title: [The anaesthesia and critical care specialty and new hospital management in France: an inquiry in university and general hospitals].
abstract: OBJECTIVE
  To know: (1) how French public services of anaesthesia and critical care (ACC) have applied the new principles of hospital management and (2) whether or not it has impacted the different components of ACC.
  
  
  METHODS
  National questionnaire at the end of 2008, i.e., after 2 years of new hospital management.
  
  
  METHODS
  Heads of ACC services in general (GH) and university hospitals (UH).
  
  
  METHODS
  Eighteen closed questions and open opinions analyzed. Comparisons of percentages (Chi(2) - Yates): linear correlation.
  
  
  RESULTS
  Percentages of responses were 70% (n=51) for UH and 37% (n=146) for GH. The new management principles were mainly applied. The different clinical and academic components of the ACC specialty (ACC, emergency medicine, pain management) mainly remained associated in UH. In GH, the new management induced constant and various changes. They were mainly judged as defeating the object of the ACC speciality in GH, especially in those of lower and mild sizes.
  
  
  CONCLUSIONS
  The general tendency is that the ACC specialty was able to maintain the family ties of its different components in the UH. However, this principle was not a cornerstone of the new management in the GH.
authors.affiliation: Services d'anesthésie-réanimation, CHRU de Tours, université François-Rabelais-de-Tours, 37044 Tours cedex 9, France. fusciardi@med.univ-tours.fr
authors.forename: J
authors.initials: J
authors.lastname: Fusciardi
authors.forename: F
authors.initials: F
authors.lastname: Remérand
authors.forename: A
authors.initials: A
authors.lastname: Landais
authors.forename: J
authors.initials: J
authors.lastname: Brodeur
authors.forename: D
authors.initials: D
authors.lastname: Journois
authors.forename: M
authors.initials: M
authors.lastname: Laffon
mesh_terms: D000758:Anesthesia / Q000592:standards* / Q000639:trends; D003422:Critical Care / Q000592:standards* / Q000639:trends; D004632:Emergency Medical Services; D005602:France; D019538:Health Care Surveys; D006739:Hospital Administration / Q000592:standards* / Q000639:trends; D006769:Hospitals, General / Q000458:organization & administration*; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D059408:Pain Management; D011795:Surveys and Questionnaires