Evaluation de l'activité d'un bloc opératoire et étude des coûts par pathologie PDF Download
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Author: Annie Buisson
Publisher:
ISBN:
Category :
Languages : fr
Pages : 440
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Author: Annie Buisson
Publisher:
ISBN:
Category :
Languages : fr
Pages : 440
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Author: Maud Pousset
Publisher:
ISBN:
Category :
Languages : fr
Pages : 330
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Book Description
A l'heure de la tarification à l'activité, l'organisation du bloc opératoire peut représenter un enjeu financier. Afin 1) de déterminer un niveau d'activité optimal pour la structure et 2) d'évaluer les conséquences économiques des améliorations organisationnelles, notre objectif était de construire un modèle d'analyse des coûts du bloc opératoire (par exemple, impact financier des retards des débordements du programme opératoire, et estimation des gains espérés grâce à leur diminution), puis de situer nos résultats dans une analyse systématique de la littérature internationale sur l'efficience des blocs opératoires. Des obstacles méthodologiques, décrits dans cette thèse, nous ont conduits à résoudre notre problématique de manière indirecte. Nous avons d'abord mis en évidence un surcoût important tant par rapport à la référence de l'échelle nationale des coûts (ENC) que par rapport aux recettes, ce surcoût portant majoritairement sur les postes de personnel. Nous avons ensuite estimé la possibilité de générer des recettes supplémentaires en augmentant l'activité. A cette fin, quatre scénarii ont été proposés et leurs résultats chiffrés. A défaut de pouvoir élaborer un modèle économique intégré et généralisable, nous avons donc pu calculer, non les coûts, mais les recettes perdues à cause des défauts d'organisation. Notre revue systématique de la littérature replace ce travail dans son contexte et permet de discuter les difficultés rencontrées, la pertinence de nos résultats et les moyens de leur mise en œuvre.
Author: Madeleine Forestieri
Publisher:
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Category :
Languages : fr
Pages :
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Author: Madeleine Forestieri
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Category :
Languages : fr
Pages :
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Author:
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Category : Documentation
Languages : en
Pages : 964
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Author: European Conference of Ministers of Transport
Publisher: OECD Publishing
ISBN:
Category :
Languages : en
Pages : 296
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This Report addresses the key issues surrounding traffic speed management and highlights the improvements in policy and operations needed to reduce the extent of speeding.
Author: Linda Strande
Publisher: IWA Publishing
ISBN: 1780404735
Category : Technology & Engineering
Languages : en
Pages : 428
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Book Description
It is estimated that literally billions of residents in urban and peri-urban areas of Africa, Asia, and Latin America are served by onsite sanitation systems (e.g. various types of latrines and septic tanks). Until recently, the management of faecal sludge from these onsite systems has been grossly neglected, partially as a result of them being considered temporary solutions until sewer-based systems could be implemented. However, the perception of onsite or decentralized sanitation technologies for urban areas is gradually changing, and is increasingly being considered as long-term, sustainable options in urban areas, especially in low- and middle-income countries that lack sewer infrastructures. This is the first book dedicated to faecal sludge management. It compiles the current state of knowledge of the rapidly evolving field of faecal sludge management, and presents an integrated approach that includes technology, management, and planning based on Sandecs 20 years of experience in the field. Faecal Sludge Management: Systems Approach for Implementation and Operation addresses the organization of the entire faecal sludge management service chain, from the collection and transport of sludge, and the current state of knowledge of treatment options, to the final end use or disposal of treated sludge. The book also presents important factors to consider when evaluating and upscaling new treatment technology options. The book is designed for undergraduate and graduate students, and engineers and practitioners in the field who have some basic knowledge of environmental and/or wastewater engineering.
Author: Rick Mayes
Publisher: Johns Hopkins University Press
ISBN: 9780801888557
Category : Medical
Languages : en
Pages : 264
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Book Description
health care system.
Author: Alan D. Lopez
Publisher: World Bank Publications
ISBN: 0821362631
Category : Medical
Languages : en
Pages : 511
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Book Description
Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.
Author: Irene Papanicolas
Publisher: McGraw-Hill Education (UK)
ISBN: 033524727X
Category : Medical
Languages : en
Pages : 418
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Book Description
International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.
