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Intégration entre services hospitaliers : management des opérations en cancérologie

Abstract : This dissertation addresses the challenge of coordinating hospital services. We take an integrated view on care delivery and the various units involved in a care process, with a case study in outpatient chemotherapy process at Henri Mondor hospital, Créteil, France. We tackle three research questions :1. How should a change program in a multi-department setting be designed and managed?2. How can one improve outpatient chemotherapy delivery?3. Why do strategic plans look so disconcerting and disappointing in public academic medical centers, compared to otherindustrial organizations, when similar methods are applied?Our main research method is action-research. During reorganization projects, we adapt and combine methods from operational research and industrial engineering in order to integrate hospitals’ specificities. We propose and evaluate reorganisation methods focused on interdepartmental coordination, and we contribute to a better knowledge of the specific environment of hospitals, which is quite different from the contexts in which industrial engineering traditionally developed.
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Submitted on : Monday, July 10, 2017 - 2:45:07 PM
Last modification on : Saturday, May 8, 2021 - 3:40:30 AM
Long-term archiving on: : Friday, January 26, 2018 - 3:58:51 PM


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  • HAL Id : tel-01559180, version 1


Guillaume Lamé. Intégration entre services hospitaliers : management des opérations en cancérologie. Autre. Université Paris Saclay (COmUE), 2017. Français. ⟨NNT : 2017SACLC027⟩. ⟨tel-01559180⟩



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