Le système de santé des États-Unis (notice n° 790584)
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| fixed length control field | 04116cam a2200349 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250123115107.0 |
| 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 | Galvis-Narinos, F. |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Le système de santé des États-Unis |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2009.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 34 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | RésuméLe système de santé américain fait l’objet de nombreux débats en raison de son coût élevé pour des résultats discutables. De tradition libérale, il s’organise autour d’assurances privées liées à l’emploi et d’une Assurance maladie publique pour les personnes à faible revenu et les personnes âgées. Mais près de 16 % de la population n’est pas assuré, notamment en raison de la hausse des dépenses de santé et des primes d’assurance. En matière d’organisation des soins, l’assurance santé est concurrentielle. Une gamme de produits est proposée par des compagnies privées pouvant être des réseaux de soins très intégrés ( managed care organizations). Celles-ci peuvent être vues comme des laboratoires en termes de politique de santé car elles proposent leurs propres réponses aux problèmes (notamment financiers) rencontrés par le système de santé. Les professionnels de santé, quant à eux, connaissent des frais de gestion important et une judiciarisation de leurs relations avec les patients pouvant impacter la qualité des soins. Le système de santé américain est néanmoins en pleine évolution. Le fédéralisme permet aux États de lancer des initiatives intéressantes, bien que limitées. Mais le véritable changement pourrait venir de la nouvelle présidence. En effet, la réforme de l’assurance maladie a été un enjeu électoral sur lequel chaque candidat s’est positionné. Barack Obama a fait des propositions, notamment pour une réforme du marché de l’assurance. Celles-ci sont actuellement débattues. Prat Organ Soins 2009;40(4):309-315 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | The health system of the United StatesThe American health care system is the subject of much debate due to its high cost and its bad results. This system of liberal tradition is based on private insurances that are linked to employment and on public health insurance for low-income people and elderly. But nearly 16 % of the population is not insured, especially because of the increase of health expenditure and insurance premiums. As regards healthcare organization, health insurance is based on competition. A range of products is offered by private companies which may be very integrated healthcare networks (Managed care organization). The latter can be seen as laboratories in terms of health policy because they offer their own answer to the problems (especially financial problems) of the health care system. Concerning health professionals, they have high management costs and their relations with their patients tend to turn to a legal issue, which may have an impact on health care quality. However, the American health care system is changing. Federalism allows the States to take interesting but limited initiatives. But the real change could come from presidential election. Indeed, the Health insurance reform was a major issue of this election and each candidate took a stand about it. Barack Obama made proposals including a reform of the insurance market. They are currently discussed. Prat Organ Soins 2009;40(4):309-315 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | États-Unis |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | managed care organizations |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | réforme domaine santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health maintenance organizations |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | libéralisme |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Medicare |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Medicaid |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | liberalism |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | managed care organizations |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health maintenance organizations |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | United States |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health care reform |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Medicare |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Medicaid |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Montélimard, A |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Pratiques et Organisation des Soins | 40 | 4 | 2009-12-01 | p. 309-315 | 1952-9201 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-pratiques-et-organisation-des-soins-2009-4-page-309?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-pratiques-et-organisation-des-soins-2009-4-page-309?lang=fr&redirect-ssocas=7080</a> |
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