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Une approche d'aide à la décision de la prise en charge des personnes âgées

Abstract : In France, elderly care is primarily intended for people aged 65 and over. It consists of hospital care (intra-hospital), and elder home care (extra-hospital) for patient in the territory closest to his / her own home. It organizes through the interweaving of several devices involving various actors (Ishii, 2013). The concept of Elder Home Care summarizes all practices implemented to support elderly people to continue living independently, despite their disabilities and aging. It constitutes an efficient alternative to reduce the pressure in hospital admissions (Crowley et al., 2016), and give the opportunity to improve elderly care continuity after their discharges from hospitals (Xiao et al. 2018). However, elder hospital care refers to the medical care, diagnostic testing, intensive treatment, or surgeries provided to the patient throughout the hospitalization process. The multiplicity of stakeholders, combined with the dynamic, unstructured information spread over a large amount of information systems, result in a new situation in which decision support systems become essential when making daily operational and collective decisions. Firstly, this paper introduces a decision support Framework that enables home care organizations to deploy their available resources more effectively with a multi-agent system paradigm. The addressed operational collective decision problem concerns the assignment and coordination of home caregivers from different organizations. Secondly, a decision support methodology for intra-hospital care based on quantitative techniques, and statistical method, is proposed. This methodology, allows the evaluation of elderly care pathways behavior.
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Fatima Ezzahra Hamdani. Une approche d'aide à la décision de la prise en charge des personnes âgées. Génie des procédés. Université de Lyon, 2018. Français. ⟨NNT : 2018LYSES059⟩. ⟨tel-02497689⟩



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