Administration Hospitalière: Histoire et Évolution

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Quel est le nombre total de lits d'hospitalisation complète en France?

  • 374 300 (correct)
  • 1 213 000
  • 2 976
  • 85 000

Quelles sont les missions principales des Agences Régionales de Santé (ARS) en France?

  • Formation des professionnels de santé
  • Gestion des hôpitaux et cliniques
  • Éducation à la santé et traitements médicaux
  • Pilotage de la politique de santé publique et régulation de l'offre de santé (correct)

Quel est le nombre de places d'hospitalisation partielle disponibles en France?

  • 374 300
  • 85 000 (correct)
  • 1 213 000
  • 2 976

Quel rôle n'est pas assumé par la Conférence Régionale de la Santé et de l'Autonomie (CRSA)?

<p>Pilotage de la politique de santé publique (B)</p> Signup and view all the answers

Quel phénomène a contribué à la hausse des places d'hospitalisation partielle en France?

<p>Des innovations en matière de technologies médicales (A)</p> Signup and view all the answers

Combien d'hôpitaux et cliniques y a-t-il en France?

<p>2 976 (D)</p> Signup and view all the answers

Quel est le rôle principale de la CRSA dans le domaine de la santé?

<p>Émettre des avis et recommandations sur les projets de santé (A)</p> Signup and view all the answers

Quel est le nombre total d'agents travaillant dans le service public hospitalier en France?

<p>1 213 000 (D)</p> Signup and view all the answers

Quel est l'objectif principal des Communautés Professionnelles Territoriales de Santé (CPTS) ?

<p>Améliorer l'accès aux soins (D)</p> Signup and view all the answers

Quel rôle n'appartient pas au Conseil Territorial de Santé (CTS) ?

<p>Gérer les hôpitaux régionaux (D)</p> Signup and view all the answers

Quelle mesure est incluse dans le Projet Régional de Santé (PRS) ?

<p>Fixer les objectifs pluriannuels de l'ARS (D)</p> Signup and view all the answers

Quel document décrit l'organisation de l'offre de soins, y compris les soins de ville, hospitaliers et médico-sociaux ?

<p>Schéma Régional de Santé (C)</p> Signup and view all the answers

Quelle action n'est pas un objectif des CPTS ?

<p>Valoriser uniquement les soins hospitaliers (D)</p> Signup and view all the answers

Quel est l'objectif des Contrats Pluriannuels d'Objectifs et de Moyens (CPOM) ?

<p>Définir les objectifs et moyens pour les établissements de santé (B)</p> Signup and view all the answers

Quel élément est un rôle du Conseil Territorial de Santé (CTS) ?

<p>Émettre des recommandations sur la promotion de la santé (D)</p> Signup and view all the answers

À quelle fréquence le Projet Régional de Santé (PRS) est-il actualisé ?

<p>Tous les 5 ans (A)</p> Signup and view all the answers

Quelle est l'une des nouvelles fonctions du directeur dans le cadre de la gestion hospitalière?

<p>Pilotage des contrats de pôles (A)</p> Signup and view all the answers

Quels acteurs de santé sont gérés par les ARS selon la loi HPST?

<p>Tous les acteurs de santé, publics et privés (D)</p> Signup and view all the answers

Quelle approche a été renforcée par la loi HPST en termes d'accès aux soins?

<p>Gradation de l'accès aux soins (B)</p> Signup and view all the answers

Quel a été l'impact de la T2A sur les hôpitaux?

<p>Augmentation de la charge de travail (C)</p> Signup and view all the answers

Quel est un des résultats du Pacte de confiance selon Marisol Touraine?

<p>Une période de défiance réduite (B)</p> Signup and view all the answers

Quelle est une des conséquences de la loi HPST concernant le service public hospitalier?

<p>Disparition du SPH et définition d'une mission de service public pour tous (B)</p> Signup and view all the answers

Quel problème persiste malgré les réformes de la santé?

<p>Pertinence des territoires de santé (A)</p> Signup and view all the answers

Quelle fonctionnalité des hôpitaux a été modifiée avec la création de pôles d'activités?

<p>Une approche plus intégrée des soins (B)</p> Signup and view all the answers

Qui est considéré comme coordonnateur médical au sein de la CME ?

<p>Le président de la CME (B)</p> Signup and view all the answers

Quelles sont les missions principales de la CME ?

<p>Approuver le projet médical (A)</p> Signup and view all the answers

Qui fait partie de la CME ?

<p>Les Chefs de pôle et les membres élus (D)</p> Signup and view all the answers

Quelle est l'une des compétences de la formation spécialisée (F3SCT) ?

<p>Amélioration des conditions de travail (A)</p> Signup and view all the answers

Quelle instance est consultative en matière de santé et sécurité des agents ?

<p>Le CSE (A)</p> Signup and view all the answers

Quel droit la formation spécialisée du CSE détient-elle en cas de danger imminent ?

<p>Droit d'alerte (A)</p> Signup and view all the answers

Quel document est évalué par la formation spécialisée du CSE ?

<p>Le document unique d'évaluation des risques professionnels (DUERP) (C)</p> Signup and view all the answers

Quel est le rôle du président de la CME par rapport au directeur de l'établissement ?

<p>Il coordonne la politique médicale (C)</p> Signup and view all the answers

Quel objectif principal vise la Loi n°2016-41 du 26 janvier 2016 ?

<p>Renforcer la prévention et la promotion de la santé (C)</p> Signup and view all the answers

Quelle structure est devenue obligatoire pour tous les établissements de santé publics après la loi de 2016 ?

<p>Les Groupements Hospitaliers de Territoire (GHT) (C)</p> Signup and view all the answers

Quel est un des principaux axes de la réforme 'Ma Santé 2022' ?

<p>Améliorer l'accès aux soins et lutter contre les déserts médicaux (B)</p> Signup and view all the answers

Quel élément n'est pas mentionné comme un volet de la Loi n°2019-774 relative à la transformation du système de santé ?

<p>Démolition des infrastructures vieillissantes (D)</p> Signup and view all the answers

Quel est le but des Communautés Professionnelles Territoriales de Santé (CPTS) ?

<p>Fluidifier les parcours ville/hôpital (A)</p> Signup and view all the answers

Quel dispositif a été créé pour soutenir les hôpitaux de proximité ?

<p>Labels pour hôpitaux de proximité (D)</p> Signup and view all the answers

Quelle stratégie est intégrée dans 'Ma santé 2022' pour améliorer l'accès aux soins ?

<p>Augmentation des consultations à distance (B)</p> Signup and view all the answers

Quel aspect de la santé publique est renforcé par la Loi n°2016-41 ?

<p>La démocratie sanitaire (B)</p> Signup and view all the answers

À quelle fréquence la procédure de certification est-elle effectuée pour les établissements de santé ?

<p>Tous les 4 ans (D)</p> Signup and view all the answers

Quel est le rôle principal des experts mandatés par l'ANAES lors de la visite de certification ?

<p>Vérifier les écarts entre le manuel de certification et l'organisation de l'hôpital (B)</p> Signup and view all the answers

Qu'est-ce qui est attribué à un établissement de santé à la suite de la première visite de certification ?

<p>Une graduation (D)</p> Signup and view all the answers

Quelle action doit entreprendre un établissement de santé ayant reçu des recommandations après la certification ?

<p>Assurer le suivi des mesures correctives (A)</p> Signup and view all the answers

Qu'est-ce qui caractérise un établissement de santé avec une réserve majeure lors de la certification ?

<p>Il doit produire un rapport de suivi et des solutions (B)</p> Signup and view all the answers

Quel changement institutionnel a eu lieu en 2004 par rapport à l'ANAES ?

<p>Changement de nom en HAS (C)</p> Signup and view all the answers

Quel est l'objectif principal de la procédure de certification des établissements de santé ?

<p>Porter une appréciation indépendante sur la qualité des prestations (D)</p> Signup and view all the answers

Qu'indique la Loi du 04 Mars 2002 relative au droit des patients ?

<p>Elle oblige les établissements à questionner la qualité des soins (B)</p> Signup and view all the answers

Flashcards

French Hospital Beds

France has approximately 374,300 hospital beds for full-time patients, and 85,000 for partial hospitalization (non-overnight).

Hospital & Clinic Count

France has 2,976 hospitals and clinics.

Declining Hospital Capacity

France's availability of full-time hospital beds has been steadily decreasing for the past couple of decades.

Partial Hospitalization Rise

The number of partial hospitalization places (without overnight stays) in France has significantly increased.

Signup and view all the flashcards

Ambulatory Trend

Medical advancements (technology and treatments) have contributed to more outpatient procedures.

Signup and view all the flashcards

Regional Health Agencies (ARS)

French regional organizations responsible for health policies and service regulation.

Signup and view all the flashcards

Regional Health Policy

A framework for health care strategies and initiatives, determined on a regional level.

Signup and view all the flashcards

Regional Health Conference

An advisory body (CRSA) that works with regional health agencies (ARS) on health-related issues.

Signup and view all the flashcards

CPTS

Professional health teams in a city that work together to improve patient care in a specific area.

Signup and view all the flashcards

CTS

A local advisory board in France, linked to regional health agencies (ARS).

Signup and view all the flashcards

PRS

A long-term strategic document set by the Regional Health Agencies (ARS).

Signup and view all the flashcards

SRS

A detailed plan for the organization of health services (city, hospital, social medicine).

Signup and view all the flashcards

CPOM

Contracts between regional health agencies (ARS) and healthcare facilities.

Signup and view all the flashcards

Access to care

The ability to get needed medical services.

Signup and view all the flashcards

Prevention

Actions taken to protect people from health problems.

Signup and view all the flashcards

Regional Health Agency(ARS)

Organizations that oversee healthcare in specific regions of France

Signup and view all the flashcards

HPST Law

A French law that restructured the healthcare system, focusing on modernizing hospitals, improving patient access, and better public health, and organizing services on a territorial level.

Signup and view all the flashcards

Regional Health Agencies (ARS)

Regional French authorities managing healthcare actors (both public and private) and providing services.

Signup and view all the flashcards

T2A Cost

The French healthcare management system known as T2A, has proved to be too expensive.

Signup and view all the flashcards

Ma Santé 2022

A French initiative reducing the reliance on T2A.

Signup and view all the flashcards

Hospital Poles

Specialized areas or departments within a hospital focused on specific services.

Signup and view all the flashcards

Hospital Governance

The management and control structures within a hospital including governing bodies, directors, and various committee bodies.

Signup and view all the flashcards

Tiered Healthcare Access

A system of healthcare levels of care, moving from primary care to specialized centers or clinics if needed.

Signup and view all the flashcards

Healthcare Inequalities

Uneven access to quality healthcare across different French regions or territories, often due to demographic factors and resources.

Signup and view all the flashcards

Ma Santé 2022

A French healthcare reform plan focusing on improving healthcare access and reducing medical deserts.

Signup and view all the flashcards

CPTS (Communautés Professionnelles Territoriales de Santé)

Groups of healthcare professionals (mostly doctors) who work together to improve healthcare services within a specific area.

Signup and view all the flashcards

Loi n°2016-41

A French law modernizing the healthcare system, aimed at strengthening prevention, improving care pathways, and anchoring hospitals in their territories.

Signup and view all the flashcards

GHT (Groupement Hospitalier de Territoire)

Groups of hospitals working together to provide better healthcare services in a specific area.

Signup and view all the flashcards

MSP (Maisons de Santé Pluriprofessionnelles)

Multi-professional healthcare facilities offering comprehensive primary care services.

Signup and view all the flashcards

Déserts médicaux

Areas with a shortage of doctors and other healthcare providers, making access to care difficult.

Signup and view all the flashcards

Parcours Patient

The complete journey of a patient through the healthcare system.

Signup and view all the flashcards

Loi n°2019-774

A later French law that focused on organizing and transforming the healthcare system, building on the 2016 law.

Signup and view all the flashcards

Certification Process

External evaluation of health facilities every 4 years, assessing quality of care. Evaluated by independent professionals based on a specific guideline (manual).

Signup and view all the flashcards

Certification Goal

To independently assess and evaluate the quality of services provided by a health institution.

Signup and view all the flashcards

Evaluation Frequency

Health facilities are evaluated every four years.

Signup and view all the flashcards

Evaluation Outcomes

Health facilities can receive 'no recommendation', 'recommendation', 'reserve', or 'major reserve' ratings.

Signup and view all the flashcards

Accreditation Manual

A guideline document detailing how a health facility should be organized.

Signup and view all the flashcards

First Evaluation (1999)

The first comprehensive evaluation of all French hospitals.

Signup and view all the flashcards

Improvement Actions

Health facilities must address any identified gaps between the accreditation manual and their current practices.

Signup and view all the flashcards

HAS Role (2004)

The French agency (HAS) that manages the certification process for healthcare facilities by replacing the ANAES.

Signup and view all the flashcards

CME

Medical and ethical board in a hospital, composed of medical and nursing staff, and other stakeholders, that contributes to improving healthcare quality and policy.

Signup and view all the flashcards

CSE

Employees' Council, a consultative body representing the employees, dealing with work conditions, safety, and worker well-being.

Signup and view all the flashcards

F3SCT

Specialized training within the CSE on health, safety, and work conditions for employees.

Signup and view all the flashcards

CIRSMT

Collective for health and safety, composed of elected representatives from different employee categories, to ensure health & safety in the workplace.

Signup and view all the flashcards

CPOM

An important contract between regional healthcare providers and facilities, outlining conditions and agreements.

Signup and view all the flashcards

Coordination Medical

The process of managing and overseeing healthcare within a hospital or facility, working closely with the director.

Signup and view all the flashcards

EPRD

A possibly important document relating to the hospital's budget or personnel.

Signup and view all the flashcards

Projet Médical

A detailed plan or strategy created by the hospital for the medical services provided and related issues.

Signup and view all the flashcards

Study Notes

Administration Hospitalière

  • Hospitals' initial purpose (200 years ago) was to accommodate the poor, managed by religious orders. Focus was on hygiene, with large entrance halls. Hospitalization resulted in loss of civil rights.
  • By the 13th century, hospitals moved outside city centers due to epidemics. They adopted a pavilion style. Vaccines and penicillin led to significant advancements in surgery.
  • 1941: Vichy France's legislation fundamentally reshaped public hospitals. The mission shifted from aiding the poor to providing care to all ill patients. This led to the creation of services, departmental heads (in temporary positions), and director appointments. The creation of the CME (Comité médical d'établissement) was optional.
  • 1945: Social security ordinances created a unified system, ensuring fundamental care for all citizens.
  • Post-WWII era (1950s-1970s): Economic expansion, full employment, and the baby boom created a favorable context for healthcare.
  • 1958: Debré reform significantly reshaped the French hospital system. Hospital-University Centers (CHUs) were created, along with full-time university-based physicians. Architectural designs (towers, or blocks) optimized movement and patient care.
  • 1941: Vichy-era legislation changed the role of public hospitals, shifting the focus from caring for the poor to medical care for all.
  • 1945: Social security ordinances unified various insurance schemes (illness, retirement) and ensured a safety net for citizens. This was crucial for universal access.
  • 1970: Reforms introduced greater control and reorganization of French hospitals, including planning guidelines and administration structures.
  • 1983: Decentralization, with a shift from daily cost allocation to global funding for hospitals. This aimed at controlling healthcare costs.
  • 1991: The establishment of local Health Organization Schemes (SROS) is intended to optimize the distribution of resources for better care for all citizens.

More Recent Developments (2000s-2020s)

  • The 2009 HPST (Hôpital, Patients, Santé, Territoires) law represents an evolution in healthcare policy, emphasizing a more regionalized system.
  • 2016: Law 2016-41 modernized the healthcare system, impacting resources, usage, and local organizations. This involved increased user participation.
  • 2019: Emphasis on general health, organization, reform, and new regionalized plans,
  • 2023: Specific law focused on improving access to healthcare services by bolstering healthcare practitioner cooperation.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Hospital Administration Overview
32 questions
Overview of Health and Hospital Administration
40 questions
Hospital Administration Overview
40 questions
Use Quizgecko on...
Browser
Browser