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Face à l'intérêt croissant des établissements hospitaliers pour la comptabilité analytique hospitalière depuis l'instauration de la tarification à l'activité et l'organisation en pôles, nous vous proposons aujourd'hui un ouvrage méthodologique résolument orienté vers la gestion des pôles. Son ambition est de fournir aux établissements des outils immédiatement utilisables, simples à construire, mais qui donnent déjà de l'organisation des soins une image économique relativement claire. Les deux tableaux de bord proposés, TCCM et comptes de résultats par pôle, directement alimentés par la mesure de (activité médicale au travers de la tarification à l'activité et de l'étude nationale des coûts (ENC), pourront permettre à chaque établissement d'identifier ses points forts et ses points à améliorer en les comparant à des référentiels externes. La méthode décrite s'inscrit dans la continuité de la comptabilité analytique médicalisée qui a fait l'objet d'une présentation au Bulletin Officiel spécial n° 2004-4 bis du ministère de la Santé. Ce document a été réalisé en partenariat avec l'Ecole Nationale de Santé Publique (ENSP).
This bilingual publication results from a four-day symposium aimed at capturing the general directions and analytical issues that characterize approaches to sustainable use in Africa. The papers included in this work are organized under four major headings: modes of use, devolution, scale issues and external issues. Authors explore these themes through the use of case studies and the description of specific regional experiences. External issues are further explored in a series of commissioned policy papers which have also been included.
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This book represents a first considered attempt to study the factors that conditioned industrial chemistry for war in 1914-18. Taking a comparative perspective, it reflects on the experience of France, Germany, Austria, Russia, Britain, Italy and Russia, and points to significant similarities and differences. It looks at changing patterns in the organisation of industry, and at the emerging symbiosis between science, industry and the military.
International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.
This is an updated edition of the 1995 version. In the mid-1980's, the IUCN CEL, in consultation with leading experts from around the world, began to respond to a need later identified by Agenda 21: the preparation of an integrated framework for international environmental law.
Is anthropology relevant to our lives today? Does anthropology have anything to contribute in the coming time? How are anthroplogists responding to the post-colonial, post-modernist world? Leading anthroplogists attempt to answer these questions, identifying and exploring key issues where anthropology connects with the problems of the contemporary scene.