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Artykuły w czasopismach na temat "Parcours de soins coordonnés – Planification"
Benaderette, Serge. "Parcours des soins coordonnés des patients : les biologistes médicaux au centre". Option/Bio 29, nr 581-582 (czerwiec 2018): 1–3. http://dx.doi.org/10.1016/s0992-5945(18)30234-4.
Pełny tekst źródłaMaunoury, F., Jean-Louis Vanhille, N. Véron, J. Brocca, Sophie Clech, Jean-Paul Auray, Bruno Fantino i O. Molinier. "Analyse coût efficacité du parcours de soins coordonnés de patients atteints de pathologie obstructive bronchique chronique". Journal de gestion et d'économie médicales 27, nr 7 (2009): 392. http://dx.doi.org/10.3917/jgem.097.0392.
Pełny tekst źródłaDoc, Angélique, Youcef Shahali, Hélène Rigaud i Jean-Marc Rame. "Mise en œuvre de parcours de soins coordonnés en allergie alimentaire : retours à 10 mois d’inclusion". Revue Française d'Allergologie 63, nr 1 (luty 2023): 103273. http://dx.doi.org/10.1016/j.reval.2022.103273.
Pełny tekst źródłaDoc, A., Y. Shahali, H. Rigaud i J. M. Rame. "Parcours de soins coordonnés en allergie alimentaire : mise en œuvre de l’expérimentation ANGELE (Allergies complexes : prise eN charge Globale, diététiquE et environnementaLE)". Revue Française d'Allergologie 62, nr 3 (kwiecień 2022): 305. http://dx.doi.org/10.1016/j.reval.2022.02.040.
Pełny tekst źródłaJiang, Li, Julie Gilbert, Hugh Langley, Rahim Moineddin i Patti A. Groome. "Cancer du sein : méthode de détection, intervalle diagnostique et recours aux unités d’évaluation diagnostique spécialisées en Ontario (Canada)". Promotion de la santé et prévention des maladies chroniques au Canada 38, nr 10 (październik 2018): 405–15. http://dx.doi.org/10.24095/hpcdp.38.10.02f.
Pełny tekst źródłaDESJEUX,, G., B. PASCAL, P. MARSAN i V. THEVENIN-GARRON. "Les hospitalisations des militaires d’active en 2009". Médecine et Armées Vol. 40 No. 3, Volume 40, Numéro 3 (1.06.2012): 249–54. http://dx.doi.org/10.17184/eac.6613.
Pełny tekst źródłaAmmari, H., Y. Shahali, M. Bochaton, L. Pressouyre, S. Lagrange i J. M. Rame. "Parcours de soins coordonnés pour les patients allergiques aux acariens : mise en œuvre de l’expérimentation ANGELE (Allergies complexes : prise eN charge Globale, diététiquE et environnementaLE)". Revue Française d'Allergologie 62, nr 3 (kwiecień 2022): 329. http://dx.doi.org/10.1016/j.reval.2022.02.098.
Pełny tekst źródłaPiarroux, R., F. Batteux, S. Rebaudet i P. Y. Boelle. "Les indicateurs d’alerte et de surveillance de la Covid-19". Annales françaises de médecine d’urgence 10, nr 4-5 (wrzesień 2020): 333–39. http://dx.doi.org/10.3166/afmu-2020-0277.
Pełny tekst źródłaLaunois, R., M. Diard, E. Cabout, E. Meto i S. Eymere. "Évaluer autrement les parcours de soins coordonnés article 51 LFSS 2018 : une innovation, les protocoles réalistes". Annales Pharmaceutiques Françaises, czerwiec 2021. http://dx.doi.org/10.1016/j.pharma.2021.06.004.
Pełny tekst źródłaLerigoleur, Marie, Aurélie Urena-Dores, Bourrel Gérard, Cyril Jaume, Mathilde Minet, Élodie Million, Bernard Clary, Agnès Oude Engberink i Béatrice Lognos Folco. "Obstacles et perspectives pratiques de la consultation en médecine générale du migrant porteur de troubles psychologiques. Étude qualitative auprès de médecins généralistes français". Canadian Journal of Psychiatry, 24.09.2023. http://dx.doi.org/10.1177/07067437231200842.
Pełny tekst źródłaRozprawy doktorskie na temat "Parcours de soins coordonnés – Planification"
Gérard, Olivier. "LORH : outil pour la planification du parcours patient dans le milieu hospitalier". Electronic Thesis or Diss., Amiens, 2022. http://www.theses.fr/2022AMIE0060.
Pełny tekst źródłaIn this thesis, we studied a problem of patient care planning, proposed by the Evolucare Technologies company. The company aims to provide a software capable of producing schedules that respect the various constraints and meet the needs of patients and care teams. The LORH project is Evolucare's answer to this issue. We studied the problem and proposed several resolution methods. This NP-hard problem is close to the Resource Constraint Project Scheduling Problem (RCPSP), a well-known problem in the literature. We first formally described the problem and developed the objective function. Our first approach is a 0-1 linear programming model incorporating all variables and constraints of our problem. The initial solutions required for other resolution methods were obtained with a randomized construction algorithm named LORH_RCA. Our second approach LORH_ALNS is a local search based on Adaptive Large Neighborhood Search (ALNS) using a set of moves specifically designed for this problem. We then proposed a genetic algorithm LORH_GA with crossover and mutation operators designed for our problem. The last method named LORH_GADM is also a genetic algorithm with solution diversity management in order to reduce the early convergence to local optimums. We evaluated these approaches on a set of instances generated from problems reported by Evolucare. The linear programming model implemented under CPLEX allowed us to obtain optimal solutions on some instances. We then obtained with LORH_ALNS additional optimal solutions and better upper bounds for all our instance families. These results were successively improved by LORH_GA and LORH_GADM with a gain of 16.42% between LORH_ALNS and LORH_GADM. We also evaluated LORH_ALNS, LORH_GA and LORH_GADM on the RCPSP literature instances and obtained an average difference of 5.4% with the optimal solutions with LORH_GA and LORH_GADM
Jaffré, Marc-Olivier. "Connaissance et optimisation de la prise en charge des patients : la science des réseaux appliquée aux parcours de soins". Thesis, Compiègne, 2018. http://www.theses.fr/2018COMP2445/document.
Pełny tekst źródłaIn France, the streamlining of means assigned hospitals result in concentration of resources ana growing complexily of heallhcare facilities. Piloting and planning (them turn out to be all the more difficult, thus leading of optimjzation problems. The use of massive data produced by these systems in association with network science an alternative approach for analyzing and improving decision-making support jn healthcare. Method : Various preexisting optimisation are first highblighted based on observations in operating theaters chosen as experirnentai sites. An analysis of merger of two hospitlas also follows as an example of an optimization method by massification. These two steps make it possible to defend an alternative approach that combines the use of big data science of networks data visualization techniques. Two sets of patient data in orthopedic surgery in the ex-Midi-Pyrénées region in France are used to create a network of all sequences of care. The whole is displayed in a visual environment developed in JavaScript allowing a dynamic mining of the graph. Results: Visualizing healthcare sequences in the form of nodes and links graphs has been sel out. The graphs provide an additional perception of' the redundancies of he healthcare pathways. The dynamic character of the graphs also allows their direct rnining. The initial visual approach is supplernented by a series of objcctive measures from the science of networks. Conciusion: Healthcare facilities produce massive data valuable for their analysis and optimization. Data visualizalion together with a framework such as network science gives prelimiaary encouraging indicators uncovering redondant healthcare pathway patterns. Furthev experimentations with various and larger sets of data is required to validate and strengthen these observations and methods
Cazin, Léo. "Regrouper pour mieux gouverner ? : Le cas des hôpitaux publics français". Thesis, Paris Sciences et Lettres (ComUE), 2017. http://www.theses.fr/2017PSLEM013/document.
Pełny tekst źródłaAs in most of developed countries, French public hospitals are facing several challenges: shortage of medical resources, development of new care practices, as well as recurrent reforms introducing new financing or governance rules. The fragmented organization of the hospital network, which is made up of nearly a thousand public institutions, makes it difficult to implement a large-scale transformation that would meet these multiple constraints.In such a context, the latest healthcare law (2016) now requires all public hospitals in France to join a Territorial Hospital Group (THG). THGs come after a series of instruments that aimed at reorganizing the territorial hospital organisation, with mixed results up to now. This new reform has aroused many questions regarding its objectives and implementation conditions. Indeed, it contrasts with the strong state-control trend that had prevailed so far, by giving local actors a large amount of autonomy.The thesis is based on the analysis of this reform through a multiple case study. The main ambition of this work is to question the inclusion of the THG law in a new public action paradigm.Despite its apparently relatively vague objectives, I show that this reform is a real break in public action, as it aims at initiating local exploration dynamics around new territorial organizations. This approach corresponds to a new governmentality regime, providing actors with specific objects of government, such as care pathways, capable of triggering collective learning through the creation of exploration partnerships. However, due to remaining inconsistencies in the government’s action, the trajectories of these THGs appear to be very heterogeneous. Therefore, I suggest several recommendations for the management of these exploration dynamics, as well as for consistent public action engineering, in order to carry out such new orientations
Duflos, Claire. "Les parcours de soins des insuffisants cardiaques : de leur mesure à leur utilisation". Thesis, Montpellier, 2018. http://www.theses.fr/2018MONTT065/document.
Pełny tekst źródłaHeart failure is a frequent and serious chronic pathology, whose evolution is peppered with decompensations that usually require hospitalization. Despite clear scientific recommendations (treatment of etiology and co-morbidities, early symptomatic treatment of decompensations, specific treatment for cases with decreased ejection fraction), the organization of the health system does not promote optimal delivery of recommended care. The literature reports that the delivery of care, as well as the content of delivered care, vary widely from one environment to another, with an impact on the risk of rehospitalization. Therefore, improving the quality of care needs to describe the delivery modalities and the content of care, that is to say, the care pathway. The methods of describing these pathways are rare and non-consensual. The aim of this thesis is to propose methods for describing care pathways, with the aim of offering support for clinical and public health decision-making. Two studies are carried out on two very different bases: an ambulatory and hospital medico-administrative database on a regional scale, and a monocentric clinical hospital database. These two studies highlight, using a hierarchical ascending classification on principal components, easily interpretable groups of patients. In particular, they each show two groups whose clinical characteristics are similar, but whose management is very different; a low level of care is associated with an poor prognosis. The methodology used in these studies is discussed in light of the literature, and the opportunities offered by the findings in terms of research, clinical practice, and public health are explored
Franck, Thomas. "Modélisation, analyse et pilotage des parcours des personnes âgées en soins aigus et sur le long terme". Thesis, Lyon, 2018. http://www.theses.fr/2018LYSEM014.
Pełny tekst źródłaThe growing number of dependent elderly people is one of the major issues in France for the coming years. The elderly healthcare pathway is complex because many factors can disrupt the various decision-making. Indeed, dependence, chronic diseases or even the social environment are to be taken into account during a hospitalization or placement over the long term. The care path of the elderly is divided into two parts: (i) acute hospitalization and (ii) long-term care. We first studied the problems related to acute hospitalization with case studies in collaboration with the University Hospital of Saint-Etienne. The first topic concerns the organization of geriatric services, we use discrete event simulation to evaluate the relevancy of an integrated configuration (Acute Care and Rehabilitative Care are the same service). In the same way we evaluate the setting up of a hotline allowing a direct contact between community doctors and the Geriatric Hospital, the goal is to avoid the systematic use of the Emergency Department. We then study long-term care pathways by modeling the states of health of the elderly according to three criteria (degree of dependence, degree of chronic pathologies and degree of social isolation). A Markov chain is used to represent transitions between states. A simulation model is used to determine the size of a territory. Finally, we are interested in optimize patient flows in residential long-term care facilities (EHPAD, USLD) with a stochastic optimization model
Hamana, Sabri. "Modélisation et simulation des flux d'informations Ville-Hôpital et évaluation de leur impact sur le parcours de soins". Thesis, Lyon, 2017. https://tel.archives-ouvertes.fr/tel-02873368.
Pełny tekst źródłaThe French health policy which aim to improve health system by the modernization of health information systems has created a latent need, that of measurement of the impact of information systems on the value creation within healthcare institutions, hence the need of tools and methods for carrying out this evaluation work.The aim of this thesis is to propose a framework for the modelling, analysis and cost evaluation of territorial health-care information systems. For this purpose, we propose a new class of timed Petri nets, called THIS nets (Territorial Health-care Information Systems), which formally describes patient care-pathways, relevant information flows and their interactions. THIS nets are then used for verification of the health information systems and evaluation of their performances such as cycle time distribution and probability of information availability at some target time. A real example of cancer patient health-care information system is used to illustrate the usefulness of the proposed approach. We show that advanced information system allows earlier start of the medical consultations and thus a more efficient care pathway. A case study is proposed through a cost-effectiveness analysis on Electronic Health Record (EHR) implementation versus the patient's paper file in the context of cancer visits. Results show that the adoption of the developed HIS strictly dominated (i.e., was both less costly and more effective) the use of a low HIS with the patient's paper file. Such positive impact was demonstrated on the long term through a service quality analysis using the provided THIS net
Vuagnat, Albert. "Peut-on utiliser les données du programme de médicalisation du système d'information pour décrire les parcours de soins?" Thesis, Bourgogne Franche-Comté, 2020. http://www.theses.fr/2020UBFCI013.
Pełny tekst źródłaThe French medical information system program (PMSI) defines the item and format all hospitals and clinics in France have to use for claim data: diagnoses, medical procedures, patient, structure and stay characteristics, this for any hospital stay. These medical records abstracts are linked by means of a salted SHA-1 hash of social security number, date of birth and gender. Hash is generated by an unique software, used by all hospitals and clinics, that also calculates a delay in days since, for privacy reasons, no dates of hospital admission are mentioned in the abstracts. The data are gathered in a national database. This collection of linked abstracts designed for funding, could also be used to describe medical history and hospital outcome. The aim of the present work is to assess the quality of the linkage information and its potential contribution to medical knowledge. The first step was to assess quality of linkage information. This was found appropriate and consistent as a result of uniform generating process that relied on well know and standardized information. The second step was to shape the database in order to derive hospital outcome. Finally, this was used in to settings, readmission after surgery, one-year follow-up after non-fatal self-harm. To conclude this national linked claim database appears as suited for hospital outcome measurement. Access to the database has to comply with regulation defined by the committee on informatics and civil rights (CNIL)
Maunoury, Franck. "Évaluation médico-économique de la réforme de l'Assurance maladie du 13 août 2004 : application au parcours de soins coordonnés de patients chroniques traités par corticostéroïdes inhalés". Phd thesis, Université Claude Bernard - Lyon I, 2009. http://tel.archives-ouvertes.fr/tel-00679327.
Pełny tekst źródłaMaunoury, Franck. "Évaluation médico-économique de la réforme de l’Assurance maladie du 13 août 2004 : application au parcours de soins coordonnés de patients chroniques traités par corticostéroïdes inhalés". Thesis, Lyon 1, 2009. http://www.theses.fr/2009LYO10193/document.
Pełny tekst źródłaThe objective of this thesis is to conceptualize, starting from the exploitation of the refunding data of cares from the Sickness insurance, the various trajectories of cares recourses introduced by chronic diseases as asthma, and to study their determinants by analysing the profile and the subsequent behavior of the general practitioner. The study of the relation between the prescriptive behavior and the trajectory of cares is carried out by different multivariate analyses. The other objective is to evaluate, from a pharmacoeconomic point of view, the impact of the general practitioner characteristics on the various trajectories of cares followed by the patients with chronic diseases. The characteristics likely to identify a typology of practitioners correspond to the variables influencing the prescriptive behavior (age, sex, duration of exercise, type of exercise, etc). The principal question of the thesis is that of the regulating effect of the economic incentive, rested on the coordinated care pathway (reform of the Sickness insurance, August 2004), on the trajectories of cares, really observed by the chronic patients. The corollaries are: Does the no-reimbursement of some medical acts, not considered in the coordinated care pathway, have a significant impact on the empirical recourse of the patient? Does the profile of the general practitioner have an effect on the respect or not of the allowed trajectory of cares classified by the French reform? Which are the principal determinants of disregarding this referential trajectory, by notably analysing the “practitioner - patient” characteristics?
Ferrera, Bibas Félicia. "La création collective de sens peut-elle favoriser la fabrique d'un dispositif d'action organisée ? : cas du parcours de la personne âgée". Electronic Thesis or Diss., Aix-Marseille, 2015. http://www.theses.fr/2015AIXM1098.
Pełny tekst źródłaWe are trying to understand and experiment with the creation of a collective action program that is coordinated around approved health care pathways. This program is called CareHolder, and is based in an area not far from a large city in the Provence-Alpes-Côte d’Azur region. It distinguishes itself for its governance, tools, activities, and for its key players marked by their diversity, without any predefined organizational links and without a higher authority requiring them to work together. By relying on the perspectives of sensemaking and sensegiving (Weick), we have stated the hypothesis that the collective sensemaking process is at the root of a social structure organized ex-nihilo. We shall analyze this process on two analytical levels: 1) the unfolding of the collective sensemaking process as the development of a social process based on giving sense to a collective healthcare program (Therapeutic Patient Education), and 2) the role of the sensegiver in its capacity to support the “CareHolder”. The Therapeutic Patient Education is here envisaged both as a therapeutic tool and as a managerial tool. We have analyzed the emergence and the implementation of the CareHolder over several years. Our main results have highlighted the three skills of the sensegiver during the collective sensemaking process: 1) bringing the players together, 2) promoting equivocality to encourage and clarify an outlook, and 3) being able to anchor what emerges from the relations by relying on ritualistic elements and enabling the players to ‘settle into’ this new collective working environment with the patient. We propose empirical recommendations and future research paths