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Decision algorithms and measuring instruments

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  1. Introduction
  2. A new culture, a practice more scientific
  3. New paradoxes: Treat or manage it?
  4. The general practitioner and the regulator
  5. Privatizing health
  6. Bioethics laws
  7. An application planned for 2003
  8. Networks and medical practice
  9. How practical networking can they influence the practice off-network?
  10. Participation in sessions of CME specific
  11. Membership in a comprehensive public health
  12. Logical networks of health
  13. Conclusion
  14. Reference

The medical repositories often take the form of algorithms that assist the medical decision. Gradually worked out a true algorithmic approach, one of the most spectacular examples is in psychiatry. Since the 1950s, the American Psychiatric Association has indeed undertaken the task of creating an encyclopedic exhaustive classification of mental disorders and to define for each a rigorous diagnostic procedure in an algorithmic form. The effort of standardization of language is essential. The question is not whether there is a real depression well or poorly described by the nomenclature. It is rather to ensure that all clinicians have the same language to compare patients' conditions and patterns of care, to improve the quality of care, or simply to code the same way the forms of support hospitals or insurance agencies.

[...] Agent's first care (primary care), it is also paid by capitation and very involved in managing the NHS. The concept of primary care is not familiar to France. Social Security is responsible for curative care, while prevention is expected to return to the state and departments. The mission of ?primary care? is distributed among actors, budgets and different institutions. The responsibility of doctors in public health depends on a combination of cultural factors, physician involvement in management and a sense of belonging to a structured organization. [...]

[...] What is the quality of the process used and results achieved? 3. Those supported are met? 4. What is the specific contribution of the network organization in the degree of achievement of objectives, quality processes and outcomes? 5. What are the indirect effects, positive or negative, induced by the network? The combination of CME and evaluation networks produces a virtuous cycle of continuous improvement of care processes. The challenge for a network, is obviously to enable this kind of feedback loop. [...]

[...] By unifying information on a patient - whatever the technology used for this network standardizes the conditions of care and cooperation among health professionals. In the short term, professionals tend to use electronic mail for exchanging information on a soft mode (unstructured content) and decentralized. However, the use of email within the network influences the habits of information exchange. The professionals have acquired reflexes, they have electronic directories and form a natural 'style' epistolary adapted their practices. Therefore, they tend to expand the use of mail to all their correspondents, as they connect to the Internet. [...]

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