{"id":806,"date":"2008-08-12T16:01:10","date_gmt":"2008-08-12T21:01:10","guid":{"rendered":"http:\/\/gillesenvrac.ca\/carnet\/2008\/08\/paiement-direct-et-desinstitutionnalisation\/"},"modified":"2011-02-14T15:37:05","modified_gmt":"2011-02-14T20:37:05","slug":"paiement-direct","status":"publish","type":"post","link":"https:\/\/gillesenvrac.ca\/carnet\/2008\/08\/paiement-direct\/","title":{"rendered":"paiement direct et d\u00e9sinstitutionnalisation"},"content":{"rendered":"<p>La tendance \u00e0 la \u00ab\u00a0personnalisation\u00a0\u00bb des services, en Grande-Bretagne, prend, entre autre, la forme du <a href=\"http:\/\/individualbudgets.csip.org.uk\/dynamic\/dohpage10.jsp\">paiement direct<\/a>, c&rsquo;est \u00e0 dire de la libert\u00e9 donn\u00e9e \u00e0 la personne aid\u00e9e de choisir son fournisseur de services, ou m\u00eame le type de service qu&rsquo;elle souhaite avoir. Il semble que la politique, au del\u00e0 du <em>buzzword<\/em> de la personnalisation, ne soit pas pr\u00e8s d&rsquo;\u00eatre implant\u00e9e largement : peu de personnes y ayant droit y ont eu recours, particuli\u00e8remenet chez les a\u00een\u00e9s et les personnes avec probl\u00e8mes de sant\u00e9 mentale. Voir <a href=\"http:\/\/www.guardian.co.uk\/society\/2007\/aug\/08\/socialcare.comment\">cet article du Guardian<\/a>, par un des auteurs de la recherche <a href=\"http:\/\/www.pssru.ac.uk\/dps\/dps_reports.htm\"><em>Direct   Payments Survey: A national survey of direct payments policy and practice<\/em><\/a>.<\/p>\n<p>Le m\u00eame auteur, Martin Knapp, publiait en collaboration une comparaison europ\u00e9enne des co\u00fbts et r\u00e9sultats des politiques de d\u00e9sinstitutionnalisation (<em>Deinstitutionalisation and Community Living: Outcomes and costs &#8211; a report of a European Study<\/em>). <a href=\"http:\/\/ec.europa.eu\/employment_social\/index\/vol1_summary_final_fr.pdf\">R\u00e9sum\u00e9 en fran\u00e7ais<\/a> <span style=\"color: #999999;\">(pdf, 19 pages)<\/span> et <a href=\"http:\/\/ec.europa.eu\/employment_social\/index\/vol2_web_report_en.pdf\">rapport complet<\/a> <span style=\"color: #999999;\">(anglais, 140 pages)<\/span>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>La tendance \u00e0 la \u00ab\u00a0personnalisation\u00a0\u00bb des services, en Grande-Bretagne, prend, entre autre, la forme du paiement direct, c&rsquo;est \u00e0 dire de la libert\u00e9 donn\u00e9e \u00e0 la personne aid\u00e9e de choisir son fournisseur de services, ou m\u00eame le type de service qu&rsquo;elle souhaite avoir. Il semble que la politique, au del\u00e0 du buzzword de la personnalisation, &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/gillesenvrac.ca\/carnet\/2008\/08\/paiement-direct\/\" class=\"more-link\">Continuer la lecture<span class=\"screen-reader-text\"> de &laquo;&nbsp;paiement direct et d\u00e9sinstitutionnalisation&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":[1],"tags":[43,11,29,150,32],"class_list":["post-806","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-administration-sante","tag-developpement","tag-sante","tag-sante-mentale","tag-social"],"jetpack_featured_media_url":"","jetpack-related-posts":[{"id":787,"url":"https:\/\/gillesenvrac.ca\/carnet\/2008\/07\/sante-primaire-et-services-communautaires\/","url_meta":{"origin":806,"position":0},"title":"sant\u00e9 primaire et services communautaires","author":"Gilles Beauchamp","date":"18 juillet 2008","format":false,"excerpt":"La vision d'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'accent sur la promotion de la sant\u00e9, particuli\u00e8rement avec un grand programme d'\u00e9valuation (assessment) de la sant\u00e9 cardiovasculaire des 40-74 ans d\u00e9ploy\u00e9 par les omnipraticiens\u2026","rel":"","context":"Dans \"organisation\"","block_context":{"text":"organisation","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/organisation\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":2025,"url":"https:\/\/gillesenvrac.ca\/carnet\/2009\/04\/veille-de-veilles\/","url_meta":{"origin":806,"position":1},"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":[]},{"id":538,"url":"https:\/\/gillesenvrac.ca\/carnet\/2007\/04\/a-qui-appartiennent-ces-textes\/","url_meta":{"origin":806,"position":2},"title":"\u00e0 qui appartiennent ces textes ?","author":"Gilles Beauchamp","date":"6 avril 2007","format":false,"excerpt":"Comment peut-on accepter, sous quelle logique biscornue, que des documents d'int\u00e9r\u00eat public (enfin il faut le supposer puisque c'est le public qui a pay\u00e9 pour la production de ces documents) ne soient publi\u00e9s qu'en format PDF \"barr\u00e9s\" : sans qu'on puisse en copier un seul mot. Des exemples ? Je\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":521,"url":"https:\/\/gillesenvrac.ca\/carnet\/2007\/03\/sante-mentale-et\/","url_meta":{"origin":806,"position":3},"title":"sant\u00e9 mentale et&#8230;","author":"Gilles Beauchamp","date":"9 mars 2007","format":false,"excerpt":"Le prochain th\u00e8me de d\u00e9veloppement du projet clinique de mon CSSS porte sur la sant\u00e9 mentale. Le premier avait \u00e9t\u00e9, \u00e0 tout seigneur tout honneur, les services aux personnes en perte d'autonomie li\u00e9es au vieillissement (PPALV, dans le jargon). Sur ce terrain le CSSS pouvait se sentir \"chez lui\" :\u2026","rel":"","context":"Dans \"sant\u00e9 mentale\"","block_context":{"text":"sant\u00e9 mentale","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/sante-mentale\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":641,"url":"https:\/\/gillesenvrac.ca\/carnet\/2007\/10\/quelques-rapports-et-donnees-recents\/","url_meta":{"origin":806,"position":4},"title":"quelques rapports et donn\u00e9es r\u00e9cents","author":"Gilles Beauchamp","date":"17 octobre 2007","format":false,"excerpt":"L'ICIS publiait r\u00e9cemment un rapport sur Les soins de sant\u00e9 au Canada 2007 o\u00f9 l'on peut voir que la part des h\u00f4pitaux dans le \"g\u00e2teau de la sant\u00e9\" est pass\u00e9e de 45% \u00e0 30%. Le langage n'est pas innocent (on s'attendrait \u00e0 mieux de la part d'un institut qui se\u2026","rel":"","context":"Dans \"canada\"","block_context":{"text":"canada","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/canada\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":805,"url":"https:\/\/gillesenvrac.ca\/carnet\/2008\/08\/developpement-local-adaptation-des-services\/","url_meta":{"origin":806,"position":5},"title":"d\u00e9veloppement local, adaptation des services","author":"Gilles Beauchamp","date":"12 ao\u00fbt 2008","format":false,"excerpt":"Quelques autres documents britanniques trouv\u00e9s dans ma qu\u00eate autour du th\u00e8me de l'empowerment et de la coh\u00e9sion sociale. Des communaut\u00e9s en sant\u00e9, fortes et prosp\u00e8res, un document de 24 pages (en anglais) faisant le lien entre des politiques visant la personnalisation des services et celle visant le \"d\u00e9veloppement de places\"\u2026","rel":"","context":"Dans \"d\u00e9veloppement\"","block_context":{"text":"d\u00e9veloppement","link":"https:\/\/gillesenvrac.ca\/carnet\/tag\/developpement\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]}],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/posts\/806","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=806"}],"version-history":[{"count":0,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/posts\/806\/revisions"}],"wp:attachment":[{"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/media?parent=806"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/categories?post=806"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gillesenvrac.ca\/carnet\/wp-json\/wp\/v2\/tags?post=806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}