French Hospital Federation (FHF) & UNICANCER Federation
From centralized to decentralized model in hospital care
Category: Service delivery: innovations in delivery of care and hospital services
How to rethink the model from a feudal model (hospitalized centered) toward a model “patient oriented” and supported by new and ad hoc piloting tools (mobile teams, telemedicine, care networks), especially in the field of chronic diseases (cancer, geriatric, palliative care, rehabilitation…).
Rethinking the management of patients with chronic and cancerous diseases and share the experience of the different countries of the world around the new logic of patient pathway, patient empowerment.
Summary of the session
We would stress on the wide interest of the subject for the international hospital community, especially in emergent economies which inherit of historic very centralized models of care, often focused on active care and located in the capitals more than close of patients and needs. Interesting when the main part of the international organizations (World Bank, WHO) focuses their financial supports on these thematic in eastern Europe, Africa, China, and also according with the mail problematic in western Europe (France, UK, Germany) with the new problem of medical deserts and equity in care access… we are closed of the topics hospital governance, ethic, innovation in leadership and management tools and practices.
Deputy CEO Cancer Hospital
Prof. Yves-Jean Bignon
Director of oncogenetics department
Jean Perrin Comprehensive Cancer Center
Objective: Improve medical care of patients and their families
Deputy Chief Operating Officer
University Hospital of Toulouse
Presentation: The La Grave project: when a territorial network optimizes care and promotes equal access to clinical research protocols
Objectives: How can we improve coordination and strengthen the resource mobilization of various stakeholders, in order to ensure partnership development and encourage an integrated chronic disease management model based on primary health care?
How can the CHUT build an ecosystem that will provide appropriate care for the treatment of chronic disease by facilitating early detection through affordable strategies and by offering equal access to clinical research?
CARE Organisation Director
Cancer Comprehensive Center
Presentation: From centralized to decentralized model in hospital care
Objectives: To become a care highly reliable organization we need to rethink our role like an organization not like a care building.
Who is responsible of all patient’s Care courses in chronical disease? Perhaps we need to rethink our team member and reinvents our jobs beyond
the technical like team trainer, care-coach, time keeper, listener, and translator and intercultural mediator inside or outside the hospital during all chronical diseases (Medical, Para-medical, pharmacy, etc.)? Is it this new team around patient’s organization who make sense for all, patient, family and caregiver and relieve them?