Prévention des risques organisationnels en ambulatoire : une étude comparative de 4 cliniques (notice n° 2251786)
[ vue normale ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 04141cam a2200289 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20260524000603.0 |
| 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 | Bruyère, Christelle |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Prévention des risques organisationnels en ambulatoire : une étude comparative de 4 cliniques |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2017.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 36 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | « Les séjours hospitaliers doivent être moins fréquents et moins longs. C’est pourquoi je veux doubler le rythme de croissance de la chirurgie ambulatoire », indique Marisol Touraine – ministre des Affaires sociales, de la Santé et des Droits des femmes – qui fixe l’objectif dès 2016 d’une opération sur deux réalisée en ambulatoire. La chirurgie ambulatoire tend à devenir la norme. Or, la chirurgie ambulatoire est un changement culturel profond et un processus organisationnel complexe invitant à repenser les modes d’accès aux soins et de gouvernance. Dans cette perspective, des travaux initiés par l’ANAP (Agence nationale d’appui à la performance des établissements de santé et médico-sociaux) et l’HAS (Haute autorité de santé) publiés en 2013 visent à guider les acteurs de terrain dans le développement des pratiques ambulatoires, en préconisant une approche Lean comme système organisationnel global. Quel usage en ont les acteurs ? Quelle perception ont-ils du Lean Management ? Et comment se prémunissent-ils des risques organisationnels du Lean dans un contexte de chirurgie ambulatoire ? Une étude comparative de 4 centres autonomes ambulatoires (4 cliniques privées, seuls centres autonomes à ce jour en France) a permis de mettre en avant les principaux risques perçus par les acteurs – mise en tension et rigidification du travail- ainsi que les moyens techniques, organisationnels et humains pour faire face. Il ressort que les cliniques étudiées ont su se préserver des marges de manœuvre pour adapter le flux aux pressions, préservant ainsi le slack organisationnel nécessaire à la cohabitation d’un standard organisationnel et d’une relation unique. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Organizational risks prevention in ambulatory: A comparative study of 4 ambulatory clinics“Hospitalizations must be less frequent and shorter. That’s why I want to double the number of ambulatory surgeries.” Says Marisol Touraine, Minister of Social affairs, Health and Woman Rights. Her objective for 2016 is that half of surgeries should be realized in an ambulatory service. The ambulatory surgery tends to become the norm. But it is a real cultural change and a complex organizational process which impose to think differently the access of healthcare and its treatment. In this perspective, some studies made by the ANAP (National Agency of Support for the performance of hospitals) and the HAS (High Authority of Health) were published in 2013. These studies help the professionals to develop their ambulatory practices by using the approach “LEAN” as a global organizational system. What is the use for the professionals? What are their perceptions of this Lean Management? And how do they protect themselves from the organizational risks of this Management? A comparative study of 4 ambulatory services showed the main risks for the professionals (put in tension and stiffening of the work) as well as the technical, organizational and human means they must have. It appears that the private hospitals (where the studies were done) managed to face the flux and protect the organizational slack necessary for the cohabitation of an organizational standard and unique relation. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | ambulatoire |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | coordination |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | lean management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | risques |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | ambulatory |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | coordination |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | lean management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | risks |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Massard, Nelly |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Romeyer, Cécile |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Journal de gestion et d'économie médicales | 35 | 1 | 2017-09-21 | p. 6-17 | 2262-5305 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-journal-de-gestion-et-d-economie-medicales-2017-1-page-6?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-journal-de-gestion-et-d-economie-medicales-2017-1-page-6?lang=fr&redirect-ssocas=7080</a> |
Pas d'exemplaire disponible.
Réseaux sociaux