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Theses

Modélisation et analyse de l'organisation et du fonctionnement des structures d'hospitalisation à domicile

Abstract : In response to the economic constraints but also to the demographic, epidemiological and technological trends, the health domain has evolved. In this context, the whole of the health organizations have to innovate and to reorganize. In this thesis, we are interested in the study of the home care organizations (HC) because of the paradox which characterizes them: although created almost fifty years ago, these organizations appeared, during this last decade, such a possible means of cost containment in the health domain while satisfying a good quality of service. Moreover, contrary to hospitals, the amount of existing operations management/operational research work is modest.
In this thesis, we are interested in three HC issues. The first is related to the core activity of the health professionals, namely the management of the patient's therapeutic project. An extension of the therapeutic project is presented making it possible to integrate the organizational aspect of the care delivery services. This proposed tool enables the coordination of the multidisciplinary actors implied in the care delivery process. Then, it was possible to have a vision multi-projects, and to represent the operations management functions related to the HC organizations. This modeling partially emanates from a comparative study between four HC organizations. Based on the main identified functions, cartography of the decisions is drawn up adopting various temporal levels. This visibility on the decisional system makes easier the identification of the critical problems interesting the HC organizations. The last problems deals with the production and the distribution of the anti-cancer drugs within chemotherapy at home context. The problem is formulated as a coupled production distribution problem.
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Submitted on : Friday, April 25, 2008 - 12:28:10 PM
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Salma Chahed - Jebalia. Modélisation et analyse de l'organisation et du fonctionnement des structures d'hospitalisation à domicile. Sciences de l'ingénieur [physics]. Ecole Centrale Paris, 2008. Français. ⟨tel-00275799⟩

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