Innovation territoriale aux Mureaux

Clerc, Pascal; Certain, Marie-Hélène

doi:10.3917/rfas.201.0263

Cited by 2 publications

(1 citation statement)

References 12 publications

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“… 51 It is not uncommon to see an HH emerge in a territory that foreshadows a HTPC. 52 The transformation of local healthcare provision can only be understood in relation to its professional and territorial environment (provisions available) and over time (evolution and longevity). While these observations help us better understand the phenomenon of territorial structuring of PHC, they also highlight its strong connection to the territorial context.…”

Section: Discussionmentioning

confidence: 99%

How Primary Healthcare Sector is Organized at the Territorial Level in France? A Typology of Territorial Structuring

Gautier,

Josseran

2024

Int J Health Policy Manag

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Background: Most the Organization for Economic Co-operation and Development (OECD) countries are currently facing the challenges of the health transition, the aging of their populations and the increase in chronic diseases. Effective and comprehensive primary healthcare (PHC) services are considered essential for establishing an equitable, and cost-effective healthcare system. Developing care coordination and, on a broader scale, care integration, is a guarantee of quality healthcare delivery. The development of healthcare systems at the meso-level supports this ambition and results in a process of territorial structuring of PHC. In France, the Health Territorial and Professional Communities (HTPC) constitute meso-level organizations in which healthcare professionals (HCPs) from the same territory gather. We conducted a study to determine, in a qualitative step, the key elements of the territorial structuring of PHC in France and, then, to develop, in a quantitative step, a typology of this structuring. Methods: A sequential-exploratory mixed-method study with a qualitative step using a multiple case approach and a quantitative step as a hierarchical clustering on principal components (HCPC) from a multiple correspondence analysis (MCA). Results: A total of 7 territories were qualitatively explored. Territorial structuring appears to depend on: past collaborations at the micro-level, meso-level coordination among HCPs and multiprofessional structures, diversity of independent professionals, demographic dynamics attracting young professionals, and public health investment through local health contracts (LHCs). The typology identifies 4 clusters of mainland French territories based on their level of structuring: under or unstructured (38.6%), with potential for structuring (34.7%), in the way for structuring (25.3%) and already structured territories (1.4%). Conclusion: Interest in territorial structuring aligns with challenges in meso-level healthcare organization and the need for integrated care. Typologies of territorial structuring should be used to understand its impact on access, care quality, and medical resources.

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Section: Discussionmentioning

confidence: 99%

How Primary Healthcare Sector is Organized at the Territorial Level in France? A Typology of Territorial Structuring

Gautier,

Josseran

2024

Int J Health Policy Manag

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La construction d’une organisation territoriale des acteurs de soins primaires face à l’épidémie de Covid-19 : apports d’une étude de cas à l’échelle d’un canton

Fournier¹,

Clerc²

2021

rfst

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Nous remercions les personnes rencontrées en entretien qui ont accepté de partager leur temps et leur expérience dans cette situation inédite, ainsi que Noémie Morize, Véronique Lucas-Gabrielli et les relecteurs de la RFST pour leurs commentaires constructifs sur une version préliminaire du texte. Cette enquête a été conduite dans le cadre de projets pilotés par l'Irdes, avec un financement de l'Assurance maladie et du Ministère de la santé. 1Les soins primaires, souvent définis comme la fonction et le lieu du premier contact des individus avec le système de santé (OMS 1978(OMS et 1998 Bourgueil, 2010), sont assurés en France par des professionnels de santé en majorité libéraux, exerçant leur activité dans un cadre faiblement régulé (Baszanger et Bungener, 2002 ;. La construction d'une organisation territoriale des acteurs de soins primaire... Revue francophone sur la santé et les territoires , Pandémie, crises et perspectives : lectures territoriales de la Covid-19 La construction d'une organisation territoriale des acteurs de soins primaire... Revue francophone sur la santé et les territoires , Pandémie, crises et perspectives : lectures territoriales de la Covid-19

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Innovation territoriale aux Mureaux

Cited by 2 publications

References 12 publications

How Primary Healthcare Sector is Organized at the Territorial Level in France? A Typology of Territorial Structuring

How Primary Healthcare Sector is Organized at the Territorial Level in France? A Typology of Territorial Structuring

La construction d’une organisation territoriale des acteurs de soins primaires face à l’épidémie de Covid-19 : apports d’une étude de cas à l’échelle d’un canton

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