupational mutations on AME attribution. We show how a rhetoric of suspicion developed in this administration, towards foreigners in particular. Event though this rhetoric is institutionalized, we shall see how it can also be individually reappropriated, in a context where the meaning of labor is strongly called into question, and where professional identities are undermined. While all agents share a common discourse on the fight against social fraud, they nevertheless use this logic in different ways. As a result, agents may distinctively promote a managerial expertise, a social expertise, or a system gatekeeper expertise. Finally, this dissertation shows how the use of a suspicion rhetoric does not necessarily produce a rigorist reading of AME, even if the latter dominates. On the contrary, it may also call on a social or managerial perspective – given the specificity of AME and its separate processing – that may facilitate healthcare access for undocumented immigrants
Ishii, Karine. "Le système de prise en charge des personnes âgées dépendantes : le Japon un modèle pour la France ?" Thesis, Paris 9, 2015. http://www.theses.fr/2015PA090032/document.
Pełny tekst źródłaThis thesis focuses on the long term home care policies conducted in Japan, in order to draw lessons for France. Our analysis is developped through three topics : i) the analysis of the differences between the Japanese and the French systems in the public care organisation and in the care received by the elderly, ii) the examination of potential barriers to access to public elderly care in Japan; iii) the study of the impact of informal care on the labor participation of Japanese middle-aged women. In this regard, we carried two qualitatives studies comparing Japanese and French policies, and two microeconometrics studies of individual and family behaviour of caring in Japan. This study outlines the specificities of the policies conducted in both countries, and highlights the strenghts and weakness of the Japanese model
Ymba, Maïmouna. "Accès et recours aux soins de santé modernes en milieu urbain : le cas de la ville d'Abidjan - Côte d'Ivoire". Thesis, Artois, 2013. http://www.theses.fr/2013ARTO0005.
Pełny tekst źródłaThe city of Abidjan is located in the South of the Ivory Coast. It is the economic capital since 1983 and the first city of the country. It concentrates human potential and health of dense care supply modern and diversified divided on weak physical distance, giving the impression that everything is approachable. In effect, the State Of the Ivory Coast approved important investments to construct and equip services of health care since the emergence of the city at the beginning of last century to ameliorate the access to health care of abidjanais. However, in spite of a considerable increase among health facilities and among their availability, the rates of uses and company of the services of modern health care in the spaces of the city of Abidjan remain weak and the indicators of health remain very worrying and the needs in care of health are important. On top of that, the space and demographic speeded up growth which knows the city draw away quick changes in her territorial organization preventing the public authorities made responsible with planning for following the rhythm of its urban growth. They did not always manage to equip new urban spaces with timely urban services and to integrate new citizens at the various origins. This thesis allows to be studying, how, in a considered context as privileged, settle the problems of access and health care seeking in the services of modern health. To accomplish this plan, this study, from the combination of spatial analysis, statistics, and field work, analyses the socio- spatial inequality of access to the services of health to head with the problem of accessibility in care, so physical, cultural, material that social. It also measures the adequacy of health care supply at the Needs in care of health of populations to identify zones and populations discriminated for the access to health care. And finally, this study analyses the city practices in the use of health care, as well as the determinants that hinder or facilitate access to health care in the city of Abidjan. Study results show that the services of health exist, they are dense and manifold, but they did not leave again where there are most needs in care of health. In our study, they also underline a predominance of the taking care at home of morbid episodes notably across self-medication and a reduction of the use of the services of modern care. The seeking in structures of health care becomes rare in the space where the needs in care of health are the most important. Self-medication or street medicine are the most favouring in general. Structures of health care are solicited that when illness becomes very serious. Our results also show that it is difficult to allocate to a factor the role determining therapeutic seeking, because behaviours are determined at the same time by the socio-demographic characteristics of the individual, his family and by contextual parameters, but also by the characteristics of morbid episode, by the knowledge of the ambient the health care system and attitudes in relation to the health care system. However, we can say that in Abidjan, the city practices of health care seeking are dependent on the economic capacity of household with risk augmented to marginalize the most vulnerable persons
Ferry-Danini, Juliette. "Une critique de l’humanisme en médecine : la "médecine narrative" et la "phénoménologie de la médecine" en question". Thesis, Sorbonne université, 2019. http://www.theses.fr/2019SORUL059.
Pełny tekst źródłaThis dissertation is a critical appraisal of contemporary attempts at giving a philosophical basis to the claim that medicine is in need of “more humanism”. I argue that two prominent medical “humanistic” approaches today – narrative medicine and phenomenology of medicine – fail to give a convincing account of the concept of humanism. Both approaches are reactions against what they call the biomedical model, yet they fail to provide either a coherent account or a convincing criticism of that model, whether they define it as an instance of science (as does narrative medicine) or as a product of naturalism (as does phenomenology of medicine). Moreover, both approaches founder on issues in their own terms. Narrative medicine is built on problematical theses, notably the narrativity thesis and the singularity of subjective experiences thesis. Meanwhile, phenomenology of medicine runs into meta-philosophical obstacles regarding the definition of phenomenology itself, notably by reducing it to the study of lived or psychological experience. Finally, I criticise what brings together their humanistic strategy and which consists in putting empathy at the centre of their definition of humanism. By way of conclusion, I then sketch an alternative path for medical humanism, focused on issues of justice and access in health systems
Boukoulou, Phares. "Le problème de l'accès aux soins en Afrique francophone subsaharienne : le cas de la république du Congo". Thesis, Bordeaux, 2017. http://www.theses.fr/2017BORD0827/document.
Pełny tekst źródłaCongo has signed a number of international agreements on the protection of the right to health. Despite the signing and ratification of these agreements, however, the right to health has not yet become a protected right stricto sensu, and the Congolese population still faces great pitfalls in access to care. Some say that this notion of "access to care" is only a slogan in the Congo. That health is not part of public policy priorities and that the lack of will of the public authorities as evidenced by the lack of health insurance do not make effective use of the care possible. Others, on the other hand, qualify these assertions and consider that even if difficulties exist in access to care in the Congo, these difficulties are not specific to this country. In many African and even western countries there are barriers to access to care. On the other hand, Congo has tried to take action to improve access to health care for its population. That these actions were supported by the support of International Organizations such as WHO and also by NGOs. Ac
Fournier-Gendron, Hugo. "Sécurité informationnelle des systèmes cyberphysiques et risques à la santé et sécurité : quelle responsabilité pour le fabricant ?" Thèse, 2017. http://hdl.handle.net/1866/21353.
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