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Étude théorique et expérimentale de la responsabilité partagée entre le médecin et l’infirmier en pratique avancée

Abstract : The French health care system raises many issues in primary care, in terms of geographical distribution of health care supply, expenditures, and treatment of some pathologies. The development of the advanced nursing practice provides a response to these issues. An advanced practice nurse performs some medical tasks, which can be complementary or substitutable with those of the physician, and performed before or after the physician. The purpose of the thesis is to study the regulation of quality of health care provided by a physician and an advanced practice nurse. The thesis is divided into four chapters. The first chapter highlights the issues of the French health care system concerned by the advanced nursing practice and the limits created by the current French regulation on the development of the practice. The second chapter discusses from literature the efficient liability regime to deter a physician and a nurse to be careless. The third chapter is a theoretical study of the optimal liability regime to apply to the advanced nursing practice according to the type of nursing practice. The last chapter restitutes a laboratory experiment which analyzes the effect of collaboration between health care professionals on health care quality depending on the liability regime. The thesis demonstrates that the advanced nursing practice should be regulated with a fault-based liability regime which allocates liability according to the interdependence of each professional’s behaviors. Moreover, the control exerted by a physician who employs a nurse leads to a better health care quality. Finally, in the presence of liability rule, the laboratory experiment highlights a decrease in health care quality due to the interprofessional collaboration. This result should conduct to develop the collaboration between health care professionals with caution.
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Submitted on : Thursday, December 17, 2020 - 2:57:14 PM
Last modification on : Saturday, April 16, 2022 - 3:36:42 AM
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Dylan Martin-Lapoirie. Étude théorique et expérimentale de la responsabilité partagée entre le médecin et l’infirmier en pratique avancée. Economies et finances. Université de Lorraine, 2020. Français. ⟨NNT : 2020LORR0139⟩. ⟨tel-03080035⟩



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