[Main issues and contributions of the evaluation of health care networks].
Health care networks correspond to a form of horizontal and flexible organisation, which consists in dealing with complex problems of health and long-term care. Networks rest entirely on the mechanisms of coordination between the various actors of care, whose keystone is the medical information flow. The challenge of the health networks evaluation is to prove the added value of a network organization, instead of a conventional disease-centred health care. The evaluation of health care networks is legally required but not sustained by specialists. Evaluation must ensure the existence of a real management; measure the interest of health care professionals and the impact of the network on professional practices. Moreover, evaluation accompanies the development of the network and offers the advisability to the decision maker of obtaining a tool for control of management, i.e. an information tool and a decision-making help, with the aim of a continuous improvement of the quality of care. However the absence of formation of the medical coordinators to management, makes networks management problematic. Thus, health care networks cannot make the saving in a good administrative and management base. In the same way health care networks must obtain an information system adapted to their type of coordination, allowing the evaluation required by the financier.
Antras-Ferry
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Respecti-Coeur, CHU de Nantes, hôpital G.-et-R.-Laennec, boulevard Jacques-Monod, 44800 Saint-Herblain, France.
Laprérie
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Gravoueille
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Guibert
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H
Lacaze
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Lambert
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Mariaux
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Hossler
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Stora
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Lombrail
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Trochu
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D019058:Community Networks; D003695:Delivery of Health Care / Q000458:organization & administration / Q000592:standards*; D005069:Evaluation Studies as Topic; D005602:France; D006801:Humans; D008134:Long-Term Care / Q000592:standards; D011787:Quality of Health Care