{"id":787,"date":"2008-07-18T10:24:11","date_gmt":"2008-07-18T15:24:11","guid":{"rendered":"http:\/\/gillesenvrac.ca\/carnet\/2008\/07\/sante-primaire-et-services-communautaires\/"},"modified":"2008-07-18T10:24:11","modified_gmt":"2008-07-18T15:24:11","slug":"sante-primaire-et-services-communautaires","status":"publish","type":"post","link":"https:\/\/gillesenvrac.ca\/carnet\/2008\/07\/sante-primaire-et-services-communautaires\/","title":{"rendered":"sant\u00e9 primaire et services communautaires"},"content":{"rendered":"<p>La <a href=\"http:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsPolicyAndGuidance\/DH_085937\">vision d&rsquo;avenir en mati\u00e8re de sant\u00e9 primaire<\/a> (<strong>Our vision for primary and community care<\/strong>) publi\u00e9e par le D\u00e9partement de sant\u00e9 anglais. On y met l&rsquo;accent sur<\/p>\n<ol>\n<li>la promotion de la sant\u00e9, particuli\u00e8rement avec un grand programme d&rsquo;\u00e9valuation (assessment) de la sant\u00e9 cardiovasculaire des 40-74 ans d\u00e9ploy\u00e9 par les omnipraticiens mais aussi les pharmaciens et autres services;<\/li>\n<li>l&rsquo;am\u00e9lioration de la qualit\u00e9, mesur\u00e9e en termes d&rsquo;effets sur la sant\u00e9 plut\u00f4t que de proc\u00e9dures effectu\u00e9es;<\/li>\n<li>les choix offerts aux usagers : choix de la clinique (le financement suivant le client); choix de plans de services individualis\u00e9s pour les malades chroniques; et exp\u00e9rimentation d&rsquo;un \u00ab\u00a0budget sant\u00e9\u00a0\u00bb.<\/li>\n<\/ol>\n<p>Il est question d&rsquo;une meilleure articulation entre les services de sant\u00e9 et sociaux (tiens tiens&#8230;); d&rsquo;ici 2010 toutes les personnes souffrant d&rsquo;une maladie chronique (y compris les personnes avec probl\u00e8mes de sant\u00e9 mentale) devraient se voir offrir un plan personnalis\u00e9 de services adapt\u00e9 \u00e0 leurs choix et pr\u00e9f\u00e9rences (<em>tailored packages of care to meet their individual requirements and wishes<\/em>). Des exp\u00e9riences dans le domaine des services sociaux o\u00f9 l&rsquo;on a donn\u00e9 plus de pouvoir aux b\u00e9n\u00e9ficiaires sur leur \u00ab\u00a0budget de services\u00a0\u00bb incitent \u00e0 d\u00e9velopper des projets pilotes semblables dans le domaine des services de sant\u00e9.<\/p>\n<blockquote><p>Experience with direct payments and individual budgets in social care has shown the benefits of giving people greater say over how public resources are used to provide their individual care. We want to test if we could achieve the same benefits for people with complex but predictable health and social care needs. We will work with patient groups to pilot individual budgets to allow people with long-term conditions greater control over how NHS funds are used. Extrait de  <a href=\"http:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsPolicyAndGuidance\/DH_085937?IdcService=GET_FILE&amp;dID=168257&amp;Rendition=Web\">What it means for local governments<\/a>. (pdf) (Voir section 4.30 du <a href=\"http:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsPolicyAndGuidance\/DH_085937?IdcService=GET_FILE&amp;dID=168257&amp;Rendition=Web\">document principal<\/a> &#8211; pdf) [voir aussi <a href=\"http:\/\/www.bmj.com\/cgi\/content\/full\/337\/jul15_2\/a819\">\u00e9ditorial du BMJ<\/a>]<\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>La vision d&rsquo;avenir en mati\u00e8re de sant\u00e9 primaire (Our vision for primary and community care) publi\u00e9e par le D\u00e9partement de sant\u00e9 anglais. On y met l&rsquo;accent sur la promotion de la sant\u00e9, particuli\u00e8rement avec un grand programme d&rsquo;\u00e9valuation (assessment) de la sant\u00e9 cardiovasculaire des 40-74 ans d\u00e9ploy\u00e9 par les omnipraticiens mais aussi les pharmaciens et &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/gillesenvrac.ca\/carnet\/2008\/07\/sante-primaire-et-services-communautaires\/\" class=\"more-link\">Continuer la lecture<span class=\"screen-reader-text\"> de &laquo;&nbsp;sant\u00e9 primaire et services communautaires&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,"atmosphere_disabled":false,"atmosphere_custom_text":"","_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[],"tags":[20,26,136,29,33],"class_list":["post-787","post","type-post","status-publish","format-standard","hentry","tag-organisation","tag-polis","tag-promotion-sante","tag-sante","tag-societe"],"jetpack_featured_media_url":"","jetpack-related-posts":[{"id":449,"url":"https:\/\/gillesenvrac.ca\/carnet\/2006\/09\/partenariat-en-sante-primaire-au-service-des-aines\/","url_meta":{"origin":787,"position":0},"title":"partenariat en sant\u00e9 primaire : au service des a\u00een\u00e9s","author":"Gilles Beauchamp","date":"5 septembre 2006","format":false,"excerpt":"Un article, ou plut\u00f4t le compte rendu d'une \u00e9tude (106 pages) publi\u00e9 en juin dernier par l'Association canadienne de soins et services \u00e0 domicile, rend compte d'un projet pilote de 2 ans. Une information provenant du bulletin Info vieillissement, du R\u00e9seau sur le vieillissement et les changements d\u00e9mographiques (RVCD).","rel":"","context":"Dans \"g\u00e9rontologie\"","block_context":{"text":"g\u00e9rontologie","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/gerontologie\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":3222,"url":"https:\/\/gillesenvrac.ca\/carnet\/2010\/05\/determinants-promotion\/","url_meta":{"origin":787,"position":1},"title":"sant\u00e9, d\u00e9terminants et promotion","author":"Gilles Beauchamp","date":"8 mai 2010","format":false,"excerpt":"La derni\u00e8re livraison de Politiquesociales.net porte \u00e0 notre attention, comme d'habitude, une foule de documents pertinents. Sur le th\u00e8me de la sant\u00e9, plusieurs rapports sur les in\u00e9galit\u00e9s de sant\u00e9 et d\u00e9terminants sociaux : un rapport fran\u00e7ais sur ob\u00e9sit\u00e9 et milieux sociaux; un rapport canadien dont j'ai d\u00e9j\u00e0 parl\u00e9; un rapport\u2026","rel":"","context":"Dans \"politiques\"","block_context":{"text":"politiques","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/polis\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.gillesenvrac.ca\/carnet\/wp-content\/uploads\/2010\/05\/healtycities.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":3167,"url":"https:\/\/gillesenvrac.ca\/carnet\/2010\/03\/etat-de-sante\/","url_meta":{"origin":787,"position":2},"title":"\u00e9tat de sant\u00e9 ? ou de sant\u00e9 publique ?","author":"Gilles Beauchamp","date":"21 mars 2010","format":false,"excerpt":"Si nous devions, un jour, mettre en place un syst\u00e8me de mesure de l'\u00e9tat de sant\u00e9 des populations locales, par le biais de sondages et autres sources de donn\u00e9es, ce syst\u00e8me devrait non seulement mesurer les \u00e9l\u00e9ments comportementaux et sociologiques habituellement utilis\u00e9s pour d\u00e9crire les facteurs de risques associ\u00e9s aux\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":"","width":0,"height":0},"classes":[]},{"id":944,"url":"https:\/\/gillesenvrac.ca\/carnet\/2008\/09\/un-resume-autre-quexecutif\/","url_meta":{"origin":787,"position":3},"title":"un r\u00e9sum\u00e9 autre qu&#039;ex\u00e9cutif","author":"Gilles Beauchamp","date":"5 septembre 2008","format":false,"excerpt":"Les commentaires se sont multipli\u00e9s \u00e0 propos du rapport publi\u00e9 la semaine derni\u00e8re. Le point de vue de l'Association canadienne de sant\u00e9 publique \u00e0 propos du rapport de la Commission de l'OMS sur les d\u00e9terminants de la sant\u00e9. De plus, un commentaire assez \u00e9labor\u00e9 publi\u00e9 sur la liste de discussion\u2026","rel":"","context":"Dans \"d\u00e9terminants sociaux\"","block_context":{"text":"d\u00e9terminants sociaux","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/determinants-sociaux\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":2441,"url":"https:\/\/gillesenvrac.ca\/carnet\/2009\/07\/sante-primaire\/","url_meta":{"origin":787,"position":4},"title":"le mod\u00e8le qu\u00e9b\u00e9cois en sant\u00e9 primaire ?","author":"Gilles Beauchamp","date":"24 juillet 2009","format":false,"excerpt":"Le dernier rapport de l'ICIS : Exp\u00e9riences v\u00e9cues en soins de sant\u00e9 primaires au Canada montre une grande diff\u00e9rence entre le Qu\u00e9bec et le Canada en terme d'acc\u00e8s \u00e0 un m\u00e9decin r\u00e9gulier. Ce qui a des cons\u00e9quences importantes sur le suivi des maladies chroniques, l'utilisation des urgences et des h\u00f4pitaux...\u2026","rel":"","context":"Dans \"sant\u00e9\"","block_context":{"text":"sant\u00e9","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/sante\/"},"img":{"alt_text":"medecindefamille","src":"https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/wp-content\/uploads\/2009\/07\/medecindefamille-300x216.png?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":2025,"url":"https:\/\/gillesenvrac.ca\/carnet\/2009\/04\/veille-de-veilles\/","url_meta":{"origin":787,"position":5},"title":"veille de veilles","author":"Gilles Beauchamp","date":"1 avril 2009","format":false,"excerpt":"Ces deux bulletins de \"veille informationnelle\" ont toujours des documents, rapports et ressources \u00e0 proposer qui valent quelqu'attention. Tir\u00e9s des derni\u00e8res livraisons de Sant\u00e9 pop, publi\u00e9 par le R\u00e9seau de recherche en sant\u00e9 des populations, et VIsAge, produit par la direction de la sant\u00e9 publique de Mont\u00e9r\u00e9gie : Au Canada,\u2026","rel":"","context":"Dans \"organisation communautaire\"","block_context":{"text":"organisation communautaire","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/organisation-communautaire\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/gillesenvrac.ca\/carnet\/images\/devsocial0903.png?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]}],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/posts\/787","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=787"}],"version-history":[{"count":0,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/posts\/787\/revisions"}],"wp:attachment":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/media?parent=787"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/categories?post=787"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/tags?post=787"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}