Innovations managériales et management de proximité au sein des organisations de santé

Zaghmouri, Noura

doi:10.3917/proj.026.0077

Cited by 4 publications

(2 citation statements)

References 35 publications

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“…The development of this system also presented certain difficulties. On the hospital side, the compartmentalization of project management between hospital administration and doctors made it difficult to provide on-the-ground projects and did not facilitate the implementation of this project [ 30 ]. Thus, the first few months of implementation were relatively slow due to obstacles at both the hospital and primary care levels.…”

Section: Discussionmentioning

confidence: 99%

Designing and describing an electronic referral system to facilitate direct hospital admissions

et al. 2022

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Background In France, the progressive use of emergency departments (EDs) by primary care providers (PCPs) as a point of access to hospitalization for nonurgent patients is one of the many causes of their overcrowding. To increase the proportion of direct hospital admissions, it is necessary to improve coordination between PCPs and hospital specialists. The objective of our work was to describe the design and implementation of an electronic referral system aimed at facilitating direct hospital admissions. Methods This initiative was conducted in a French area (Hauts-de-Seine Sud) through a partnership between the Antoine-Béclère University Hospital, the Paris-Saclay University Department of General Medicine and the local health care network. The implementation was carried out in 3 stages, namely, conducting a survey of PCPs in the territory about their communication methods with the hospital, designing and implementing a web-based application called “SIPILINK” (Système d'Information de la Plateforme d’Intermédiation Link) and an innovative organization for hospital management of the requests, and analysing through descriptive statistics the platform use 9 months after launch. Results The e-referral platform was launched in November 2019. First, a PCP filled out an electronic form describing the reason for his or her request. Then, a hospital specialist worked to respond within 72 h. Nine months after the launch, 132 PCPs had registered for the SIPILINK platform, which represented 36.6% of PCPs in this area. Of the 124 requests made, 46.8% corresponded to a hospitalization request (conventional or day hospitalization). The most requested specialty was internal medicine (48.4% of requests). The median time to first response was 43 min, and 43.5% of these requests resulted in direct admission (conventional or day hospitalization). Conclusions This type of system responds to a need for coordination in the primary-secondary care direction, which is less often addressed than in the secondary-primary care direction. The first results show the potential of the system to facilitate direct admissions within a short time frame. To make the system sustainable, the next step is to extend its use to other hospitals in the territory.

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Section: Discussionmentioning

confidence: 99%

Designing and describing an electronic referral system to facilitate direct hospital admissions

et al. 2022

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“…Une voie d'autant plus intéressante que l'approche descendante jusque-là largement dominante n'a pas eu les effets escomptés (Mintzberg, 2017) sur l'IM à l'hôpital. Si cette dernière ( Ferlie et al 2005) présente des intérêt évidents, elle est largement associée à des difficultés de diffusion des IM dans ces milieux multi professionnels (Zaghmouri, 2019). Par ailleurs, elle délaisse l'approche bottom up qui pourrait permettre d'identifier les marqueurs d'une IM peu visible, produite sur le terrain et ancrée dans l'évolution des activités infirmières (Robert et al 2017), l'innovation en train de se faire (peut-être d'émerger).…”

Section: Introductionunclassified

Innovation managériale à l’hôpital public : une lecture à partir de l’ empowerment infirmier

Rochette¹,

Ceccato²

2022

Question(s) De Management

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Innovation managériale à l'hôpital public : une lecture à partir de l'empowerment infirmier. Managerial innovation in public hospitals: a nursing empowerment perspective.Résumé : L'innovation organisationnelle dans le secteur de la santé était jusqu'alors le résultat de démarches top down impulsées par les autorités de tutelle et concerne essentiellement un niveau méso. Dans un contexte où l'hôpital connait de fortes tensions sur les ressources, en particulier humaines, la capacité des personnels, en particulier infirmier, à produire une innovation managériale constitue une promesse et une voie encore peu explorée de transformation des pratiques dans ces structures complexes. Celle-ci exige un empowerment de ces personnels longtemps relégués au rang de simples exécutants. A travers l'analyse du discours de 19 personnels hospitaliers (10 infirmiers et 9 managers issus de la filière infirmière) exerçant leurs fonctions dans trois hôpitaux, nous identifions des marqueurs d'innovations organisationnelles locales et un leadership infirmier qui reste à construire faute d'un empowerment suffisant.

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Staff hebdomadaire qualité et gestion des risques en gériatrie : un outil d’appropriation de la démarche qualité pour le management des unités

Lô Strauss,

Garnier,

Demichelis

et al. 2024

Soins Gérontologie

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Innovations managériales et management de proximité au sein des organisations de santé

Cited by 4 publications

References 35 publications

Designing and describing an electronic referral system to facilitate direct hospital admissions

Designing and describing an electronic referral system to facilitate direct hospital admissions

Innovation managériale à l’hôpital public : une lecture à partir de l’ empowerment infirmier

Staff hebdomadaire qualité et gestion des risques en gériatrie : un outil d’appropriation de la démarche qualité pour le management des unités

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