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Contribution de la modélisation à l'évaluation des performances des organisations de santé : application au réseau régional de cancérologie Oncolor

Abstract : Health organizations are complex and in full restructuring. Networks are emergent organizational modes. They are supposed to bring solutions for the necessary reforms by encouraging structures and professionals to work together, to share resources and competences. Their evaluation is both a necessity and an obligation but raises methodological difficulties due to the number and variety of the actors and their interactions. Our study approaches performance evaluation, both global and local, by using modelling as well as functional and dysfunctional analysis FMECA type. We accomplished a modelling of activities and decisions linked, then we analysed obstacles to their functioning in order to put forward proposals for improvement. Obstacles and solutions identified are interdependent. They were incorporated in an organizational decision model. Particularly, our field of investigation concerns a regional oncology network where we studied the process of elaboration, diffusion and use of good practice guidelines
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Auguste Rakotondranaivo. Contribution de la modélisation à l'évaluation des performances des organisations de santé : application au réseau régional de cancérologie Oncolor. Autre. Institut National Polytechnique de Lorraine, 2006. Français. ⟨NNT : 2006INPL027N⟩. ⟨tel-01752553⟩

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