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La question de la santé, en Suisse, concerne chacun de ses habitants: l'assurance-maladie est obligatoire. Mais quel enchevêtrement de législations fédérales et cantonales! Quel labyrinthe dans les structures hospitalières! Les responsables des finances publiques y perdent leur latin. Face à des covªts qui explosent, ils peinent à distinguer la voie du bien commun. La population est directement affectée dans sa vie privée. Ponctionnée par impôts et cotisations, elle voit s'affronter, derrière le jeu des partis, les intérêts conflictuels des cliniques, des caisses-maladie, du corps médical, des administrations, de l'industrie pharmaceutique et des multiples professionnels des soins ou de la prévention. Ce livre innove par son exposé clair et synthétique de l'ensemble de ce système. Il intègre économie, éthique, progrès techniques, rôle des médecins et justice sociale. Il se montre vigoureux dans son propos central, dégageant les problèmes majeurs qu'il faut absolument résoudre. Il pointe sur les choix. Il en appelle à une politique de la santé digne de ce nom.
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Belgium --- Belgium --- Belgium --- Health Care --- Health Care --- Health Care --- Health System Plans --- Health System Plans --- Health System Plans --- WA 100 Public Health -- General works --- WA 100 Public Health -- General works --- WA 100 Public Health -- General works --- Academic Dissertations --- Academic Dissertations --- Academic Dissertations --- Patient Care --- Patient Care --- Patient Care
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Introduction : The health district model is the core of the health care system organization in sub-Saharan African countries, but its success remains hampered by the security crisis aggravated by the Covid-19 pandemic in the Sahel region of West Africa. The Barsalogho health district in north-central Burkina Faso is facing serious disruptions to its service due to terrorist attacks, inter-community violence, population displacement and other phenomena. An analysis of the ability of the Barsalogho health district to maintain its essential functions in a security crisis was conducted to identify ways to maintain and improve health coverage and utilization of health services. The objective of the document is to analyze the resilience of the Barsalogho health district in a context of insecurity. Methods : Using data from the statistical yearbooks, we conducted a secondary analysis that focused on public health facilities in the Barsalogho health district from 2013 to 2020. The indicators of interest were human resource coverage and infrastructure, health service utilization, and effectiveness in addressing priority problems. In statistical analysis, the graphical representation of the CUSUM square test with 95% CI was used to characterize the trend of the indicators of interest. This analysis was supplemented by structured interviews with sixteen (16) health care workers from public health facilities in this health area from June 7 to July 7, 2021. The interviews focused on the health workers' assessment of access to and use of the health services of the health district, despite the unfavorable conditions. Results : Since the beginning of the security crisis in Burkina Faso in 2015, the public health facilities in the Barsalogho health district have remained functional. However, the ratio of inhabitants per CSPS remains very low during this period with the best ratio of one (01) CSPS for 15417 inhabitants obtained in 2020 although the number of CSPS has increased from eleven (11) in 2013 to thirteen (13) in 2020. The cost of the health services offered are considered inaccessible for the population served. The quantity and quality of medical and paramedical staff is insufficient in most health facilities. In 2018, the ratio of doctors was evaluated at one (01) for 18536.7 inhabitants, that of nurses at one (01) for 3288.8 inhabitants and that of midwives at one (01) for 8496 inhabitants. From 2018 to 2020, there was a gradual decrease in the number of healthy infant consultations (2018= 89708, 2019= 48663 and 2020 =45680), the number of CPN1 (proportion in 2018= 93.8%, 2019= 41.4% and 2020 =33 ,4%), the number of CPN4 (proportion in 2018= 34%, 2019= 13% and 2020 =7.9%), and assisted deliveries (proportion in 2018 = 85%, 2019= 31.4% and 2020 =30.3%), with a high proportion of acute malnourished observed in 2020 (6.5%) and many lost to follow-up between CPN1 and CPN4. At the CUSUM statistical test (95% CI), there is no break in the trend of the indicators of interest. Conclusion : While the resilience of a health system is difficult to measure, in the face of the security crisis and other stresses, the Barsalogho health district has managed to remain functional. This means that despite adverse conditions, district health systems can withstand and maintain access to and use of health services. However, if urgent strategies are not implemented in the near future, the burden of the security crisis and its consequences will be difficult to remedy in the most affected areas.
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Public Health Administration --- Health Policy --- Medical policy --- Public health --- Medical care --- Medicine - French health system crisis --- Public Health Administration - France --- Health Policy - France --- Medical policy - France --- Public health - France --- Medical care - France --- Medicine - French health system crisis. --- Santé publique --- Politique sanitaire --- Services de santé --- Politique publique --- Recherche biomédicale --- France
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Mental health services --- Mentally ill --- Social psychiatry --- Services de santé mentale --- Malades mentaux --- Psychiatrie sociale --- Quality control --- Care --- Qualité --- Contrôle --- Soins --- Services de santé mentale --- Qualité --- Contrôle --- French Health System - Mental Patients - Hospitals. --- Hôpitaux --- Qualité totale --- Relations personnel médical-patient --- Hopital psychiatrique --- Trouble psychopathologique --- Services de santé mentale. --- Mental health services. --- Soins.
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Ne mourra-t-on bientôt plus que par manque de savoir-vivre — et non plus de maladie ? Les progrès considérables de la médecine depuis un demi-siècle se traduisent par un allongement continu de la durée de vie. Les performances extraordinaires de l'imagerie médicale, mais aussi une compréhension toujours plus subtile des processus biologiques permettent au cancérologue Lucien Israël, président de l'Académie des sciences morales et politiques en 2007, de prédire qu'un jour prochain, les médecins pourront dire à leurs patients : « Ce n'est pas grave, c'est un cancer ». Pourtant tout ne va pas pour le mieux dans le monde de la santé. L'enseignement de la médecine souffre d'une désaffection chronique des pouvoirs publics et… des étudiants. La désorganisation hospitalière donne le blues aux hommes de l'art alors que s'étendent les déserts médicaux dans nombre de régions françaises. Par ce check-up de la santé, l'Académie des sciences morales et politiques dénonce un nouveau paradoxe français : les Français se portent de mieux en mieux et leur médecine de plus en plus mal. Comment soigner la médecine ? Ce livre s'efforce de répondre sans détour.
Medical policy --- Public health --- Medical care --- Politics --- Public Health --- Philosophy, Medical --- Medicine --- Social Sciences --- Philosophy --- Health --- Environment and Public Health --- Health Occupations --- Population Characteristics --- Health Care --- Anthropology, Education, Sociology and Social Phenomena --- Humanities --- Disciplines and Occupations --- Medicine - French health system crisis.
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Appliquant l'approche Palo Alto au monde de la santé, Chantal Gravel, spécialiste en management, nous présente des outils concrets pour reconnaître nos préjugés et leurs effets sur nos relations interpersonnelles, ainsi que des pistes à prioriser pour nous adapter aux réalités complexes et dynamiques des organisations.
Medical personnel --- Personnel médical --- Public health --- Communication in organizations --- Health care reform --- Quality of work life --- Santé, Services de --- Communication dans les organisations --- Qualité de la vie au travail --- Attitudes. --- Social aspects --- Aspect social --- Réforme --- Organizational communication --- Community health --- Health services --- Hygiene, Public --- Hygiene, Social --- Public health services --- Public hygiene --- Sanitary affairs --- Social hygiene --- Humanization of work life --- Quality of working life --- Work life, Quality of --- Working life, Quality of --- Health reform --- Health system reform --- Healthcare reform --- Medical care reform --- Reform of health care delivery --- Reform of medical care delivery --- Health care personnel --- Health care professionals --- Health manpower --- Health personnel --- Health professions --- Health sciences personnel --- Health services personnel --- Healthcare professionals --- Medical manpower --- Health --- Human services --- Biosecurity --- Health literacy --- Medicine, Preventive --- National health services --- Sanitation --- Organization --- Medical policy --- Health insurance --- Quality of life --- Work --- Professional employees
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Le système de santé que l'État québécois avait mis en place à la fin des années 1960 n'est plus ce qu'il était. Et l'on ne sait trop à quoi il ressemblera au XXIe siècle quand s'achèvera sa réforme. Ce second ouvrage du Réseau de recherche sociopolitique et organisationnelle en santé ne cherche pas à dresser un bilan des changements en cours, il veut plutôt soulever un certain nombre d'interrogations qui concernent tous les acteurs du système, ses gestionnaires comme ses bénéficiaires. Les auteurs traitent d'abord des principes et des normes qui fondent le système de santé : on y discute d'éthique et de services aux communautés culturelles, mais aussi des normes que le gouvernement fédéral impose aux provinces. La seconde partie porte sur les modalités de financement et d'allocation des ressources, sur les raisons entre autres du niveau élevé des dépenses de santé au Québec, et sur les correctifs qu'on pourrait y apporter. La troisième partie est consacrée à l'organisation et à la gestion des établissements : on évalue les politiques actuelles de décentralisation et on dresse une typologie des administrateurs ; la délimitation même du champ de la santé publique y est remise en question. La dernière partie traite de l'évaluation des services et du rôle qu'elle joue dans les changements actuels. Les auteurs se montrent souvent critiques à l'égard des politiques et des transformations qui touchent le système de santé québécois. Cependant, la perspective de comparaison avec les autres pays de l'OCDE qu'ils adoptent devrait permettre d'alimenter le débat et de mieux l'éclairer.
Health care reform --- Medical policy --- Public health --- Health services administration --- Services de santé --- Finance. --- Réforme --- Administration --- Santé, Services de --- Politique sanitaire --- Finances. --- Health administration --- Health care administration --- Health care management --- Health sciences administration --- Health services management --- Medical care --- Health planning --- Public health administration --- Community health --- Health services --- Hygiene, Public --- Hygiene, Social --- Public health services --- Public hygiene --- Sanitary affairs --- Social hygiene --- Health --- Human services --- Biosecurity --- Health literacy --- Medicine, Preventive --- National health services --- Sanitation --- Health care policy --- Health policy --- Medicine and state --- Policy, Medical --- Public health policy --- State and medicine --- Science and state --- Social policy --- Health reform --- Health system reform --- Healthcare reform --- Medical care reform --- Reform of health care delivery --- Reform of medical care delivery --- Health insurance --- Management --- Government policy --- 78.28 --- services sociaux --- médicament --- santé --- hôpital --- éthique --- Québec
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Public health --- Social security --- Santé publique --- Sécurité sociale --- Public health. --- Health care reform --- Health insurance --- Medical care, Cost of --- National health services --- 368.42 --- AA / International- internationaal --- Gezondheidsbeleid --- Gezondheidseconomie --- Sociale zekerheid --- Medicine, State --- National health care --- Nationalized health services --- Socialized medicine --- State medical care --- State medicine --- Medical care --- Medical policy --- Cost of medical care --- Health care costs --- Health care expenditures --- Medical costs --- Medical expenses --- Medical service, Cost of --- Medicine --- Medical economics --- Medical savings accounts --- Health plans, Prepaid --- Insurance, Health --- Medical care, Prepaid --- Medical insurance --- Prepaid health plans --- Prepaid medical care --- Sickness insurance --- Insurance --- Ambulance service --- Home care services --- Hospitals --- Medically uninsured persons --- Surgical clinics --- Health reform --- Health system reform --- Healthcare reform --- Medical care reform --- Reform of health care delivery --- Reform of medical care delivery --- Ziekte- en invaliditeitsverzekering. Ziekenfondsen --- Politique de la santé --- Economie de la santé --- Sécurité sociale --- Costs --- Prospective payment --- Emergency services --- Outpatient services --- Rehabilitation services
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L’UE et le Conseil de l’Europe se positionnent sur les enjeux de santé; le droit européen est abondant en la matière. L’ouvrage propose une analyse d’ensemble actualisée et l’étude de ses influences de ce droit sur plusieurs droits nationaux de la santé.
Medical law --- European Union --- Public health laws --- Medical laws and legislation --- Santé publique --- Médecine --- Droit --- EPUB-ALPHA-D EPUB-LIV-FT LIVDROIT STRADA-B --- Public health --- Law and legislation --- European Union countries --- Congresses --- Santé publique --- Droit européen --- E-books --- BPB1712 --- STRADALEX --- Droit de l'Union européenne --- Organisation de la santé --- Politique de la santé --- rahvatervis --- shëndet publik --- обществено здраве --- zdraví veřejnosti --- public health --- volksgezondheid --- veselības aizsardzība --- javno zdravje --- közegészség --- saħħa pubblika --- sanità pubblica --- јавно здравје --- salud pública --- saúde pública --- Volksgesundheit --- kansanterveys --- јавно здравље --- zdrowie publiczne --- sláinte phoiblí --- javno zdravstvo --- sănătate publică --- folkhälsa --- offentlig sundhed --- δημόσια υγεία --- visuomenės sveikata --- zdravie verejnosti --- zdravie obyvateľstva --- gezondheid van de bevolking --- υγεία του πληθυσμού --- Закон за јавно здравје --- befolkningens hälsa --- gyventojų sveikata --- salute della popolazione --- zdraví lidu --- јавни здравствени установи --- népegészségügy --- santé de la population --- sănătate populație --- saúde da população --- здравјето на населението --- javno zdravlje --- sanidad pública --- shëndet i popullatës --- здравство --- health of the population --- zdraví obyvatelstva --- väestön terveydentila --- rahva tervis --- zdraví národa --- јавно ветеринарно здравство --- iedzīvotāju veselība --- befolkningssundhed --- veřejné zdraví --- egészségügyi politika --- polityka zdrowotna --- πολιτική για την υγεία --- politika për shëndetësinë --- zdravotnícka politika --- здравствена политика --- zdravotní politika --- sveikatos politika --- sundhedspolitik --- здравна политика --- política sanitaria --- Gesundheitspolitik --- politika tas-saħħa --- terveyspolitiikka --- politică în sănătate --- política de saúde --- veselības aizsardzības politika --- hälso- och sjukvårdspolitik --- zdravstvena politika --- gezondheidsbeleid --- health policy --- tervishoiupoliitika --- politica sanitaria --- sundhed --- zdravie --- terveydensuojelu --- ochrana zdravia --- terveys --- veselība --- egészségvédelem --- política de sanidad --- sănătate --- egészségügy --- egészségmegőrzés --- bescherming van de gezondheid --- υγειονομική πολιτική --- salud --- sveikata --- santé --- ochrana zdraví --- health protection --- shëndet --- protection de la santé --- hälsopolitik --- υγεία --- zdravlje --- tervisekaitse --- saúde --- sveikatos apsauga --- política sanitária --- egészség --- proteção da saúde --- politique sanitaire --- protezione della salute --- gezondheid --- salute --- health --- Gesundheitsschutz --- sundhedsbeskyttelse --- tervis --- protección de la salud --- mbrojtje e shëndetit --- προστασία της υγείας --- sanidad --- организация на здравеопазването --- organizatë e kujdesit shëndetësor --- terveydenhoitojärjestö --- Gesundheitsorganisation --- organizarea sistemului sanitar --- organización sanitaria --- организација на здравствена заштита --- organizácia zdravotnej starostlivosti --- organizacija zdravstvenega varstva --- organizzazzjoni tal-kura tas-saħħa --- veselības aprūpes organizēšana --- sveikatos priežiūros organizavimas --- tervishoiukorraldus --- organizace zdravotnictví --- organisatie van de gezondheid --- organizacija zdravstvene zaštite --- organização da saúde --- организација здравствене заштите --- organizzazione della sanità --- οργάνωση του τομέα της υγείας --- organisering av hälso- och sjukvård --- egészségügy megszervezése --- organizacja ochrony zdrowia --- organisation of health care --- organisation af sundhedsvæsenet --- gezondheidszorg --- sistema de salud --- organization of health care --- sveikatos sistema --- υγειονομική οργάνωση --- health system --- skemë shëndetësore --- health scheme --- sustav zdravstvene zaštite --- organización de la salud pública --- organización de la sanidad --- veselības programma --- ПЗУ --- приватна здравствена установа --- sveikatos priežiūros programa --- organizim i kujdesit shëndetësor --- sistem shëndetësor --- veselības sistēma --- egészségügyi szervezet --- sistem sanitar --- pravo EU-a --- ES tiesības --- право ЕУ --- pravo EU --- prawo unijne --- EU-ret --- δίκαιο της ΕΕ --- právo EU --- EU law --- diritto dell'UE --- e drejta e BE-së --- uniós jog --- Derecho de la UE --- unionin oikeus --- EU-Recht --- EU-recht --- ES teisė --- právo EÚ --- legislația UE --- direito da UE --- право на ЕУ --- EU-rätt --- ELi õigus --- liġi tal-UE --- право на ЕС --- pravo Europske unije --- právo Spoločenstva --- normativa comunitaria --- drept comunitar --- diritto europeo --- e drejtë e Bashkimit Europian --- droit de l'Union européenne --- право на Европската заедница --- κοινοτικό δίκαιο --- droit européen --- evropské právo --- réglementation communautaire --- EG-förordningar --- pravo Evropske unije --- direito da União Europeia --- Europos Sąjungos teisė --- uniós jogszabályok --- Euroopa Liidu õigus --- Kopienas noteikumi --- europeisk rätt --- communautaire wetgeving --- Community law --- drept european --- Eurooppa-oikeus --- δίκαιο της Ευρωπαϊκής Ένωσης --- nariadenia Spoločenstva --- legislația Uniunii Europene --- právo Evropské unie --- reglementări comunitare --- Euroopa Ühenduse õigus --- regulamentação comunitária --- prawo Unii Europejskiej --- közösségi jogszabályok --- Community regulations --- fællesskabsbestemmelser --- ευρωπαϊκό Δίκαιο --- právo ES --- European Union law --- Derecho comunitario --- európai uniós jogszabályok --- liġi tal-Unjoni Ewropea --- communautair recht --- yhteisön asetukset --- közösségi rendeletek --- gemenskapsrätt --- az Európai Unió joga --- Derecho europeo --- регулативи на Заедницата --- europsko pravo --- droit communautaire --- direito comunitário --- európai jog --- diritto comunitario --- legislazione comunitaria --- право на ЕЗ --- recht van de Europese Unie --- fællesskabsregler --- Europäisches Recht --- Recht der Europäischen Union --- Bendrijos teisė --- közösségi jog --- EU-jog --- Eiropas Savienības tiesības --- právo Unie --- Derecho de la Unión Europea --- Euroopan unionin oikeus --- право Заједнице --- Gesetzgebung der Gemeinschaft --- EF-ret --- pravo Zajednice --- prawo wspólnotowe --- yhteisön oikeus --- fællesskabsret --- norme comunitarie --- право на Европските заедници --- EG-rätt --- Europees recht --- communautaire voorschriften --- direito europeu --- европско право --- právo Európskej únie --- Право на Общността --- disposizioni comunitarie --- κοινοτική νομοθεσία --- reglamentación comunitaria --- Gemeinschaftsrecht --- право на Европейския съюз --- komunitární právo --- az EU joga --- Kopienas tiesības --- Bendrijos reglamentai --- regolamentazione comunitaria --- európske právo --- communautaire rechtsorde --- legislativa EU --- European law --- право на Европската Унија --- pravo Skupnosti --- Euroopa õigus --- EU:n oikeus --- ühenduse õigus --- diritto dell'Unione europea --- право Уније --- EG-recht --- pravni propisi Europske unije --- Europos teisė --- Droit européen. --- beartas sláinte --- eagrú cúraim sláinte --- dlí an Aontais Eorpaigh --- Droit de l'Union européenne --- Organisation de la santé --- Politique de la santé
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