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156 results on '"Minvielle, E."'

9. Voyage au cœur du système de santé. 100 témoignages pour apprendre à gérer avec la crise

Author

Dumez, Hervé, Minvielle, E., Centre de recherche en gestion i3 (i3-CRG), and École polytechnique (X)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS)

Subjects
système de santé, entretiens, [SHS.GESTION]Humanities and Social Sciences/Business administration, acteurs, Covid, management, [SHS]Humanities and Social Sciences
Abstract

International audience; D'avril 2020 à avril 2021, plus de cent entretiens ont été menés. Ils ont couvert d'une part l'ensemble des acteurs impliqués : de l'étudiante de médecine aux membres des cabinets ministériels, en passant par les directeurs d'hôpitaux, les médecins, les soignants, les fonctionnaires d'ARS et d'administration centrale. Mais également, d'autre part, la diversité des régions concernées, en métropole et dans les îles.Ils ont été menés, enfin, durant les différentes phases de la crise, première, deuxième, troisième vagues. Ils donnent une vue d'ensemble de la crise dans sa dynamique et à tous les niveaux que l'on est en droit d'attendre.

Published
2021

12. 335MO Intervention combining nurse navigators (NNs) and a mobile application vs standard of care (SOC) in neuro-oncology patients (pts) treated with oral anticancer agents (OAA): A subgroup analysis of CAPRI, a single-center, randomized phase III trial

Author

Duflot-Boukobza, A., primary, Mathivon, D., additional, Legendre, J., additional, Khettab, M., additional, Oinino, S., additional, Ferrua, M., additional, Fourcade, A., additional, Lezghed, N., additional, Dhermain, F., additional, Lemare, F., additional, Guillet, M., additional, Puglisi, V., additional, Abbas, M., additional, Pons, M., additional, Di Palma, M., additional, Minvielle, E., additional, Mir, O., additional, and Dumont, S.N., additional

Published
2020
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25. Assessing organizational performance in intensive care units : a french experience

Author

Minvielle, E., Aegerter, P., Dervaux, B., Boumendil, A., Retbi, A., Jars-Guincestre, M.C., Guidet, B., UMR CNRS 8179, Centre National de la Recherche Scientifique (CNRS)-Université de Lille, Sciences et Technologies, and Legrand, Annette

Subjects
[SHS.ECO] Humanities and Social Sciences/Economics and Finance, [SHS.ECO]Humanities and Social Sciences/Economics and Finance
Published
2008

28. SAPS II revisited

Author

Aegerter, P., Boumendil, A., Retbi, A., Minvielle, E., Dervaux, B., Guidet, B., Legrand, Annette, UMR CNRS 8179, and Centre National de la Recherche Scientifique (CNRS)-Université de Lille, Sciences et Technologies

Subjects
[SHS.ECO]Humanities and Social Sciences/Economics and Finance, [SHS.ECO] Humanities and Social Sciences/Economics and Finance
Published
2005

29. Culture, organization, and management in intensive care: construction and validation of a multidimensional questionnaire

Author

Minvielle, E., Dervaux, B., Retbi, A., Aegerter, P., Boumendil, A., Jars-Guincestre, M.C., Tenaillon, A., Guidet, B., Legrand, Annette, UMR CNRS 8179, and Centre National de la Recherche Scientifique (CNRS)-Université de Lille, Sciences et Technologies

Subjects
[SHS.ECO]Humanities and Social Sciences/Economics and Finance, [SHS.ECO] Humanities and Social Sciences/Economics and Finance
Published
2005

31. Cancer Patients'Willingness to Use It for Their Health

Author

Girault, A., primary, Ferrua, M., additional, Fourcade, A., additional, Hébert, G., additional, Sicotte, C., additional, Mons, M., additional, Beaupère, S., additional, Mezaour, N., additional, Lemare, F., additional, Montaron, A., additional, Ducreux, M.P., additional, Guepratte, C., additional, Di Palma, M., additional, and Minvielle, E., additional

Published
2014
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44. Les critères de qualité en médecine : jusqu'où aller ?

Author

Minvielle, E.

Subjects
*HOSPITAL administrators, *QUALITY assurance, *PHYSICIANS, *MEDICAL research, *RESEARCH
Abstract

Abstract: This article aims to develop a critical appraisal of the criteria''s development in medicine. The COMPAQH (Coordination for Measuring Performance and Assuring Quality in Hospitals) project (Ministry of Health/ High Authority of Health/ National Institute of Medical Research) helps to support this analysis. This project based on the test of 42 Quality indicators (QI) gives findings not only about the manner to build criteria, but also to interpret and diffuse results among physicians and hospital managers. Criteria must be elaborated in a pragmatic way. They must be in compliance with practice guidelines supported by scientific evidences. The associated risk is to create and develop a normative medicine. Collaboration with professional societies may be useful in preventing this risk. [Copyright &y& Elsevier]

Published
2006
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45. Designing adverse event prevention programs using quality management methods: the case of falls in hospital

Author

Grenier-Sennelier, C., Lombard, I., Jeny-Loeper, C., Maillet-Gouret, M-C., and Minvielle, E.

Abstract

Objective. From a public health perspective, the effectiveness of any prevention program depends on integrated medical and managerial strategies. In this way, quality management methods drawn from organization and business management can help design prevention programs. The aim of this study was to analyze the potential value of these methods in the specific context of preventing falls in hospital.
Setting. Medical and Rehabilitation Care Unit of Saint-Maurice National Hospital (France).
Design. In phase 1, two surveys assessed the context in which falls occurred. The first survey (1995) quantified adverse events during a 1-year period (n = 564) and the second (1996-1997) documented the reasons for falls (n = 53). In phase 2, a set of recommendations to prevent falls was elaborated and implemented throughout the hospital.
Results. The fall frequency in this unit was 18.3% in 1995. Analysis showed organizational causes in 35 (66%) of the 53 documented falls; 24 of them were associated with individual factors. Even though the two categories of causes are interdependent, their distinction enables specific recommendations. The proposed organizational management changes recommended do not aim to achieve an illusory objective of 'zero falls', but are designed to reduce the number of avoidable falls and to limit the negative consequences of unavoidable falls.
Conclusion. Quality improvement methods shed new light on how to prevent falls. An unexploited potential for prevention lies in organization and management of care for hospitalized patients.

Published
2002

47. Beyond quality management methods: meeting the challenges of health care reform.

Author

Minvielle, E

Abstract

Over the last 20 years, the increasing complexity and technical intensiveness of health care in French hospitals have increased the level of uncertainty in the process of care. This paper argues that beyond quality management approaches, the most important issue in health care management is the need to implement new organizational methods in response to the dynamic changes that are transforming the care process. Uncertainty, complexity and speed can all be managed by standardizing operating procedures, but when quality management is applied to a complex system such as health care, a different approach is needed. One alternative to standardization can be found in new theories of organization that emphasize the flexibility of an organization, i.e. its capacity to adapt to uncertainty. Building on empirical work, this paper integrates these different theoretical perspectives and tries to provide insight into the kind of quality management methods that will allow hospitals to deal with the new constraints being placed on the process of care.

Published
1997
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49. How to limit the burden of data collection for Quality Indicators based on medical records? The COMPAQH experience.

Author

Corriol C, Daucourt V, Grenier C, and Minvielle E

Abstract

Our objective was to limit the burden of data collection for Quality Indicators (QIs) based on medical records.~Background~Background~The study was supervised by the COMPAQH project. Four QIs based on medical records were tested: medical record conformity; traceability of pain assessment; screening for nutritional disorders; time elapsed before sending copy of discharge letter to the general practitioner. Data were collected by 6 Clinical Research Assistants (CRAs) in a panel of 36 volunteer hospitals and analyzed by COMPAQH. To limit the burden of data collection, we used the same sample of medical records for all 4 QIs, limited sample size to 80 medical records, and built a composite score of only 10 items to assess medical record completeness. We assessed QI feasibility by completing a grid of 19 potential problems and evaluating time spent. We assessed reliability (kappa coefficient) as well as internal consistency (Cronbach alpha coefficient) in an inter-observer study, and discriminatory power by analysing QI variability among hospitals.~Methods~Methods~Overall, 23 115 data items were collected for the 4 QIs and analyzed. The average time spent on data collection was 8.5 days per hospital. The most common feasibility problem was misunderstanding of the item by hospital staff. QI reliability was good (kappa: 0.59-0.97 according to QI). The hospitals differed widely in their ability to meet the quality criteria (mean value: 19-85%).~Results~Results~These 4 QIs based on medical records can be used to compare the quality of record keeping among hospitals while limiting the burden of data collection, and can therefore be used for benchmarking purposes. The French National Health Directorate has included them in the new 2009 version of the accreditation procedure for healthcare organizations.~Conclusion~Conclusions [ABSTRACT FROM AUTHOR]

Published
2008

50. Hospital network performance: A survey of hospital stakeholders’ perspectives

Author

A. Marcon, Dino Gibertoni, A. Angelastro, Francesca Bravi, Paola Rucci, Maria Pia Fantini, Etienne Minvielle, Tiziano Carradori, Claude Sicotte, Unit of Epidemiology and Medical Statistics, University of Verona (UNIVR), EA Management des Organisations de Santé (EA MOS), École des Hautes Études en Santé Publique [EHESP] (EHESP)-PRES Sorbonne Paris Cité, COordination pour la Mesure de la Performance et l'Amélioration de la Qualité ( Hôpital, Patient, Sécurité, Territoire) (COMPAQ(HSPT) - U988), Institut Gustave Roussy (IGR)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut Gustave Roussy (IGR), DPNFB, University of Pisa - Università di Pisa, Western Psychiatric Institute and Clinic, University of Pittsburgh (PITT), Pennsylvania Commonwealth System of Higher Education (PCSHE)-Pennsylvania Commonwealth System of Higher Education (PCSHE), Department of Public Health, Alma Mater Studiorum Università di Bologna [Bologna] (UNIBO), Bravi F., Gibertoni D., Marcon A., Sicotte C., Minvielle E., Rucci P., Angelastro A., Carradori T., Fantini MP., and École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Gustave Roussy (IGR)

Subjects
Attractiveness, medicine.medical_specialty, Performance, media_common.quotation_subject, Medical Oncology, Hospitals, Special, 03 medical and health sciences, Stakeholders, 0302 clinical medicine, Nursing, Oncology Service, Hospital, Surveys and Questionnaires, Health care, Shared values, medicine, Humans, Hospital network, 030212 general & internal medicine, Empowerment, Quality of Health Care, media_common, business.industry, Data Collection, 030503 health policy & services, Health Policy, Public health, Quality of care, Hospitals, Exploratory factor analysis, 3. Good health, Personnel, Hospital, Interinstitutional Relations, Italy, Oncology, [SHS.GESTION]Humanities and Social Sciences/Business administration, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, 0305 other medical science, business, Organizational effectiveness, Centrality, HOSPITAL, Reputation
Abstract

International audience; Hospital networks are an emerging organizational form designed to face the new challenges of public health systems. Although the benefits introduced by network models in terms of rationalization of resources are known, evidence about stakeholders’ perspectives on hospital network performance from the literature is scanty. Using the Competing Values Framework of organizational effectiveness and its subsequent adaptation by Minvielle et al., we conducted in 2009 a survey in five hospitals of an Italian network for oncological care to examine and compare the views on hospital network performance of internal stakeholders (physicians, nurses and the administrative staff). 329 questionnaires exploring stakeholders’ perspectives were completed, with a response rate of 65.8%. Using exploratory factor analysis of the 66 items of the questionnaire, we identified 4 factors, i.e. Centrality of relationships, Quality of care, Attractiveness/Reputation and Staff empowerment and Protection of workers’ rights. 42 items were retained in the analysis. Factor scores proved to be high (mean score > 8 on a 10-item scale), except for Attractiveness/Reputation (mean score 6.79), indicating that stakeholders attach a higher importance to relational and health care aspects. Comparison of factor scores among stakeholders did not reveal significant differences, suggesting a broadly shared view on hospital network performance.

Published
2013

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