Primary care coordination, healthcare professionals, patient care pathway, coordinated exercise, primary health insurance fund CPAM, territorial health professional communities CPTS, multidisciplinary health houses MSP, access to care, medical deserts, care pathways, healthcare system, quality of care, continuity of care, health policies, regional health priorities, care offer regulation, healthcare funding, general practitioners, liberal nurses, nursing care, health crises response, public health code, health project, care coordination devices, patient-centered care, avoidable hospitalizations, early interventions, DMP, referring physician, health insurance fund, Regional Intervention Fund, quality and coordination of care, health professional communities, primary care services, healthcare coordination structures, health prevention actions, care safety, care relevance, health professional collaboration, care pathway management, health system efficiency, performance of healthcare system, France health care, health legislation, public health priorities, health professional skills, patient health journey, co-constructed care, health project development, territorial prevention, health professional expertise, care continuity, health care access, health care quality.
Discover how France's healthcare system is evolving to improve access to quality care through coordinated primary care services. Learn about the key players, structures, and initiatives driving this transformation, from Multidisciplinary Health Houses to Territorial Health Professional Communities. Understand the challenges and benefits of coordinated care, including enhanced patient outcomes, reduced hospitalizations, and better management of chronic conditions. Explore the crucial role of healthcare professionals, patients, and organizations like the Primary Health Insurance Fund in shaping the future of primary care.
[...] - Beyond the act of medical dispensing, pharmacists 'contribute to primary care defined in Article' L. 1411-11 ; participate in cooperation between healthcare professionals; participate in the public service mission of continuity of care13. - The physiotherapists participate in maintaining functional capacities and preventing their deterioration14. Like other paramedical professionals, they rely on coordination with other members of the healthcare and social professions to carry out coordinated interventions15. The integration of these actors into coordinated care structures allows for improved continuity of care and limiting breaks in health pathways. 2. [...]
[...] Interoperability of health information systems. Report. Haute Autorité de Santé. (2020). The certification of healthcare establishments for the quality of care: Patients, caregivers, a shared commitment. HAS. Inspection Générale des Affaires Sociales. (2019). Evaluation of the financing mechanisms of multi-professional health houses and territorial health professional communities. Report. Institut National de la Santé et de la Recherche Médicale. (2017). Training of healthcare professionals in digital tools: challenges and recommendations. Study. [...]
[...] Official Publication. Ministry of Health. (2019). Law No. 2019-774 of July on the organization and transformation of the health system. Ministry of Health. (2020). Law No. 2020-1576 of December on the financing of social security for 2021. Ministry of Health. (2021). History of Hospital Reforms in France. Irdes Documentation Pole. Ministry of Health. [...]
[...] In addition to the financial means provided, it is fundamental to 'continue the dialogue and consultation between actors'43. BIBLIOGRAPHY Afrite, A., Bourgueil, Y., Daniel, F., & Mousquès, J. (2013). The impact of the multi-professional grouping on the offer of care: Objectives and method of the evaluation of houses, poles and health centers in the context of the experimentation of new modes of remuneration (n° 189). Agence Régionale de Santé Ile-de-France. (2018). Regional Programme for Access to Prevention and Care (PRAPS) 2018-2022. [...]
[...] However, the interoperability of information systems remains a major challenge. The medical software used by healthcare professionals is sometimes incompatible with each other, making it difficult to securely share patient data. The lack of clear communication structures and the insufficiency of shared digital tools increase the difficulties of coordination, creating misunderstandings and tensions between the different stakeholders. The article by Talon-Chrétien et al. (2016) highlights that the coordination of home care requires effective interdisciplinary communication, but that 'the absence of established links and the obligation to participate' can lead to resistance among professionals.34. [...]
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