{"id":3859,"date":"2003-07-31T13:28:27","date_gmt":"2003-07-31T17:28:27","guid":{"rendered":"http:\/\/www.gillesenvrac.ca\/carnet\/?p=3859"},"modified":"2026-09-23T12:04:52","modified_gmt":"2026-09-23T16:04:52","slug":"bmj-payant-en-2005","status":"publish","type":"post","link":"https:\/\/gillesenvrac.ca\/carnet\/2003\/07\/bmj-payant-en-2005\/","title":{"rendered":"BMJ payant en 2005"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u00c7a pouvait pas durer&#8230; Le site du <a href=\"http:\/\/bmj.com\/cgi\/content\/full\/327\/7409\/241\">British Medical Journal<\/a>, d&rsquo;une qualit\u00e9 exceptionnelle, deviendra payant (sauf pour les \u00e9tudiants en m\u00e9decine et les visiteurs venant des pays pauvres). La circulation sur le site a connu <a href=\"http:\/\/bmj.com\/cgi\/content-nw\/full\/327\/7409\/241\/FIG2\">une croissance exponentielle<\/a> ces derni\u00e8res ann\u00e9es.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Restera \u00e0 convaincre mon CLSC, ou la biblioth\u00e8que du coin, de s&rsquo;abonner ! Incidemment cette semaine l&rsquo;\u00e9ditorial porte sur la valeur des r\u00e9sultats n\u00e9gatifs&#8230; Quand la recherche d\u00e9montre qu&rsquo;il n&rsquo;y a pas d&rsquo;effet \u00e0 utiliser tel ou tel m\u00e9dicament. C&rsquo;est effectivement moins &lsquo;sexy&rsquo; &#8211; ce qui fait que ces recherches sont parfois rejet\u00e9es par certaines revues. La r\u00e9f\u00e9rence de l&rsquo;\u00e9ditorialiste \u00e0 un commentaire (une croyance serait plus juste) de Bush fait sourire :<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">&nbsp;\u00ab\u00a0I know whatI believe,\u00a0\u00bb he said in Rome two years ago. \u00ab\u00a0I will continueto articulate what I believe and what I believe\u2014I believewhat I believe is right.\u00a0\u00bb Well, often what we believe is notright.<\/p>\n<\/blockquote>\n\n\n\n<p class=\"wp-block-paragraph\">On se prend \u00e0 regretter d\u00e9j\u00e0 les limites \u00e0 la diffusion de ces \u00e9ditoriaux ind\u00e9pendants.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<h5 class=\"wp-block-heading\"><a href=\"https:\/\/www.gillesenvrac.ca\/carnet\/2003\/07\/\">Archives du mois de juillet 2003<\/a> (avant la transition de ce carnet vers WordPress)<\/h5>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>\u00c7a pouvait pas durer&#8230; Le site du British Medical Journal, d&rsquo;une qualit\u00e9 exceptionnelle, deviendra payant (sauf pour les \u00e9tudiants en m\u00e9decine et les visiteurs venant des pays pauvres). La circulation sur le site a connu une croissance exponentielle ces derni\u00e8res ann\u00e9es. Restera \u00e0 convaincre mon CLSC, ou la biblioth\u00e8que du coin, de s&rsquo;abonner ! Incidemment &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/gillesenvrac.ca\/carnet\/2003\/07\/bmj-payant-en-2005\/\" class=\"more-link\">Continuer la lecture<span class=\"screen-reader-text\"> de &laquo;&nbsp;BMJ payant en 2005&nbsp;&raquo;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","atmosphere_disabled":false,"atmosphere_custom_text":"","atmosphere_reply_restriction":[],"jetpack_post_was_ever_published":false},"categories":[1],"tags":[193,289,29],"class_list":["post-3859","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-acces","tag-media","tag-sante"],"jetpack-related-posts":[{"id":5829,"url":"https:\/\/gillesenvrac.ca\/carnet\/2018\/03\/la-sante-ou-la-medecine-a-lacte\/","url_meta":{"origin":3859,"position":0},"title":"la sant\u00e9 ou la m\u00e9decine \u00e0 l&rsquo;acte ?","author":"Gilles Beauchamp","date":"1 mars 2018","format":false,"excerpt":"Le d\u00e9bat entourant la r\u00e9mun\u00e9ration des m\u00e9decins, en particulier les sp\u00e9cialistes, risque fort de se limiter au d\u00e9compte, en dollars et en cents, qui est le plus, qui est le moins pay\u00e9 ? Combien faudrait-il investir de plus en services infirmiers ? Dans un \"Duel \u00e9conomique\" La Presse demandait \u00e0\u2026","rel":"","context":"Dans \"r\u00e9seau sant\u00e9\"","block_context":{"text":"r\u00e9seau sant\u00e9","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/reseau-sante\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.gillesenvrac.ca\/carnet\/wp-content\/uploads\/2018\/03\/Visio2MSSS-420x271.png?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":669,"url":"https:\/\/gillesenvrac.ca\/carnet\/2007\/11\/un-marche-tordu-celui-de-la-sante\/","url_meta":{"origin":3859,"position":1},"title":"un march\u00e9 tordu : celui de la sant\u00e9","author":"Gilles Beauchamp","date":"30 novembre 2007","format":false,"excerpt":"L'\u00e9ditorial du BMJ de cette semaine : The market has failed. Dans le m\u00eame num\u00e9ro, un article (d'acc\u00e8s libre, comme l'\u00e9dito) de Woolhandler et Himmelstein (Competition in a publicly funded healthcare system). Des articles qui appuient une nouvelle tendance : le recul apparent de la propension du syst\u00e8me de sant\u00e9\u2026","rel":"","context":"Dans \"\u00e9conomie\"","block_context":{"text":"\u00e9conomie","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/economie\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":7079,"url":"https:\/\/gillesenvrac.ca\/carnet\/2023\/04\/fosse-generationnel-a-combler\/","url_meta":{"origin":3859,"position":2},"title":"foss\u00e9 g\u00e9n\u00e9rationnel \u00e0 combler","author":"Gilles Beauchamp","date":"12 avril 2023","format":false,"excerpt":"M\u00eame l'\u00e9ditorial du Globe and Mail s'en m\u00eale : si on veut combler les besoins identifi\u00e9s par la SCHL (5,8 millions soient les 3,5 qui manquent selon la SCHL et les 2,3 millions qui seraient construits \"normalement\" de nouveaux logements au Canada d'ici 2030), il faudra construire trois fois plus\u2026","rel":"","context":"Dans \"finance\"","block_context":{"text":"finance","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/finance\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/wp-content\/uploads\/2023\/04\/Un-travail-honnete.png?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/wp-content\/uploads\/2023\/04\/Un-travail-honnete.png?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/wp-content\/uploads\/2023\/04\/Un-travail-honnete.png?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/wp-content\/uploads\/2023\/04\/Un-travail-honnete.png?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/wp-content\/uploads\/2023\/04\/Un-travail-honnete.png?resize=1050%2C600&ssl=1 3x, https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/wp-content\/uploads\/2023\/04\/Un-travail-honnete.png?resize=1400%2C800&ssl=1 4x"},"classes":[]},{"id":1045,"url":"https:\/\/gillesenvrac.ca\/carnet\/2008\/10\/evaluations-dimpact-et-de-cout\/","url_meta":{"origin":3859,"position":3},"title":"\u00e9valuations d&#039;impact et de co\u00fbt","author":"Gilles Beauchamp","date":"3 octobre 2008","format":false,"excerpt":"L'\u00e9valuation des co\u00fbts associ\u00e9s \u00e0 la sant\u00e9 doit d\u00e9passer les seuls frais de l'intervention imm\u00e9diate, les seuls frais du r\u00e9seau de la sant\u00e9 et inclure les retomb\u00e9es sur les autres \"syst\u00e8mes\" : ch\u00f4mage; criminalit\u00e9; \u00e9ducation... Une question soulev\u00e9e dans le British Medical Journal cette semaine. L'article de Drummond et al.\u2026","rel":"","context":"Dans \"\u00e9conomie\"","block_context":{"text":"\u00e9conomie","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/economie\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":4561,"url":"https:\/\/gillesenvrac.ca\/carnet\/2013\/06\/espaces-publics\/","url_meta":{"origin":3859,"position":4},"title":"de RLS et autres espaces publics","author":"Gilles Beauchamp","date":"28 juin 2013","format":false,"excerpt":"Dernier num\u00e9ro de la revue Le point en administration de la sant\u00e9 : La gouvernance du r\u00e9seau a-t-elle atteint sa limite?. Cette centralisation, voire cette bureaucratie pernicieuse, annule trop souvent les initiatives locales et\u00a0r\u00e9gionales qui seraient porteuses pour am\u00e9liorer r\u00e9ellement la sant\u00e9 et le bien-\u00eatre de la population. Elle\u00a0contribue fr\u00e9quemment\u2026","rel":"","context":"Dans \"acc\u00e8s libre\"","block_context":{"text":"acc\u00e8s libre","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/acces-libre\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":3244,"url":"https:\/\/gillesenvrac.ca\/carnet\/2010\/05\/petites-nuisances\/","url_meta":{"origin":3859,"position":5},"title":"petites nuisances persistantes","author":"Gilles Beauchamp","date":"24 mai 2010","format":false,"excerpt":"On les oublie le plus souvent, on r\u00e9ussit parfois \u00e0 en faire le tour, \u00e0 trouver des voies de contournement... mais il est des jours, comme aujourd'hui, o\u00f9 l'on se demande \"Pourquoi donc %#$!!@@*&%$& ?\" Pourquoi un fournisseur de services Internet de premier plan tel Vid\u00e9otron n'arrive pas \u00e0 me\u2026","rel":"","context":"Dans \"coup de gueule\"","block_context":{"text":"coup de gueule","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/coup-de-gueule\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/posts\/3859","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/comments?post=3859"}],"version-history":[{"count":0,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/posts\/3859\/revisions"}],"wp:attachment":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/media?parent=3859"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/categories?post=3859"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/tags?post=3859"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}