Les centres de santé : une histoire, un avenir (notice n° 1001085)
[ vue normale ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 04102cam a2200253 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250125134016.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Colin, Marie-Pierre |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Les centres de santé : une histoire, un avenir |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2009.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 42 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | RésuméLes maisons et pôles de santé sont promus comme des modes d’exercice « modernes » en médecine ambulatoire. Pourtant, le concept de centres de santé remonte au XVIIe siècle. Les principes fondateurs sont de favoriser l’accès à des soins de qualité pour tous, s’appuyer sur une démarche de santé qui prend en charge le patient dans sa globalité (contexte social et environnemental) à travers des actions de santé publique. S’ils répondent à un projet de santé, les centres de santé rencontrent toutefois des difficultés mettant en cause leur pérennité et leur développement. Le seul paiement à l’acte est inadapté à la rémunération de leurs prestations et des éléments de paiement applicables aux libéraux ne leurs sont pas transposables : ils ont de la difficulté à survivre sans l’appui de collectivités territoriales ou d’associations. Les maisons de santé rencontrent des problèmes similaires pour leurs frais de structure. Tous attendent beaucoup de l’expérimentation de nouveaux modes de rémunération. Le recul et l’expérience des centres de santé seront essentiels. Leur avenir s’envisage aux côtés des maisons et pôles de santé. La progression de la précarité et les difficultés croissantes d’accès aux soins doivent être prises en compte. Le choix du type de structure se fera en fonction des réalités locales, des volontés politiques des collectivités et des projets des professionnels. Toutefois quelle que soit la solution envisagée, elle ne pourra se réaliser sans un financement socialisé. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Health centers: history and future prospectsHealth houses and health centers are often hailed as specifically modern forms of medical practice in mobile healthcare provision. Yet the concept of health center emerged in the seventeenth century. The founding principles of these institutions were to promote access to good-quality universal healthcare and to practice a form of healthcare that treated patients in their globality (i.e. within their social and environmental context) based on public healthcare measures. Though they constitute a response to a specific healthcare project, healthcare centers face a number of specific difficulties that pose a challenge to their durability and development. Payment per consultation is ill-adapted to the remuneration of their services, and methods of remuneration that may be applicable to independent medical practitioners do not apply in the context of health centers, which may struggle to survive without the support of territorial collectivities (i.e. regional and local authorities) or associations. Health houses face similar difficulties in terms of their structural expenses. Expectations are high for trying out new methods of remuneration. The perspective and experience of healthcare centers will likely prove to be essential in this context. Their future needs to be envisaged alongside health houses and medical hubs. The growth of precarity and the increasing difficulties affecting access to healthcare provision need to be taken into account. The choice of the specific type of structure will depend on local realities, on the political will of regional authorities and on the specific projects of healthcare professionals. Yet whatever solution is envisaged, it will not be possible without public funding. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | rémunération |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | accès aux soins |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | centres de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | access to healthcare |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | remuneration |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health centers |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Acker, Dominique |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 21 | hs1 | 2009-03-29 | p. 57-65 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-sante-publique-2009-hs1-page-57?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-sante-publique-2009-hs1-page-57?lang=fr&redirect-ssocas=7080</a> |
Pas d'exemplaire disponible.
Réseaux sociaux