De la territorialisation des pratiques de santé aux communautés professionnelles territoriales de santé (notice n° 1579057)
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| fixed length control field | 04502cam a2200349 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20251228045652.0 |
| 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 | de Fontgalland, Charlotte |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | De la territorialisation des pratiques de santé aux communautés professionnelles territoriales de santé |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2020.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 20 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Introduction : Les communautés professionnelles territoriales de santé ont notamment vocation à organiser la coordination des professionnels de santé du 1er et 2e recours pour mieux structurer les parcours de soins et améliorer le recours aux soins. Les flux de patients de 2nd recours libéral dessinent des territoires dont l’échelle et l’organisation peuvent servir de base au maillage de ces communautés. Méthode : L’analyse des flux de patientèle des médecins spécialistes libéraux en région Centre-Val de Loire, en 2015 (données du SNIIRAM), a permis de classer les spécialités médicales selon leur échelle d’attractivité (régionale, départementale, infra-départementale), puis de les fusionner pour identifier des pôles d’attraction communs. Ces pôles empiriques ont été soumis à l’appréciation des professionnels de santé du terrain pour affiner le découpage du territoire. Les bassins de patientèle des Centre Hospitaliers (données du PMSI) ont également été comparés aux bassins de patientèle libéraux. Résultats : Une vingtaine de pôles d’attraction se distinguent sur six départements. Les communes ont été réparties en cinq classes, selon leur degré d’attraction à un pôle. L’ensemble du territoire a été intégré à un maillage en bassins de santé autour de pôles d’attractions, cohérents avec les habitudes de travail des professionnels de santé. La concordance avec les bassins de patientèle hospitaliers a renforcé la pertinence de ce découpage. Conclusion : Les flux de patients répondent à une réelle logique territoriale qui, confrontée aux pratiques des professionnels de santé, dessine des territoires pertinents pour une première approche des CPTS. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Introduction: Professional and Territorial Health Communities aim at organizing the coordination of health professionals of primary and specialty care, in order to better structure care pathways and improve healthcare access. The flow of patients to specialty care outlines territories whose scale and organization can serve as a basis to identify these communities’ territories. Method: The analysis of patient flows to specialty care professionals in Centre-Val de Loire region in 2015 (SNIIRAM data) made it possible to classify medical specialties according to their scale of attractiveness (i.e. regional, departmental and sub-departmental specialties). Among sub-departmental specialties, 5 have been merged to identify common poles of attraction. These empirical poles have been compared to health professionals’ perception of territories where they practice in order to refine the territorial subdivision of the region. Patient flows to the General Hospitals (PMSI date) were then defined to compare them with the private practice patient poles. Results: In the region, twenty or so attraction poles can be identified in the six departments of the region. Local areas have been divided into 5 classes, according to their degree of attraction to a pole. Attraction poles seem to be consistent with health professionals’ habits. The concordance with hospital patient poles reinforced the relevance of this division. Conclusion: Patients flows respond to a real territorial logic which, confronted to health professionals’ real-life practices, draws territories relevant for a first approach of the Professional and Territorial Health Communities. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | 2 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | CPTS |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | loi de modernisation du système de santé du 26 janvier 2016 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | nd |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | recours |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | stratégie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | territoire de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | URPS-ML |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | CPTS |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health territory |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | modernization of Health Care Organization Law of January 26th 2016 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | specialty care |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | strategy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | UPRS-ML |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Rouzaud-Cornabas, Mylène |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 32 | 2 | 2020-09-15 | p. 239-246 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-sante-publique-2020-2-page-239?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-sante-publique-2020-2-page-239?lang=fr&redirect-ssocas=7080</a> |
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