1000 resultados para réseaux intégrés de soins
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Les réseaux d'entreprises formatrices constituent un modèle du système de formation professionnelle en alternance Suisse. Petites et moyennes entreprises peuvent ainsi mutualiser la formation des apprentis. Quelles raisons poussent les entreprises à participer à ce nouveau type d’organisation ? Quels conflits et tensions naissent au sein de ces réseaux ? Les analyses s’appuient sur quatre cas de réseaux et sur la théorie de l'économie des conventions. Ces réseaux naissent d’une pluralité de motifs de participation, source d’insatisfaction dans les entreprises et de conflits dans les réseaux tout au long du parcours de formation.
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Introduction : The acute care surgery (ACS) units are dedicated to the prompt management of surgical emergencies. It is a systemic way of organizing on-call services to diminish conflict between urgent care and elective obligations. The aim of this study was to define the characteristics of an ACS unit and to find common criteria in units with reported good functioning. Methods : As of July 1st 2014, 22 Canadian hospitals reported having an ACS unit. A survey with questions about the organization of the ACS units, the population it serves, the number of emergencies and trauma cases treated per year, and the satisfaction about the implementation of this ACS unit was sent to those hospitals. Results : The survey’s response rate was 73%. The majority of hospitals were tertiary or quaternary centers, served a population of more than 200 000 and had their ACS unit for more than three years. The median number of surgeons participating in an ACS unit was 8.5 and the majority were doing seven day rotations. The median number of operating room days was 2.5 per week. Most ACS units (85%) had an estimated annual volume of more than 2500 emergency consultations (including both trauma and non-trauma) and 80% operated over 1000 cases per year. Nearly all the respondents (94%) were satisfied with the implementation of the ACS unit in their hospital. Conclusion : Most surgeons felt that the implementation of an ACS unit resulted in positive outcomes. However, there should be a sizeable catchment population and number of surgical emergencies to justify the resulting financial and human resources.
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Archive institutionnelle de l'Université de Genève - Institutional Repository of the University of Geneva
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Mode of access: Internet.
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Mode of access: Internet.
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Mode of access: Internet.