Relevant bibliographies by topics / Hospitals - France

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Hospitals - France'

Author: Grafiati
Published: 4 June 2021
Last updated: 31 January 2023

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Journal articles on the topic "Hospitals - France"

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Jones, Colin. "Hospitals in Seventeenth-Century France." Seventeenth-Century French Studies 7, no. 1 (1985): 139–52. http://dx.doi.org/10.1179/c17.1985.7.1.139.

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Kelly, Michael J., John de Bono QC, and Patrice Métayer. "Clinical negligence in hospitals in France and England." Medico-Legal Journal 83, no. 4 (2015): 203–13. http://dx.doi.org/10.1177/0025817215598718.

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Medina, Eva. "The Impact of Information Sessions on Women’s Anxiety When Facing a Voluntary Termination of Pregnancy (VTP)—A Case Study about Geneva University Hospitals (Switzerland)." Societies 12, no. 5 (2022): 126. http://dx.doi.org/10.3390/soc12050126.

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Women going through a termination of their pregnancy (VTP) face a stressful situation that should be managed by hospitals in a multidisciplinary way: law, public health, and communication. This paper aims to analyze how the information sessions organized by hospitals influence women’s decisions when facing a VTP. To achieve that, we resorted to four main methodologies: (a) literature review about law, public health, and communication; (b) a 4-week participant observation at Port Royal Hospital (France) and in a social restaurant in Katowice (Poland), as well as three focus groups in the first institution (2012); (c) an online survey addressed to 500 women in Poland, France, and Switzerland (2012–2014); and (d) two focus groups and one deep interview with doctors and nurses from Geneva University Hospitals and Lausanne University Hospital in Switzerland (2017–2018). Based on our quantitative results, we developed a medical protocol to help doctors interact with patients going through a VTP. This protocol was approved by the Geneva University Hospitals’ Ethics Committee (BASEC 2018-01983). We concluded that women’s informed consent is an intimate, reciprocal decision; doctors should help them to make independent decisions; and hospitals need to establish a harmonized discourse based on a code of internal communication, train their doctors in communication skills, and help them adopt a more flexible approach when taking care of these patients.
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Agarwal, Renu, Roy Green, Neeru Agarwal, and Krithika Randhawa. "Benchmarking management practices in Australian public healthcare." Journal of Health Organization and Management 30, no. 1 (2016): 31–56. http://dx.doi.org/10.1108/jhom-07-2013-0143.

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Purpose – The purpose of this paper is to investigate the quality of management practices of public hospitals in the Australian healthcare system, specifically those in the state-managed health systems of Queensland and New South Wales (NSW). Further, the authors assess the management practices of Queensland and NSW public hospitals jointly and globally benchmark against those in the health systems of seven other countries, namely, USA, UK, Sweden, France, Germany, Italy and Canada. Design/methodology/approach – In this study, the authors adapt the unique and globally deployed Bloom et al. (2009) survey instrument that uses a “double blind, double scored” methodology and an interview-based scoring grid to measure and internationally benchmark the management practices in Queensland and NSW public hospitals based on 21 management dimensions across four broad areas of management – operations, performance monitoring, targets and people management. Findings – The findings reveal the areas of strength and potential areas of improvement in the Queensland and NSW Health hospital management practices when compared with public hospitals in seven countries, namely, USA, UK, Sweden, France, Germany, Italy and Canada. Together, Queensland and NSW Health hospitals perform best in operations management followed by performance monitoring. While target management presents scope for improvement, people management is the sphere where these Australian hospitals lag the most. Practical implications – This paper is of interest to both hospital administrators and health care policy-makers aiming to lift management quality at the hospital level as well as at the institutional level, as a vehicle to consistently deliver sustainable high-quality health services. Originality/value – This study provides the first internationally comparable robust measure of management capability in Australian public hospitals, where hospitals are run independently by the state-run healthcare systems. Additionally, this research study contributes to the empirical evidence base on the quality of management practices in the Australian public healthcare systems of Queensland and NSW.
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Courtin, Régis. "Astronomy outreach in hospitals and retirement homes." Proceedings of the International Astronomical Union 5, S260 (2009): 481–82. http://dx.doi.org/10.1017/s1743921311002705.

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PENNEC, SOPHIE, JOELLE GAYMU, ELISABETH MORAND, et al. "Trajectories of care home residents during the last month of life: the case of France." Ageing and Society 37, no. 2 (2015): 325–51. http://dx.doi.org/10.1017/s0144686x15001117.

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ABSTRACTThis paper examines some demographic and medical factors associated with the likelihood of residing in a care home during the last month of life for persons aged 70 and over in France and, if so, of remaining in the care home throughout or being transferred to hospital. The data are from the Fin de vie en France (End of Life in France) survey undertaken in 2010. During the last month of life, very old people are more likely to be living in a care home but are not less likely to be transferred to hospital. Medical conditions and residential trajectories are closely related. People with dementia or mental disorders are more likely to live in a care home and, if so, to stay there until they die. Compared to care homes, a more technical and medication-based approach is taken in hospitals and care home residents who are transferred to hospital more often receive medication while those remaining in care homes more often receive support from a psychologist. In hospitals as in care homes, few older persons had recourse to advance directives and hospice programmes were not widespread. Promoting these two factors may help to increase the quality of end of life and facilitate an ethical approach to end-of-life care.
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Bernard, Alain, Jonathan Cottenet, Serge Aho, et al. "Detecting Hospital Outliers in Post-Pancreatectomy Care Using Funnel Plots from 2009–2018 Based on Nationwide Medico-Administrative Data." World Journal of Surgery 45, no. 7 (2021): 2210–17. http://dx.doi.org/10.1007/s00268-021-06078-4.

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Abstract Objectives Our objective was to identify hospitals with unusual mortality rates for major pancreatectomies over a period of ten years using 30-day mortality data from the French national database. Methods Data for all patients who underwent pancreatectomy were extracted from the national medico-economic database (Programme de Médicalisation des Systèmes d'Information). To identify quality outliers for each hospital, the observed-to-expected 30-day mortality rates were used as a quality indicator. Results A total of 19 494 patients underwent a major pancreatectomy in France between January 2009 and December 2018. The overall 30-day mortality rate was 4.8% (n = 944). For the 2009–2014 period, the funnel plot showed that 10 of the 176 hospitals lie outside the central 95% region and 7 lie outside the central 99.8% region. For the 2015–2018 period, out of 176 hospitals, 6 lie outside the central 95% region and 2 lie outside the central 99.8% region. The change in standardized mortality ratios between 2009–2014 and 2015–2018 testing for differences from the overall change, they were there 4 hospitals lie outside the central 95% region and 0 lie outside the central 99.8% region. Conclusion Over time, the improvement in hospital quality was weak. This study suggests that there is a pressing need to reorganize the supply of care for pancreatic surgery in France.
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Bonmarin, I., D. Lévy-Bruhl, S. Baron, et al. "Pertussis surveillance in French hospitals: results from a 10 year period." Eurosurveillance 12, no. 1 (2007): 11–12. http://dx.doi.org/10.2807/esm.12.01.00678-en.

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We present 10 years of results from a paediatrician hospital network surveillance in France, set up in 1996 to monitor the trend of pertussis (whooping cough) in children and the impact of the vaccination strategies. Microbiologists from 43 hospitals that participate in the network on a voluntary basis notify pertussis diagnosis, and paediatricians complete a questionnaire for the infants under 6 months that fulfil the microbiological, clinical or epidemiological case definition. The network covers about 30% of pertussis cases seen in French hospitals.
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Lacronique, J. F. "Technology in France." International Journal of Technology Assessment in Health Care 4, no. 3 (1988): 385–94. http://dx.doi.org/10.1017/s0266462300000349.

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AbstractThe author describes how France has attempted to reconcile its ethos of optimum health care for all with a belief in free enterprise, with increasing medical costs and complex technological innovations, and with a traditional distrust of widespread regulation. Effective oversight of the diffusion of technology is further hampered by the shared responsibilities of several government agencies. Although France has enacted a fee schedule for physicians, created national procedures for evaluating equipment, and exercised some control over hospitals, the general sentiment is anti-bureaucratic and third-party insurers will most likely play an important role in limiting the diffusion of technology in the future.
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Rogues, A. M., B. Placet-Thomazeau, P. Parneix, et al. "Use of antibiotics in hospitals in south-western France." Journal of Hospital Infection 58, no. 3 (2004): 187–92. http://dx.doi.org/10.1016/j.jhin.2004.07.019.

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Dissertations / Theses on the topic "Hospitals - France"

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Robichaud, Marc. "Making hospitals "worthy of their purpose" : hospitals and the hospital reform movement in the généralité of Rouen (1774-1794)." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=84543.

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The eighteenth century was a period ripe with challenges for hospitals in France. Denounced as ineffective, inefficient and even inhumane institutions, hospitals found themselves at the centre of a growing debate over the administration of health care and welfare. Although dismissing the hospital's traditional role as a refuge for the poor, the indigent and the sick, many reformers believed that this institution still could play a valuable social role. Thus, while contemporaries lashed out against the large, "abuse-ridden," hopitaux generaux and hotels-Dieu , small hospitals were seen in a more favourable light. For the growing number of contemporaries who argued that hospitalisation should be reserved exclusively for the sick, hospitals containing a small number of beds were promoted as better disposed and better equipped to meeting the health-care needs of the community. At the same time, contemporaries began calling for the decentralization of health care and welfare services. Instead of focusing these services in large regional poor-relief institutions, reformers argued that the poor and the sick would be better served by receiving assistance in their own community, either in small parish hospitals, or within their own home (secours a domicile).<br>This dissertation examines how hospitals and hospital services in the late eighteenth-century generalite of Rouen responded to this growing hospital reform movement. It shows that many of the policies adopted by the region's hospital administrators reflected the contents of the larger "national" debate on health care and welfare reform. More importantly, the military was behind many of the changes affecting hospital services in this region During the eighteenth century, military hospitals became a model to emulate towards making the "reformed" hospital a reality. However, imposing military-style health standards on the region's civilian hospitals proved to be a complicated process, one that often involved a great deal of negotiation and compromise.
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Legg, Patricia Sinclair. "The impact of war and occupation in psychiatric hospitals in France, 1939 to 1944." Thesis, University of Southampton, 2017. https://eprints.soton.ac.uk/425275/.

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Before the German occupation, mortality in French psychiatric hospitals was comparatively stable, the national annual average ranging from 3 to 10%. During the German occupation mortality rose precipitously to over 30% in some cases and total patient-deaths numbered more than 45,000. How and why this happened and who died is examined through a case study of four psychiatric hospitals: three ‘closed’ institutions in which patients were committed and interned as mentally ill and a Colonie familiale, similar to current community care, in which patients lodged in foster homes. Examination of the history of these hospitals offers an insight into institutions within the Assistance psychiatrique (French welfare system which included mental hospitals) managed by the state and by the Religious Order of the Brothers of Saint-Jean. Normalcy of daily life for inpatients and personnel was disrupted when France joined the Second World War and the mobilisation of able-bodied Frenchmen by France’s subsequent defeat and occupation. Psychiatric hospitals relied essentially on male labour for nursing, discipline and security, general maintenance and building works, internal hospital services, and crucially for food provisioning from their vast farmlands and agricultural production. Disruption of daily life and the intensity of harsh restriction of foodstuffs and raw resources were brought about by the Vichy regime’s rationing system imposed by the German occupiers. Severe malnutrition and ill-health affected the nation. For patients in psychiatric hospitals, already ‘at risk’ of increased mortality due to their mental condition, the consequences of the Occupation were fatal. Psychiatrists administering the target hospitals were unable to act autonomously and although many responded positively to the crisis of limited and ever-dwindling rations and consequent malnutrition suffered by their patients. The Occupation exposed grave and entrenched deficiencies in institutional management and professional practice for mentally ill inpatients.
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Peterson, Anna. "A comparative study of the hospitals and leprosaria in Narbonne, France and Siena, Italy (1080-1348)." Thesis, University of St Andrews, 2017. http://hdl.handle.net/10023/12126.

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This thesis analyses the development of the hospitals and leprosaria in Narbonne and Siena from their foundation to the Black Death (1080-1348). Specifically, it examines their respective relationships with the people of Narbonne and Siena and the municipality within a comparative framework. This thesis helps address the gap in comparative studies of the history of hospitals and leprosaria. This comparative study demonstrates how the internal governance of these institutions responded to — and were indeed shaped by — changes in the political and social climate of Narbonne and Siena. This becomes apparent through a comparison of the Hospital of St Just and Hospital of St Paul in Narbonne with the Ospedale di Santa Maria della Scala in Siena. While all these houses were established by ecclesiastical institutions between the late eleventh and mid-twelfth century, there is a marked difference between the growth of the Ospedale and that of the institutions in Narbonne. Furthermore, the Ospedale's independence from its founders, coupled with Siena's wealth and population, facilitated its development into a paragon of the medieval hospital. Such elements are absent from Narbonne, which was entering a period of decline in the thirteenth century. This thesis also recontextualises the study of leprosaria in both cities by deconstructing the traditional exclusion narrative; indeed, this study presents the first examination of the lepers and leprosaria in Siena. Examination of these two cities reveals that there were various approaches to supporting and regulating lepers. It also demonstrates that lepers and leprosaria played an important role within the urban environment, by providing lepers a community while also presenting the healthy with an opportunity to serve them and reap spiritual benefits. This thesis provides a comprehensive analysis of the institutional development of assistive houses in these two cities, placing them in their respective political and social contexts and evaluates the relationship of these assistive institutions with authorities, especially the episcopacy, papacy, and municipality.
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Combes, Jean-Baptiste. "An investigation of the impact of the local labour markets on staff shortages and staff mix of hospitals in England and France." Thesis, University of Aberdeen, 2012. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=195747.

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Gay, Renaud. "L'Etat hospitalier : réformes hospitalières et formation d'une administration spécialisée en France : (années 1960 - années 2000)." Thesis, Université Grenoble Alpes (ComUE), 2018. http://www.theses.fr/2018GREAH014.

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L’étatisation libérale du système hospitalier français est un paradoxe bien établi que notre recherche propose de réinterroger par deux détours. Le premier est historique. Il s’agit d’ouvrir la focale temporelle en s’intéressant à un réformisme gestionnaire qui apparaît dès les années 1960, alors que la littérature sur la politique hospitalière se concentre sur la période postérieure aux années 1980. Le second est organisationnel. L’étatisation est moins appréhendée à travers la multiplication de normes et de procédures dans les hôpitaux que comme une mise en administration se traduisant par l’apparition et la stabilisation d’organisations publiques spécialisées. Au croisement de la sociologie de l’action publique et de l’étude de l’administration, notre questionnement porte sur la façon dont les réformes hospitalières successives peuvent contribuer à la définition, à l’affirmation et à la reconnaissance d’un centre politico-administratif dans une perspective sociohistorique. Nous avançons l'hypothèse générale que ces réformes cristallisent trois processus étroitement imbriqués participant à l'institutionnalisation d'une organisation administrative spécialisée que l'on appelle l'Etat hospitalier. Premièrement, elles soutiendraient une redistribution et une concentration des prérogatives administratives en matière hospitalière au sein d'une seule organisation (processus de monopolisation). Deuxièmement, elles favoriseraient l'accumulation par cette organisation de capacités administratives nouvelles qui lui donneraient une plus grande autonomie à l'égard des groupes extérieurs (processus d'autonomisation). Troisièmement, elles produiraient et seraient éclairées par un ensemble de savoirs spécialisés qui fonderaient la légitimité des interventions étatiques (processus de légitimation). Notre observation historique des activités réformatrices permet de dégager trois séquences temporelles qui montrent l’inégale continuité de ces processus et leur plus ou moins forte articulation en fonction des périodes historiques. Si les réformes contribuent à forger un Etat hospitalier relativement autonome, ses frontières organisationnelles et ses principes de légitimation ne sont pas définitivement arrêtés. Notre enquête s’appuie sur un protocole combinant travail archivistique, entretiens semi-directifs avec des conseillers ministériels, des hauts fonctionnaires et des experts du ministère de la Santé, lecture de la littérature grise (rapports administratifs et experts, publications ministérielles), de la presse professionnelle et généraliste, étude des débats parlementaires et analyse biographique du personnel administratif d'encadrement du ministère de la Santé<br>The « neoliberal statization » of French hospital system is a well-established paradox that our research reexamines through two ways. The first one is historical. It consists in studying managerial reformism which emerged in the 1960s, whereas most investigations are focused on policies implemented after the 1980s. The second one is organizational. The statization is to be understood less as proliferation of norms and procedures in hospitals than as the formation and the stabilization of public specialized organizations. At the intersection of the policy analysis and the sociology of administration, this study focuses on how hospital reforms can contribute to the definition, the consolidation and the recognition of a political-administrative center in a sociohistorical perspective. Our main hypothesis is that hospital reforms crystallize three interconnected processes which underpin the institutionnalization of a specialized administrative organization called the Hospital State. Firstly, reforms support the redistribution and concentration of administrative prerogatives on hospitals within one single organization (process of monopolization). Secondly, they help increase the capacities of this organization that in turn strengthen its autonomy from other agents (process of autonomization). Thirdly, they generate and rely on specialized knowledge that justifies state interventions (process of legitimation). Our historical observation of reform activities leads to outline three temporal sequences. These reveal an uneven continuity of these processes and their unequal articulation depending on historical periods. If reforms contribute to forging a relative autonomous Hospital State, its organizational boundaries and its principles of legitimation are far from being stabilized. Our investigation is based on various materials : records from administrative and private organizations ; interviews with minister’s advisers, senior civil servants and experts of the Ministry of Health ; grey literature (administrative and expert reports, ministerial publications) ; national newspapers and professional journals ; parliamentary debates ; biographies of supervisory staff members at the Ministry of Health
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Wanecq, Charles-Antoine. "Sauver, protéger et soigner : une histoire des secours d’urgence en France (années 1920-années 1980)." Thesis, Paris, Institut d'études politiques, 2018. http://www.theses.fr/2018IEPP0039.

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Cette thèse porte sur l’élaboration et les usages sociaux de la notion d’urgence vitale dans la France contemporaine. Entendue comme la nécessité d’agir vite pour éviter une mort probable, l’urgence constitue un mode de plus en plus ordinaire de prise en charge des pathologies. À partir d’une étude de sources multiples, médicales, administratives, hospitalières ou encore associatives, cette recherche doctorale propose de saisir les logiques sociales, économiques et politiques que suscite un accident, lorsqu’une ou plusieurs vies humaines sont menacées. Alors que, dans l’entre-deux-guerres, les innovations médico-chirurgicales de la Première Guerre mondiale ne trouvent que rarement une traduction dans le monde civil, le risque nucléaire et l’augmentation rapide de la mortalité routière contribuent à la mise en œuvre d’une politique publique d’organisation des secours d’urgence, orchestrée par un bureau du ministère de la Santé et centrée sur l’hôpital public. Fondée sur une analyse de la division du travail et des dispositifs techniques qui rendent possible la rationalisation de l’offre de secours, la thèse replace les débats qui portent sur la valeur accordée aux vies humaines dans l’histoire de la santé et des institutions en charge de la protection des populations<br>This dissertation deals with the elaboration and the social uses of the notion of vital emergency in contemporary France. The concept of emergency – defined as a need for urgent action to avoid death - constitutes an increasingly common form of medical care. Based on a study of multiple sources, including the archives of physicians, administrations, hospitals and associations, this doctoral research aims at understanding the social, economic and political processes set in motion by an accident, when one or several human lives are threatened. During the interwar period, the innovative medical and surgical techniques of the First World War were seldom implemented in the civilian world ; however the nuclear risk and the increasing mortality rate caused by road acccidents led to an organization of emergency medical services in public hospitals. This public policy was overseen by a division of the Ministry of Health. Through an analysis of the division of labour and of the technical devices which rationalized the provision of emergency care, this dissertation changes the focus of the debates on the value of human lives in the history of health and of the institutions in charge of the protection of populations
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Khodadad, Saryazdi Ali. "Les barrières et les facteurs de succès à l'implantation d'innovation de processus dans les établissements publics de santé : le cas de la télémédecine en France." Thesis, Aix-Marseille, 2016. http://www.theses.fr/2016AIXM2015.

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Depuis la loi de l’hôpital, patient, santé et territoire (HSPT), les établissements de santé français ont montré de plus en plus d’intérêt à une meilleure offre de soin. L’utilisation des philosophies et des techniques d’amélioration de processus inspirée par le nouveau management public a été considérée comme un moyen d’augmenter la qualité des soins et de diminuer la durée d’hospitalisation. La télémédecine est une forme de pratique médicale à distance utilisant les technologies de l’information et de la communication et pouvant être considérée comme une innovation de processus dans le but d’améliorer le système de prestation de soins. Malgré l’intérêt apporté par les hôpitaux publics français à la mise en œuvre de la télémédecine, les facteurs de réussite et les obstacles influençant son implantation restent à développer. À travers cette thèse, nous tentons d’apporter les réponses à cette problématique par une recherche qualitative dans le secteur public de la santé<br>Since the French law of the hospital, patients, health and territory (HSPT), the healthcare institutions have shown their interest for a better healthcare provision. The use of philosophies and process improvement techniques inspired by the new public management was seen as a way to increase the quality of care and reduce the length of hospital stays. Telemedicine is a kind of remote medical practice based on information technology and communication which can be considered as an innovation process in order to improve the healthcare delivery system. Despite the interest shown by the French public hospitals in implementing the telemedicine, success factors as well as barriers influencing its implementation need to be developed. By this work, we try to provide some answers to this problem by a qualitative research in the public healthcare sector
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Ryckebusch, Olivier. ""La cité sociale" : les hôpitaux généraux des provinces septentrionales française au siècle des Lumières." Thesis, Lille 3, 2014. http://www.theses.fr/2014LIL30020/document.

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L'obligation faite aux gens de loi de conduire les mendiants dans les prisons de la ville la plus proche soulève la question de l'enfermement dans les grandes cités des provinces du nord. en france, l'etat royal croit remédier à ces difficultés par l'édit de juin 1662 ordonnant la création d'un hôpital général dans chaque ville du royaume. dès les années 1730, les administrateurs des principales villes des pays-Bas français appellent de leurs vœux une nouvelle forme de prise en charge du paupérisme : les hôpitaux généraux. ces établissements dans les provinces septentrionales n'ont fait l'objet d'aucune étude d'ensemble. il importe pourtant d'observer comment, dans un contexte de centralisation administrative, ces institutions se sont implantées dans des provinces où la tradition d'autonomie administrative était ardemment défendue. • la tutelle de l'intendant a-T-Elle été acceptée sans heurt dans la flandre maritime, pays d'administration directe, en flandre wallonne ou dans le hainaut, où les élites locales défendaient une co-Gestion du territoire ? • le financement de tels établissements doit également être étudié de près : selon les pays, là encore, le coût de l'hôpital général était supporté soit directement, soit indirectement par les contribuables, selon les modes d'administration locale. • l'expérience du renfermement des pauvres a par ailleurs suscité des critiques qu'il nous faudra analyser en tenant compte du contexte intellectuel du xviiie siècle. il convient aussi de s'interroger sur la réalité de l'autonomie de ces établissements hospitaliers, principalement au plan de la gestion financière et comptable.• pour administrer et gérer ces établissements, les magistrats font appel aux élites locales. les notables contribuent à la fois de leur temps et de leur argent à ces structures caritatives locales. ils collaborent souvent avec les représentants des élites des grandes villes• on ne négligera pas pour autant le caractère social du sujet : la large ouverture de ces hôpitaux généraux aux enfants permettra, semble-T-Il, d'établir un modèle particulier du traitement de l'enfance hôpitaux généraux ont joué un rôle prépondérant dans la genèse de l'enseignement élémentaire.c'est dunkerque qui ouvre la série des fondations grâce à des lettres patentes délivrées dès le 22 juillet 1737. lille suit à une courte distance en 1738, les années 1751-1752 correspondent à une accélération du mouvement avec la création des hôpitaux généraux de valenciennes et de douai<br>The obligation (bond) made for people of law to lead (drive) the beggars in the prisons of the closest city raises the question of the confinement in the big cities (estates) of the provinces of the North. In France, the royal State believes to remedy these difficulties by the edict of June, 1662 ordering the creation of a general hospital in every city of the kingdom. The provinces of the North escape this movement up to the first third (third party) of the XVIIIth century. For the XVIth century, the assistance (audience) rests(bases) mostly on the Tables of the poor men there, charitable institutions were placed under the supervision (guardianship) of the Magistrates or people of law. After the wars of succession of Poland and Succession of Austria and under the influence of a new population growth, the northern provinces are confronted with an outbreak of the begging the scale of which questions brutally the efficiency of the model of assistance (audience) hispano - tridentin. The royal power strengthens just like that the repressive regulatory framework, arrests multiply and reveal the incapacity of the traditional structures of confinement. From the 1730s, the administrators (directors) of the main cities of the French Netherlands wish for a new shape of coverage (care) of the pauperism. The local authorities turn (shoot) then to the example of the general hospitals
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Cazin, Léo. "Regrouper pour mieux gouverner ? : Le cas des hôpitaux publics français." Thesis, Paris Sciences et Lettres (ComUE), 2017. http://www.theses.fr/2017PSLEM013/document.

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Comme dans la plupart des pays développés, l’hôpital public français fait face à de nombreux défis : démographie médicale défavorable, évolution des modes de prise en charge des patients, accumulation de réformes introduisant de nouvelles règles de financement ou de gouvernance, etc. L’organisation encore très éclatée du maillage hospitalier, qui compte près d’un millier d’établissements publics, rend difficile une transformation d’ampleur qui réponde à ces multiples contraintes.Dans ce contexte, la loi de modernisation de notre système de Santé de 2016 impose désormais à tous les hôpitaux publics de France d’adhérer à un Groupement Hospitalier de Territoire (GHT). Le GHT s’inscrit à la suite de nombreux instruments d’action publique visant à réorganiser le paysage hospitalier, mais dont les effets ont été souvent modestes. De multiples interrogations entourent cette nouvelle réforme, aussi bien à propos de ses finalités que de ses conditions de mise en œuvre. En effet, elle tranche avec le mouvement de reprise en main par l’Etat qui prévalait jusqu’à présent, en laissant une large autonomie aux acteurs de terrain dans son application.La thèse repose sur l’analyse de cette mesure, à travers l’étude de trois cas de construction de GHT. La principale ambition de notre travail est de s’interroger sur l’inscription de la réforme des GHT dans un nouveau paradigme de l’action publique.Nous montrons que malgré ses objectifs en apparence relativement vagues, cette réforme marque une véritable rupture dans l’action de l’Etat, visant à amorcer des dynamiques locales d’exploration de nouvelles modalités d’orga-nisation territoriale de l’offre de soins. Cette approche correspond à un nouveau régime de gouvernementalité, qui offre aux acteurs des objets de gouvernement, comme les parcours des patients, capables d’enclencher des apprentis-sages collectifs à travers la mise en place de partenariats d’exploration. Toutefois, en raison de plusieurs incohérences persistant dans l’action de l’Etat, les trajectoires de ces GHT s’annoncent hétérogène. Nous formulons donc quelques préconisations pour le management de ces dynamiques exploratoires, ainsi que pour une ingénierie de l’action publique plus cohérente, afin de mener à bien ces nouvelles orientations<br>As in most of developed countries, French public hospitals are facing several challenges: shortage of medical resources, development of new care practices, as well as recurrent reforms introducing new financing or governance rules. The fragmented organization of the hospital network, which is made up of nearly a thousand public institutions, makes it difficult to implement a large-scale transformation that would meet these multiple constraints.In such a context, the latest healthcare law (2016) now requires all public hospitals in France to join a Territorial Hospital Group (THG). THGs come after a series of instruments that aimed at reorganizing the territorial hospital organisation, with mixed results up to now. This new reform has aroused many questions regarding its objectives and implementation conditions. Indeed, it contrasts with the strong state-control trend that had prevailed so far, by giving local actors a large amount of autonomy.The thesis is based on the analysis of this reform through a multiple case study. The main ambition of this work is to question the inclusion of the THG law in a new public action paradigm.Despite its apparently relatively vague objectives, I show that this reform is a real break in public action, as it aims at initiating local exploration dynamics around new territorial organizations. This approach corresponds to a new governmentality regime, providing actors with specific objects of government, such as care pathways, capable of triggering collective learning through the creation of exploration partnerships. However, due to remaining inconsistencies in the government’s action, the trajectories of these THGs appear to be very heterogeneous. Therefore, I suggest several recommendations for the management of these exploration dynamics, as well as for consistent public action engineering, in order to carry out such new orientations
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Derrien, Marie. ""La tête en capilotade" : les soldats de la grande guerre internés dans les hôpitaux psychiatriques français." Thesis, Lyon 2, 2015. http://www.theses.fr/2015LYO20092/document.

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Le premier objectif de cette thèse est d’observer le fonctionnement d’une société plongée dans la guerre et confrontée à l’une de ses conséquences : l’internement de soldats atteints de troubles mentaux. Il s’agit de montrer comment, en prenant l’asile d’aliénés pour terrain d’étude et en analysant l’expérience d’un groupe d’individus apparemment isolé et minoritaire, il est possible de contribuer à une histoire totale de la guerre. En effet, contrairement à ce qu’on pourrait croire en se focalisant sur la littérature médicale, le sort de ces hommes n’intéresse pas seulement les psychiatres. Le recours à des archives de différentes natures montre que leur famille, leurs camarades, leurs chefs, les représentants de l’armée, de l’État, des départements et des communes ou encore l’administration asilaire réagissent, interviennent, prennent des décisions à leur sujet. Entre 1914 et 1918 puis jusqu’à la disparition des derniers poilus internés, la situation des soldats atteints de troubles mentaux soulève, selon le point de vue adopté, des enjeux scientifiques, militaires, politiques, économiques ou encore culturels qui dépassent leurs simples cas particuliers. Les parcours de ces hommes et leurs témoignages révèlent en outre une dimension longtemps méconnue de la violence de guerre et des souffrances endurées par les soldats, y compris après l’armistice. Examiner comment leurs troubles sont considérés par les médecins mais aussi par l’ensemble de la société amène à se demander dans quelle mesure le conflit transforme la prise en charge et la perception d’une catégorie spécifique de la population, les aliénés. Participant à réfléchir au rôle de la guerre dans les transformations des dispositifs d’action publique, cette thèse a donc pour deuxième objectif d’évaluer l’impact des années 1914-1918 sur l’évolution de l’assistance psychiatrique au XXe siècle<br>The primary objective of this thesis is to observe the functioning of a society plunged into war and faced with one of its consequences: the internment of soldiers suffering from mental illness. The aim is to show that we can contribute to the global history of the war by analyzing the experiences of a small group of people within a mental asylum, though their experiences may seem isolated and unrepresentative of the majority. Contrary to the implications of the purely medical literature, it was not in fact the psychiatrists alone who had an interest in the situation of these men: investigation of various kinds of archive shows that their families, fellow soldiers, senior officers, the representatives of the armed forces and the government at national, regional and local level, as well as asylum directors and their staff, reacted, intervened and took decisions concerning them. Between 1914 and 1918, and subsequently until the passing of the last interned 'poilus', the case of soldiers victims of mental illness raises issues of psychological, military, political, economic and cultural nature which transcend their individual particularities. Furthermore, these men’s histories and their voices reveal a long-overlooked dimension of the violence of war and the suffering endured by the soldiers both before and after the armistice. By examining the way in which their conditions were regarded, not only by doctors but by society as a whole, we come to ask ourselves to what extent conflict affects the way in which those who were categorized as mentally ill were perceived. Therefore the second objective of this thesis is to reflect on the role of war in transforming social intervention measures, thereby evaluating the effect of the 1914-1918 period on the evolution of psychiatric assistance during the 20th century
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Books on the topic "Hospitals - France"

1

Chevandier, Christian. L'hôpital dans la France du XXe siècle. Perrin, 2009.

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L'hôpital dans la France du XXe siècle. Perrin, 2009.

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-R, Michel C., ed. La vie quotidienne des hôpitaux en France au XIXe siècle. Hachette, 1985.

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William, Peterson. A Canadian hospital in France. McGill University, 1996.

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From housing the poor to healing the sick: The changing institution of Paris hospitals under the old regime and revolution. Fairleigh Dickinson University Press, 1997.

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Jean, Imbert. Les hôpitaux en France. 6th ed. Presses universitaires de France, 1994.

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Hildesheimer, Françoise. L' assistance hospitalière en France. Publisud, 1992.

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Clech, Sylvie Le. Les établissements hospitaliers en France du Moyen Âge au XIXe siècle: Espaces, objets et populations. Éditions Universitaires de Dijon, 2010.

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Les établissements hospitaliers en France du Moyen Âge au XIXe siècle: Espaces, objets et populations. Éditions Universitaires de Dijon, 2010.

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Saunier, Annie. "Le pauvre malade" dans le cadre hospitalier médiéval: France du Nord, vers 1300-1500. Editions Arguments, 1993.

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Book chapters on the topic "Hospitals - France"

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Dent, Mike. "The United Kingdom and France: Étatiste Traditions." In Remodelling Hospitals and Health Professions in Europe. Palgrave Macmillan UK, 2003. http://dx.doi.org/10.1057/9781403938411_4.

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Palmer, Jerry. "Hospitals and Nursing Before the Great War." In Nurse Memoirs from the Great War in Britain, France, and Germany. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-82875-2_2.

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Freebody, Jane. "The Medical Prescription of Patient Occupation." In Mental Health in Historical Perspective. Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-13105-9_6.

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AbstractAnalysis of the different attitudes of English medical superintendents and French chief medical officers towards patient occupation provides an insight into the different conceptions of mental disorder and its treatment held by French and English psychiatrists during the interwar period. It also highlights the different management structures of French and English institutions. Authority for running French institutions was shared between a chief medical officer, in charge of medical matters, and an asylum director, responsible for administration and finance. In England, medical superintendents were in sole charge of their hospitals and had the authority to make decisions regarding all matters concerning management and medical treatment, including patient occupation. Psychiatrists' training, professional networks, and attitude towards innovation and risk all contributed to their vision of what constituted effective treatment. In France, this vision could be compromised by the asylum director’s need to maximise the productivity of the patient workforce.
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Hyman, Stanley. "Hospital Health Supplies in France." In Supplies Management for Health Services. Routledge, 2022. http://dx.doi.org/10.4324/9781003280231-14.

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Freebody, Jane. "The Patient Workers Inside Hospital." In Mental Health in Historical Perspective. Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-13105-9_8.

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AbstractFreebody explores how a patient’s class, gender, age, physical health and mental condition influenced the allocation of occupation in French and English institutions. Class was an important consideration since manual labour was considered unsuitable for the middle classes, particularly for women, despite its alleged benefits as a therapy. Whether a patient’s condition was perceived as curable or incurable made a difference to the type of occupation prescribed in England, and to whether it was prescribed in France. The reasons why curable patients at the acute stage of their illness were more likely to be prescribed occupational therapy in England, or unoccupied and treated biologically in France, are examined. In both countries, incurable patients, and those whose condition had deteriorated into chronicity, were allocated work around the hospital, provided they were physically fit, for the benefit of both institution and patient. Freebody compares the material conditions of English and French, rural and metropolitan institutions, that provided the context for patient work, and the varied approaches towards offering incentives to work.
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Freebody, Jane. "Work and Support for Patients Outside Hospital." In Mental Health in Historical Perspective. Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-13105-9_9.

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AbstractThis chapter examines whether the rehabilitative remit of patient workhad decreased in importance during the interwar years compared to during the nineteenth century. Despite the need to rebuild their respective economies after World War I, and the high unemployment of the Great Depression, patient occupation in French and English asylums did not appear to prepare patients for the modern workplace, as Freebody’s comparison of the work available locally to the work provided in linstitutions demonstrates. The work around the hospital tended to be based on outmoded artisanal techniques in France, while in England, occupational therapy, in the form of arts and crafts, was the antithesis of modern working practices, such as those associated with “scientific labour management”. Freebody attempts to explain this anomaly in terms of a focus on the "active treatment" of patients, rather than vocational rehabilitation, and increased levels of support for patients post-discharge in England, and to the emphasis on the financial contribution made by patient labour to asylum budgets in France.
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Barna, Alexandre, Björn Fahlgren, Emmanuel Charpentier, Clément Taron-Brocard, and Loïc Guillevin. "The “Comité d’Evaluation et de Diffusion des Innovations Technologiques” (CEDIT) in France." In Hospital-Based Health Technology Assessment. Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-39205-9_7.

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Hunsinger, Vincent, Martin Lhuaire, Ibrahim Dagher, and Laurent Lantieri. "Clinical Case Reports: Scar Prevention by Laser Treatment in Mastopexy With Implant." In Textbook on Scar Management. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-44766-3_59.

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AbstractIn this chapter, Vincent Hunsinger, MD, former chief of clinic in the department of Professor Lantieri at Georges Pompidou European Hospital in Paris and in post-bariatric silhouette surgery after massive weight loss under the direction of Professor Ibrahim Dagher (Hospital Antoine Beclère, Clamart, France) presents a technique of improvement of postoperative scars by the use of an automated 1210 nm diode laser system (UrgoTouch®). The interest of this technique is to limit/prevent postoperative hypertrophy and scar enlargement.
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Klenk, Tanja, and Renate Reiter. "Hospital Privatisation in Germany and France: Marketisation Without Deregulation?" In Public and Social Services in Europe. Palgrave Macmillan UK, 2016. http://dx.doi.org/10.1057/978-1-137-57499-2_18.

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Blanchard, Julie. "Resisting." In Euthanasia: Searching for the Full Story. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-56795-8_8.

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AbstractTrained in France, I have been practising in Belgium since 2015. As general practitioner, I also hold a diploma in palliative care, a degree requiring 2 years of training and placements. Before coming to Belgium, I practised in France in a mobile hospital and community palliative care team, and in a palliative care unit.Early significant dealings with practises in Belgium happened during my studies when a physician in a Belgian community palliative care team came to give a lecture in Lille, where he told us about his practise of euthanasia. We were confounded by this ‘medical capacity to take away a life’!
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Conference papers on the topic "Hospitals - France"

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Darbon, F., S. Atkinson, E. Bourassa, P. Bédard, and JF Bussières. "CP-120 Medication reconciliation in hospitals." In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.119.

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Dolezalova, L., L. Blahová, S. Kozakova, and L. Blaha. "GM-011 Contamination with cytostatics in pharmacies and hospitals in our country." In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.357.

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Iskandar, K., E. Bou Raad, P. Salameh, P. Abi Hanna, and R. Zeenny. "DI-038 Antibiotic consumption in non-teaching lebanese hospitals: a cross sectional study." In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.285.

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Rossignoli, A., E. Villamañán, C. Lara, et al. "PS-036 Risks and inefficiencies in hospitals caused by inadequate packaging of oral medications." In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.542.

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Pape, P. Le, LM Petit, N. Bajwa, S. Delestras, C. Fonzo-Christe, and P. Bonnabry. "DI-026 E-learning to improve paediatric parenteral nutrition knowledge? a pilot study in two hospitals." In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.273.

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Tien, Yun-Hsiang. "The Determinants of IT Outsourcing: An Empirical Investigation of Public and Private Hospitals in France." In 2011 International Conference on Management and Service Science (MASS 2011). IEEE, 2011. http://dx.doi.org/10.1109/icmss.2011.5998807.

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Roland, C., N. Caron, and JF Bussières. "PS-013 Multicentre study of environmental contamination with cyclophosphamide, ifosfamide and methotrexate in 66 canadian hospitals: a 2016 follow-up study." In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.519.

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Carvalho, P., and D. Palma. "DI-092 Warfarin toxicity: impact on hospital admission—the reality of a portuguese hospital." In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.339.

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Dubois, S., D. Lebel, and JF Bussières. "GM-023 Performance indicators in hospital pharmacy: experience of a teaching hospital with a documentation tool." In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.369.

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Schmidt-Petersen, L., H. Holst, and L. Colberg. "DI-041 Collaboration between hospital pharmacists and clinical pharmacologists for improved quality of clinical answers in hospital care." In 22nd EAHP Congress 22–24 March 2017 Cannes, France. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/ejhpharm-2017-000640.288.

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Reports on the topic "Hospitals - France"

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Brown, Yolanda, Twonia Goyer, and Maragaret Harvey. Heart Failure 30-Day Readmission Frequency, Rates, and HF Classification. University of Tennessee Health Science Center, 2020. http://dx.doi.org/10.21007/con.dnp.2020.0002.

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30 Day Hospital Readmission Rates, Frequencies, and Heart Failure Classification for Patients with Heart Failure Background Congestive heart failure (CHF) is the leading cause of mortality, morbidity, and disability worldwide among patients. Both the incidence and the prevalence of heart failure are age dependent and are relatively common in individuals 40 years of age and older. CHF is one of the leading causes of inpatient hospitalization readmission in the United States, with readmission rates remaining above the 20% goal within 30 days. The Center for Medicare and Medicaid Services imposes a 3% reimbursement penalty for excessive readmissions including those who are readmitted within 30 days from prior hospitalization for heart failure. Hospitals risk losing millions of dollars due to poor performance. A reduction in CHF readmission rates not only improves healthcare system expenditures, but also patients’ mortality, morbidity, and quality of life. Purpose The purpose of this DNP project is to determine the 30-day hospital readmission rates, frequencies, and heart failure classification for patients with heart failure. Specific aims include comparing computed annual re-admission rates with national average, determine the number of multiple 30-day re-admissions, provide descriptive data for demographic variables, and correlate age and heart failure classification with the number of multiple re-admissions. Methods A retrospective chart review was used to collect hospital admission and study data. The setting occurred in an urban hospital in Memphis, TN. The study was reviewed by the UTHSC Internal Review Board and deemed exempt. The electronic medical records were queried from July 1, 2019 through December 31, 2019 for heart failure ICD-10 codes beginning with the prefix 150 and a report was generated. Data was cleaned such that each patient admitted had only one heart failure ICD-10 code. The total number of heart failure admissions was computed and compared to national average. Using age ranges 40-80, the number of patients re-admitted withing 30 days was computed and descriptive and inferential statistics were computed using Microsoft Excel and R. Results A total of 3524 patients were admitted for heart failure within the six-month time frame. Of those, 297 were re-admitted within 30 days for heart failure exacerbation (8.39%). An annual estimate was computed (16.86%), well below the national average (21%). Of those re-admitted within 30 days, 50 were re-admitted on multiple occasions sequentially, ranging from 2-8 re-admissions. The median age was 60 and 60% male. Due to the skewed distribution (most re-admitted twice), nonparametric statistics were used for correlation. While graphic display of charts suggested a trend for most multiple re-admissions due to diastolic dysfunction and least number due to systolic heart failure, there was no statistically significant correlation between age and number or multiple re-admissions (Spearman rank, p = 0.6208) or number of multiple re-admissions and heart failure classification (Kruskal Wallis, p =0.2553).
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In-depth survey report: control technology for ethylene oxide sterilization in hospitals at St. Francis/St. George Hospital, Cincinnati, Ohio. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, 1985. http://dx.doi.org/10.26616/nioshectb14617b.

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Postabortion case load study in Egyptian public sector hospitals. Population Council, 1997. http://dx.doi.org/10.31899/rh1997.1016.

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There is an absence of reliable data on the incidence of incomplete abortion in Egypt. A diagnostic, descriptive study that neither tests an experimental intervention nor evaluates in a comprehensive manner the quality of postabortion medical care was undertaken to address this issue. The study is a cross-sectional observation of the volume and nature of the postabortion case load in Egyptian public-sector hospitals, and it responds to the following objectives: 1) Accurately estimate the number of women who present for postabortion treatment in ob/gyn in-patient facilities as a percentage of ob/gyn admissions in a representative sample of Egyptian public-sector hospitals during one month; 2) Describe the medical and sociodemographic characteristics of the postabortion patients, including the cause(s) of the lost pregnancies, whether the pregnancy was wanted, the medical treatments received, and contraceptive-use history. As stated in this report, the study's sampling frame consists of the approximate 569 public-sector hospitals in Egypt. Approximately 15 percent of the hospitals were randomly selected with the probability of selection proportionate to the average number of beds in each hospital, using standard sampling procedures.
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Health hazard evaluation report: HETA-87-339-1863, St. Francis-St. George Hospital, Cincinnati, Ohio. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, 1988. http://dx.doi.org/10.26616/nioshheta873391863.

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