[Three generations of regional health organisation plans over 15 years: a check-up on progress and future perspectives].
Three generations of regional health organisation plans (SROS) were established in France by the Ministry responsible for health over a time span of 15 years. Given that many other types of reforms are being implemented concurrently, this offers a timely opportunity for their assessment and reflection on issues to be considered for future proposals. The research strategy is based on the correlation of data resulting from semi-directed interviews, legislative text, and documents regarding the development, implementation and follow-up of the SROS. The study shows that from 1991 to 2006 the SROS became the fulcrum of health planning in France. Thus, it gradually served to unite and federate institutions, professionals and actors around a shared objective to design and implement medical projects at the territorial level with adequate services to meet the health needs of the population. An analysis concerning an international frame of reference and future prospects is proposed.
Lernout
Tiffany
T
Interne de santé publique, Service de santé publique et economie de la santé, Groupe hospitalier Lariboisière Fernand-Widal, Assistance publique-hôpitaux de Paris (AP-HP), 2 rue Ambroise Paré, 75475 Paris 10, France. tiffany.lernout@gmail.com
Lebrun
Louis
L
Bréchat
Pierre-Henri
PH
D005602:France; D006801:Humans; D011635:Public Health Administration; D012041:Regional Medical Programs / Q000458:organization & administration* / Q000639:trends