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Networking Healthcare. From a competitive call to a medical cooperation as a guarantee of a found confidence

Par : Contributeur(s) : Type de matériel : TexteTexteLangue : français Détails de publication : 2012. Sujet(s) : Ressources en ligne : Abrégé : This aim of this paper is to place the healthcare network in a continuum stretching from cooperation to competition — according to the endorsement given — and, from there, to revisit the relations between care providers and re-focus on how these innovative care organizations are governed in the French healthcare system. We start out with a comprehensive yet condensed study focusing on the results of academic research and then on the effects recorded in different countries (Anglosphere then European) of policies introducing competitive market mechanisms designed to more effectively regulate the health system. This analysis highlights two core strategies, deployed according to the way that competition policy is applied: solely to improve “health risk management” or whether it entails decentralization of the funding function. In this increasingly competitive context, healthcare networks should above all be thought as a cooperative arena nurtured in the hands of care staff that are normally isolated or even mutually opposed. Our proposal for orchestrating these goals is to initiate a two-phase healthcare network management system, based on externally defining project-indexed incentive contracts (between organization and governing body) and on ushering in a coordination framework targeted towards the convention and internal decisioning (intra-organization).
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This aim of this paper is to place the healthcare network in a continuum stretching from cooperation to competition — according to the endorsement given — and, from there, to revisit the relations between care providers and re-focus on how these innovative care organizations are governed in the French healthcare system. We start out with a comprehensive yet condensed study focusing on the results of academic research and then on the effects recorded in different countries (Anglosphere then European) of policies introducing competitive market mechanisms designed to more effectively regulate the health system. This analysis highlights two core strategies, deployed according to the way that competition policy is applied: solely to improve “health risk management” or whether it entails decentralization of the funding function. In this increasingly competitive context, healthcare networks should above all be thought as a cooperative arena nurtured in the hands of care staff that are normally isolated or even mutually opposed. Our proposal for orchestrating these goals is to initiate a two-phase healthcare network management system, based on externally defining project-indexed incentive contracts (between organization and governing body) and on ushering in a coordination framework targeted towards the convention and internal decisioning (intra-organization).

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