Une lecture des soins intégrés à partir des pratiques et perceptions des médecins: le cas de la prise en charge de l’insuffisance cardiaque dans le haut cantal

Cassandra Delorme (), Paul Simbelie, Laurent Mériade (), Corinne Rochette () and Marie Blanquet ()
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Cassandra Delorme: CleRMa - Clermont Recherche Management - ESC Clermont-Ferrand - École Supérieure de Commerce (ESC) - Clermont-Ferrand - UCA - Université Clermont Auvergne, IAE - UCA - Institut d'Administration des Entreprises - Clermont-Auvergne - UCA - Université Clermont Auvergne, S&T - chaire Santé et Territoires
Paul Simbelie: CHU Clermont-Ferrand
Laurent Mériade: IAE - UCA - Institut d'Administration des Entreprises - Clermont-Auvergne - UCA - Université Clermont Auvergne, CleRMa - Clermont Recherche Management - ESC Clermont-Ferrand - École Supérieure de Commerce (ESC) - Clermont-Ferrand - UCA - Université Clermont Auvergne, S&T - chaire Santé et Territoires
Corinne Rochette: IAE - UCA - Institut d'Administration des Entreprises - Clermont-Auvergne - UCA - Université Clermont Auvergne, CleRMa - Clermont Recherche Management - ESC Clermont-Ferrand - École Supérieure de Commerce (ESC) - Clermont-Ferrand - UCA - Université Clermont Auvergne, S&T - chaire Santé et Territoires
Marie Blanquet: Pôle Santé Publique [CHU Clermont-Ferrand] - CHU Gabriel Montpied [Clermont-Ferrand] - CHU Clermont-Ferrand, CHU Clermont-Ferrand

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Abstract: This article aims to assess the level of integration of care in a rural area. Although integration of care is a concept that is increasingly used, its operationality remains largely undocumented. Based on the RMIC model, we study the way in which the care of heart failure patients in the Haut Cantal is approached. Our exploratory study is based on semi-directive interviews with general practitioners and specialists (cardiologists) in order to identify the reality of the integration of care at the meso and micro levels of the territory by questioning their perceptions and practices. This study is the first stage of a research project on the integration and territorial coordination of care. Our research sheds light on an important conceptual issue, that of the operationality of the RMIC, and allows us to identify the first elements of its manifestations.

Keywords: Soins intégrés; cardiologie; coordination; parcours de soins; parcours de santé; relations professionnelles (search for similar items in EconPapers)
Date: 2023-05-24
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Published in "Management public, crises et post-crises : la permanence dans le changement", AIRMAP, May 2023, dijon, France

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-04189788

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