Chers coll\u00e8gues,<\/p>\n
Veuillez trouver ci-dessous une s\u00e9lection d’articles de la presse nationale et internationale.<\/p>\n
Amiti\u00e9s, bonne lecture et bon courage.<\/p>\n
______________________________________________________________________________________________________<\/strong><\/p>\n La politique de sant\u00e9 et son financement<\/strong><\/p>\n Quelques id\u00e9es pour changer le mode de financement des h\u00f4pitaux<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/pharmanalyses.fr\/?p=5424&preview=true<\/a><\/p>\n La langue fleurie des bureaucrates de sant\u00e9\u2026<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.lalettredegalilee.fr\/le-retour-rate-du-service-public-territorial-de-sante\/<\/a><\/p>\n \u2026 qui devraient lire le NEJM<\/em><\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/blog.santelog.com\/2014\/05\/09\/hopital-la-reorganisation-des-soins-viendra-de-linterieur-nejm\/<\/a><\/p>\n Comptes des h\u00f4pitaux en France : la DGOS est contente, les h\u00f4pitaux et les malades souffrent, et cela ne va pas <\/strong>\u00a0 <\/strong>s’arranger avec le plan d’\u00e9conomies\u2026\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.lesechos.fr\/industrie-services\/pharmacie-sante\/0203526264014-les-comptes-des-hopitaux-de-nouveau-deficitaires-674261.php<\/a><\/p>\n \u2026\u00a0 de 3Md\u20ac<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.lesechos.fr\/economie-france\/conjoncture\/0203509637020-marisol-touraine-prepare-l-hopital-a-un-plan-d-economies-drastique-672250.php<\/a><\/p>\n Le tarif journalier de prestation des h\u00f4pitaux est\u00a0 fix\u00e9 arbitrairement et varie consid\u00e9rablement d’un h\u00f4pital \u00e0 l’autre<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.lefigaro.fr\/conjoncture\/2014\/05\/22\/20002-20140522ARTFIG00334-moins-un-hopital-est-efficient-plus-la-note-est-salee-pour-le-patient.php<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.lesechos.fr\/economie-france\/social\/0203511617166-hopitaux-cliniques-ce-que-paient-vraiment-les-patients-672821.php<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 https:\/\/destinationsante.com\/hopital-public-des-restes-charge-tres-inegaux.html<\/a><\/p>\n Le prix des m\u00e9dicaments en g\u00e9n\u00e9ral, celui du Lucentis en particulier<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 marsadhoc.blogspot.fr\/2014\/05\/juste-prix-des-medicaments-pour-une.html?m=1<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.lesechos.fr\/monde\/europe\/0203530860250-entente-illicite-rome-reclame-1-2-milliard-d-euros-a-novartis-et-a-roche-674642.php<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.lejdd.fr\/Societe\/Sante\/Avastin-Lucentis-la-collusion-par-e-mails-661561<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/sante.lefigaro.fr\/actualite\/2014\/05\/07\/22312-dmla-nouvel-obstacle-medicament-moins-cher<\/a><\/p>\n Compl\u00e9mentaires sant\u00e9 : hausse continue des cotisations en vue<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/m.lesechos.fr\/redirect_article.php?id=0203193337301<\/a><\/p>\n Opacit\u00e9 des frais de gestion des mutuelles et assurances compl\u00e9mentaires<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.lemonde.fr\/societe\/article\/2014\/04\/24\/complementaires-sante-l-opacite-bien-orchestree-des-frais-de-gestion_4406590_3224.html<\/a><\/p>\n En Belgique, les h\u00f4pitaux ne se portent pas tr\u00e8s<\/strong> bien<\/strong>\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.lesoir.be\/534833\/article\/economie\/2014-05-02\/hopitaux-belges-au-bord-faillite<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.rtl.be\/videos\/video\/489961.aspx?bcsi_scan_628cd39dca2568d2=MVP7als6l\/LGvNmE\/tjAnfh7\/xwFAAAAjwXMMQ==&bcsi_scan_filename=489961.aspx<\/a><\/p>\n No siempre lo peor es cierto<\/em><\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/spanishnewstoday.com\/-madrid-health-minister-resigns-as-hospital-privatisation-plans-stall_19353-a.html#.Uu7Airu9Kc2<\/a><\/p>\n Quelques situations locales ou particuli\u00e8res<\/strong><\/p>\n Le docteur Tanquerel, ancien responsable du DIM de l’h\u00f4pital de Saint-Malo, a d\u00e9nonc\u00e9 les pratiques antid\u00e9ontologique<\/strong>s<\/strong> de la direction de son h\u00f4pital. Le manager en chef de cet \u00e9tablissement a cru bon de l’assigner en r\u00e9f\u00e9r\u00e9 au tribunal correctionnel et a voulu faire interdire le livre du Dr Tanquerel intitul\u00e9 Le Serment d’Hypocrite<\/em>. Le 30 mai dernier, l’h\u00f4pital de Saint-Malo a \u00e9t\u00e9 d\u00e9bout\u00e9 de ses demandes. De quoi calmer les ardeurs liberticides de certains managers.<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.ouest-france.fr\/dossiers-medicaux-le-serment-dhypocrite-2361013<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.ouest-france.fr\/le-dr-tanquerel-assigne-en-refere-paris-2556600<\/a><\/p>\n A l’h\u00f4pital de Saint-Maurice, les tensions sont fortes, mais pour d’autres raisons<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.lequotidiendumedecin.fr\/actualite\/hopital\/hopitaux-de-saint-maurice-la-tension-reste-vive?ku=8C5vwDxz-z5A8-y7Cw-xzz9-E7av957AwB6x<\/a><\/p>\n Le CHU de Caen n’est pas non plus sorti de ses difficult\u00e9s<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.lejdd.fr\/Societe\/Sante\/Enquete-sur-le-CHU-de-Caen-un-hopital-en-crise-664580<\/a><\/p>\n A Bordeaux, un service tout neuf voit son ouverture diff\u00e9r\u00e9e faute de moyens<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.egora.fr\/sante-societe\/hopital\/180624-un-service-flambant-neuf-mais-pas-dargent-pour-payer-les-medecins<\/a><\/p>\n Le placard dor\u00e9 de certains directeurs d’h\u00f4pitaux<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/mobile.lemonde.fr\/politique\/article\/2014\/03\/22\/ces-preretraites-tres-confortables-reservees-aux-hauts-fonctionnaires_4387734_823448.html<\/a><\/p>\n Big pharma<\/strong><\/p>\n Evolution des strat\u00e9gies industrielles et de recherche des grands laboratoires pharmaceutiques<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(14)60798-4\/fulltext<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.economist.com\/news\/business\/21602689-why-row-over-giant-drug-company-takeovers-misses-point-pharmed-out<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.theguardian.com\/business\/2014\/apr\/27\/biological-drugs-big-pharma-healthy?CMP=twt_gu<\/a><\/p>\n Des souris et des hommes<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.nature.com\/news\/preclinical-research-make-mouse-studies-work-1.14913<\/a><\/p>\n Big data<\/strong><\/p>\n Les risques de l’Open data<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/data.blog.lemonde.fr\/2014\/04\/17\/donnees-publiques-et-personnelles-quels-sont-les-risques\/<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.bfmtv.com\/video\/bfmbusiness\/it-for-business-lhebdo\/big-data-au-coeur-de-transformation-banques-elias-baltassis-01business-12-04-1-4-190499\/?bcsi_scan_43167910db6ab4d9=V5ZwJqn60kR6hP\/5+MDKjDPb6PoDAAAAOw5TDg<\/a>==<\/p>\n Quels indicateurs pour \u00e9valuer la qualit\u00e9 des soins ?<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.economist.com\/news\/international\/21595474-improve-health-care-governments-need-use-right-data-need-know<\/a><\/p>\n “DocAdvisor” bient\u00f4t in\u00e9vitable ?<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/jeanyvesnau.com\/2014\/04\/29\/il-est-grand-temps-les-medecins-meritent-detre-notes-comme-des-hotels-restaurants\/<\/a><\/p>\n Universit\u00e9<\/strong><\/p>\n La bibliom\u00e9trie pour les nuls<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.h2mw.eu\/redactionmedicale\/2014\/02\/les-scientifiques-qui-utilisent-la-bibliom%C3%A9trie-devraient-consulter-les-bibliom%C3%A9triciens.html?utm_source=feedburner&utm_medium=twitter&utm_campaign=Feed%3A+ClubDesMedecinsBlogueurs+%28Club+des+M%C3%A9decins+Blogueurs%29<\/a><\/p>\n Le classement des \u00e9tablissements d’enseignement sup\u00e9rieur est-il s\u00e9rieux ?<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/focuscampus.blog.lemonde.fr\/2014\/03\/08\/les-classements-et-pourquoi-il-faut-sen-mefier\/<\/a><\/p>\n Les universit\u00e9s \u00e0 l’\u00e2ge des Massive Open Online Courses<\/em><\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.economist.com\/news\/finance-and-economics\/21595901-rise-online-instruction-will-upend-economics-higher-education-massive<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.lemonde.fr\/enseignement-superieur\/article\/2014\/04\/03\/l-universite-2-0-avenir-de-la-fac_4395132_1473692.html<\/a><\/p>\n Tourisme m\u00e9dical<\/strong><\/p>\n M\u00e9decine sans fronti\u00e8res ou l’avenir incertain du tourisme m\u00e9dical<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.economist.com\/news\/international\/21596563-why-health-care-has-failed-globalise-m-decine-avec-fronti-res?fsrc=scn%2Ftw%2Fte%2Fpe%2Fmedecineavecfrontieres<\/a><\/p>\n Le march\u00e9 hospitalier asiatique en pleine expansion <\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.economist.com\/news\/business\/21602220-hospital-companies-prepare-meet-surging-demand-health-care-asia-call?frsc=dg%7Cc<\/a><\/p>\n La sant\u00e9 outre-Manche\u2026<\/strong><\/p>\n La r\u00e9forme du NHS \u00e0 la crois\u00e9e des chemins<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.economist.com\/news\/britain\/21599822-governments-reforms-nhs-are-viewed-its-biggest-failure-they-are-better?frsc=dg%7Cc<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.theguardian.com\/commentisfree\/2014\/apr\/22\/nhs-contracting-disaster-commissioners-simon-stevens<\/a><\/p>\n Une r\u00e9forme peu favorable aux malades mentaux<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.theguardian.com\/society\/2014\/mar\/21\/inside-uk-mental-health-crisis-people-will-die?CMP=twt_fd<\/a><\/p>\n La valeur des petits h\u00f4pitaux de proximit\u00e9 soulign\u00e9e par le patron du NHS<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.bbc.com\/news\/health-27631081<\/a><\/p>\n Selon le NICE, pas moins d’une infirmi\u00e8re pour huit patients<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.theguardian.com\/society\/2014\/may\/09\/hospitals-need-thousands-extra-nurses-or-patients-safety-at-risk<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 extrait :<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 “A 1:8 ratio still means that the nurse only has seven and a half minutes per patient per hour, which is too little. If it’s more than eight then patients won’t get fed, care plans won’t get written, and nurses can’t sit and talk to patients and reassure them about their condition. Care just won’t be given to a proper standard, and patients can die,” said Osborne, a former director of nursing at St Mary’s hospital in west London.<\/em><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Eight should be the absolute maximum number of patients a nurse should have to care for but “if you get to that level it’s bordering on unsafe care”, so ideally the ratio should be 1:4 or 1:6, she added.<\/em><\/p>\n Big data, big brother, big police<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.theguardian.com\/society\/2014\/feb\/06\/police-backdoor-access-nhs-health-records<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 extrait :<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 A Department of Health spokesperson said: “There are strong legal safeguards in place to protect patients’ confidentiality. If<\/em><\/p>\n people do not want their data to be shared, they can speak to their GP and information will not leave the surgery. Any release \u00a0 of identifiable data without consent would only be in a very limited number of exceptional circumstances, where there is a clear basis in existing law \u2013 such as for the police to investigate a serious crime.”<\/em><\/p>\n \u2026 et outre-Atlantique<\/strong><\/p>\n Obamacare : le financement priv\u00e9 en sort renforc\u00e9<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.economist.com\/news\/business\/21591858-fuss-over-obamacares-teething-troubles-obscuring-bigger-story-investors-american<\/a><\/p>\n Obamacare : un premier bilan des souscriptions plut\u00f4t satisfaisant<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.nytimes.com\/interactive\/2014\/01\/13\/us\/state-healthcare-enrollment.html<\/a><\/p>\n Obamacare : \u00e9valuer son succ\u00e8s par la mortalit\u00e9 \u00e9vitable<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.nytimes.com\/interactive\/2014\/05\/19\/health\/rating-a-health-laws-success.html?emc=eta1<\/a><\/p>\n Quelques graphiques comparant le syst\u00e8me de sant\u00e9 am\u00e9ricain \u00e0 ceux des autres pays<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/mha.gwu.edu\/u-s-health-care-vs-world-infographic\/<\/a><\/p>\n En deux minutes, pourquoi il vaut mieux un syst\u00e8me \u00e0 un seul payeur qu’\u00e0 plusieurs milliers de payeurs (aux EtatsUnis, pour trois m\u00e9decins, il y a deux personnels administratifs charg\u00e9s de la facturation ; la complexit\u00e9 du syst\u00e8me et la multiplicit\u00e9 des acteurs entra\u00eenent des frais de gestion allant de 15 \u00e0 30% du total des d\u00e9penses de sant\u00e9)<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.vox.com\/2014\/4\/9\/5595476\/take-two-minutes-to-become-an-expert-in-single-payer<\/a><\/p>\n Quand les h\u00f4pitaux deviennent aussi des assureurs, les primes grimpent<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.nytimes.com\/2014\/05\/26\/upshot\/when-hospital-systems-buy-health-insurers.html?partner=rss&emc=rss&smid=tw-nytimes&_r=0<\/a><\/p>\n Un nouveau venu dans le monde des assurances sant\u00e9<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.economist.com\/news\/business\/21600147-attempt-change-americas-most-arcane-industry-better-geek-guide-insurance?frsc=dg%7Cc<\/a><\/p>\n Le service des urgences le plus fr\u00e9quent\u00e9 de New York (1 170 938 venues en 2013)<\/strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.nytimes.com\/2014\/05\/29\/nyregion\/lincoln-hospitals-emergency-room-may-be-new-york-citys-busiest.html?partner=rss&emc=rss&smid=tw-nytimes&_r=0<\/a><\/p>\n Le scandale des soins aux anciens combattants<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.nytimes.com\/2014\/05\/30\/us\/doctor-shortages-cited-in-va-hospital-waits.html<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 extraits :<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 A subsequent investigation by the Department of Veterans Affairs concluded last fall that indeed the Jackson hospital did not have enough primary care doctors, resulting in nurse practitioners\u2019 handling far too many complex cases and in numerous complaints from veterans about delayed care.<\/em><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 The inspector general\u2019s report also pointed to another factor that may explain why hospital officials in Phoenix and elsewhere might have falsified wait-time data: pressures to excel in the annual performance reviews used to determine raises, bonuses, promotions and other benefits. Instituted widely 20 years ago to increase accountability for weak employees as well as reward strong ones, those reviews and their attendant benefits may have become perverse incentives for manipulating wait-time data, some lawmakers and experts say.<\/em><\/p>\n La carotte, le b\u00e2ton et la joie de bien faire, le t\u00e9moignage d’un m\u00e9decin am\u00e9ricain d’origine indienne<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.theguardian.com\/commentisfree\/2014\/feb\/22\/obamacare-reform-doctors-lost-sense-of-purpose?CMP=twt_gu<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 extrait :<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 In 1949, Harry F Harlow, Professor of Psychology at the University of Wisconsin, argued for a third drive \u2013 intrinsic motivation \u2013 the joy of the task itself. Daniel Pink focuses on this drive and elegantly demonstrates that for most complex tasks (what could be more complex and human than the practice of medicine?), intrinsic motivation is a much more powerful drive than \u00a0 any external motivator. A key part of this motivator is purpose. “The most highly motivated people,” Pink writes, “not to mention those who are most productive and satisfied \u2013 hitch their drives to a cause larger than themselves.” In other words, economic incentives alone do not cause individuals to perform complex tasks better. This is arguably the best evidence-based advice for physicians as well as health planners today.<\/em><\/p>\n Limite des infirmiers cliniciens comme premier recours<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.nytimes.com\/2014\/04\/30\/opinion\/nurses-are-not-doctors.html?_r=0<\/a><\/p>\n 10 \u00e0 30 % de soins inutiles aux USA\u2026 Combien en France ? (il y a l’overuse<\/em>, mais n’oublions pas le misuse<\/em> et l’underuse<\/em>)<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/healthaffairs.org\/blog\/2014\/04\/25\/when-less-is-more-issues-of-overuse-in-health-care\/<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.viva.presse.fr\/un-tres-grand-nombre-examens-sont-inutiles-selon-le-pr-didier-sicard-du-comite-national-ethique<\/a><\/p>\n Le dossier m\u00e9dical informatis\u00e9 n’avance pas aux USA non plus<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 http:\/\/www.medicalnewstoday.com\/articles\/254887.php?utm_content=buffer6f244&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer<\/a><\/p>\n Et pour finir, quelques rapports parus ces derniers mois<\/strong><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Statistiques sanitaires mondiales 2013 de l’OMS<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Rapport de l’OCDE sur la stagnation des d\u00e9penses de sant\u00e9 depuis 2009<\/a><\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Rapport Devictor sur le service public territorial de sant\u00e9<\/a> (\u00e2mes sensibles s’abstenir)<\/p>\n