Réforme des structures intermédiaires de santé en République démocratique du Congo (notice n° 2231510)
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| fixed length control field | 05006cam a2200385 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20260517000341.0 |
| 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 | Mbeva, Jean Bosco Kahindo |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Réforme des structures intermédiaires de santé en République démocratique du Congo |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2015.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 75 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Introduction : Dans le cadre de la réforme du système de santé et de la décentralisation prévue par la constitution en République démocratique du Congo (RDC), cette étude présente le processus et les résultats obtenus en termes de modèle des structures intermédiaires de santé. Méthodes : Recherche-action participative multidisciplinaire en deux phases et neuf étapes – intégrant des méthodes d’analyse organisationnelle, de team building et d’apprentissage organisationnel – qui a permis de tester en temps réel des actions de transformation, et de capitaliser les savoirs ainsi générés sous la forme d’un modèle innovant d’organisation. Résultats : Cette recherche-action a mis en évidence des dispositifs et des modes d’action rendant possible une action collective orientée sur le support du niveau intermédiaire aux districts de santé et qui permet de pallier les faiblesses de l’organigramme officiel. La transformation organisationnelle a ensuite été formalisée dans un modèle innovant d’organisation basé sur quatre métiers : (i) Appui aux districts de santé, (ii) Information sanitaire, recherche et communication, (iii) Inspection-contrôle, (iv) Gestion des ressources. Les quatre métiers et leurs services ont été définis, les compétences et activités liées décrites. Les résultats, en termes de métiers, ont été intégrés au nouveau plan national de développement sanitaire. Conclusions : La démarche adoptée, centrée sur l’apprentissage et le changement organisationnels, a elle-même contribué à redynamiser certaines fonctions du Niveau intermédiaire. Deux défis sont encore à relever : accompagner la transformation et l’étendre aux autres provinces de la RDC selon une approche participative, condition nécessaire d’ajustement aux contextes spécifiques. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Reorganization of the provincial health system in the Democratic Republic of the Congo Introduction: In the framework of implementation of health system reform in the Democratic Republic of the Congo (DRC), and in a context of decentralization dictated by the National Constitution, this study presents the process and results obtained in terms of the provincial level of health care organization in DRC. Methods: A two-year multidisciplinary interventional research protocol was elaborated with two phases and 9 steps including organizational analysis, team building, and organizational learning. It resulted in transformational actions and improved knowledge, allowing the development of an innovative organizational model of the intermediate level of the health care system in the Democratic Republic of the Congo. Results: This interventional research gave rise to function plans set up by the provincial health division (PHD) in order to develop a more participative management and to compensate for the weaknesses of the current structural organization. Experts provided support to PHD for implementation of a new structure in order to institutionalize this new participative management. The new organizational structure of the PHD is based on 4 professions: i) health district support; ii) control and inspection; iii) information, communication and research and iv) resources management. PHD and experts defined these professions and described the required skills. Results were integrated into the new national health plan. Conclusions: Apart from the concrete results obtained, two major challenges need to be addressed: i) support the transformation of PHD from the current situation to the new model and ii) extend this new model to the other provinces, according to the same participative approach, a necessary condition to adjust the organization flow-chart to the context. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | modèles d'organisation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | politique de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | recherche empirique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | recherche sur les services de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | réforme des soins de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | République démocratique du Congo |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Democratic Republic of the Congo |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | empirical research |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health policy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health services research |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | healthcare reform |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | models |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | organizational |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Schirvel, Carole |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Godelet, Eliane |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Wodon, Alain |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Porignon, Denis |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bonami, Michel |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 26 | 6 | 2015-01-20 | p. 849-858 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-sante-publique-2014-6-page-849?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-sante-publique-2014-6-page-849?lang=fr&redirect-ssocas=7080</a> |
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