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National health services --- Services de santé --- -Medicine, State --- National health care --- Nationalized health services --- Socialized medicine --- State medical care --- State medicine --- Medical care --- Medical policy --- Public health --- -National health services --- Services de santé --- Medicine, State --- National Health Service (Great Britain)

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Les besoins de la population en matière de soins de santé et les pratiques cliniques évoluent dans un contexte hospitalier que d’aucuns jugent en pleine restructuration. Au cœur de toutes les grandes réformes politiques, en France comme au Québec, la réorganisation du système de santé est annoncée partout comme la priorité qui devrait permettre de résoudre tous les maux. Pourtant, si cette volonté politique de changement est clairement affichée, il reste que les stratégies de mise en œuvre sont souvent mal accueillies par les médecins et le personnel soignant qui doivent composer au quotidien avec un manque flagrant de ressources. Dans cet ouvrage, les restructurations ne sont pas considérées comme une simple solution miraculeuse apportée par les gestionnaires ou une réponse rationnelle imposée par les exigences de la pratique clinique. En présentant le paysage institutionnel de la France et du Québec, les auteurs adoptent résolument une approche qui enrichit notre compréhension des changements structurels. Les transformations y sont analysées sur le plan national et celui des dynamiques locales, pointant les singularités et les problèmes spécifiques de ressources, les initiatives individuelles et collectives, les logiques professionnelles qui déterminent le déclenchement et les trajectoires de restructuration. Avec cette réflexion rigoureuse et approfondie sur le dispositif hospitalier, une nouvelle étape est franchie qui permet l’émergence de nouveaux modèles pour penser les restructurations.

Hôpitaux --- Santé, Services de --- Hospitals --- National health services --- Medicine, State --- National health care --- Nationalized health services --- Socialized medicine --- State medical care --- State medicine --- Medical care --- Medical policy --- Public health --- Benevolent institutions --- Infirmaries --- Health facilities --- hôpitaux --- services de santé --- restructuration hospitalière --- télémédecine

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The half century between 1885 and 1935 witnessed an unprecedented expansion of preventive and therapeutic services offered by the state through its local authorities. Behind the expansion in public services were also profound changes in attitudes toward poverty and dependency and toward the political and cultural significance of health; changes in social policy and administration; and changes in the understanding of the causes of disease. This book examines this time of change through the ideas and experiences of one prominent participant, Sir Arthur Newsholme. Professor Eyler draws particular attention to Newsholme's role in constructing a highly successful local health programme; his tenure as the Medical Officer of the Local Government Board in Whitehall where he launched some of its boldest programmes including national health insurance; his post-retirement studies of international health systems; and his statistical and epidemiological studies and their connection to his policy recommendations.

Health officers --- National health services --- Medicine, State --- National health care --- Nationalized health services --- Socialized medicine --- State medical care --- State medicine --- Medical care --- Medical policy --- Public health --- Public health officers --- Health services administrators --- Public health personnel --- History. --- Newsholme, Arthur, --- Arts and Humanities --- History

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Hygiene. Public health. Protection --- Health services administration --- National health services --- -National health services --- -Medicine, State --- National health care --- Nationalized health services --- Socialized medicine --- State medical care --- State medicine --- Medical care --- Medical policy --- Public health --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Health planning --- Public health administration --- Administration --- Management --- -Health services administration --- -Health administration --- Medicine, State --- Health services administration - Great Britain --- National health services - Great Britain

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Medicine --- Medical care --- Medicine, State --- -Medical care --- -Medicine, State --- -614.253 --- 614.256 --- National health care --- Nationalized health services --- Socialized medicine --- State medical care --- State medicine --- Medical policy --- Public health --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Healthcare --- Medical and health care industry --- Medical services --- Personal health services --- Clinical sciences --- Medical profession --- Human biology --- Life sciences --- Medical sciences --- Pathology --- Physicians --- National health services --- 614.253 --- Health Workforce --- Medicine - France --- Medical care - France --- Medicine, State - France