Equity and Planning: Critical Analysis of a Third-Generation “Perinatality” Regional Healthcare Organizational Framework
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2008
- handle: 10670/1.6jm0nd
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authorization of activit third generation healthcare organization plan (Sros III) contract for multiple year objectives and needs (CPOM) healthcare planning territorial medical plan (PMT) equitySujets proches
Health care delivery Health services Personal health services Medical services Medical and health care industry Delivery of medical care Health care Healthcare Delivery of health careCiter ce document
Pierre-Henri Bréchat et al., « Equity and Planning: Critical Analysis of a Third-Generation “Perinatality” Regional Healthcare Organizational Framework », Santé Publique, ID : 10670/1.6jm0nd
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The third generation of the regional healthcare organization plan (SROS III) proposes the development of the organization and management of healthcare according to the evolution of its activities and the populations concerned. In a strategic analysis of SROS III (which we refer to as its “perinatal period”), the question is whether promoters can move from an approach based on accessibility (egalitarian equity) to a needs-based approach (differential equity), which although more complex to apply and implement, was found to be much better adapted to healthcare users. This research is derived from an analysis of documents from November 2004 to November 2006. A public university hospital developed the data, which supported a proposal to shift from Level I to Level II. This proposal was retained in the medical plan authorized by the regional health authorities. Healthcare professionals and the architects of the healthcare plan have the capacity to set up new organizations responsible for taking into account the activities and healthcare needs of the population in order to initiate and establish differential equity.