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Citations since 2017
Introduction
Most of my research work currently focuses on the identification and evaluation of the organizational impacts of health technologies (drugs, medical devices) or on the maturity of integrated care.
Skills and Expertise
Publications
Publications (17)
Objective: The French health technology assessment (HTA) agency initiated a research between 2018 and 2019 with the aim of determining whether other HTA organizations (agencies, bodies, institutes, and expert networks) and researchers had developed an evaluation framework of organizational impacts (OIs).
Methods: Three types of investigation were c...
Il n’est pas écrit que la réduction des effectifs soit le moteur du développement de la digitalisation et qu’il faille tant redouter une menace pour les emplois en Suisse ...https://www.letemps.ch/opinions/digitalisation-detruitelle-emplois
Une équipe de chercheurs de la HEIG-VD a accompagné deux entreprises manufacturières de l'horlogerie et du matériel médical dans le développement et l'implémentation d'une technologie de digitalisation de leur ligne de production. L'étude révèle que la complexité de ce type de projet est minimisée. L'évaluation anticipée des impacts organisationnel...
Supply chain digitalisation equipment's raise concerns for hospital decision-makers, especially regarding the cost-efficiency ratio, usually evaluated through health technologies assessments (HTA) at a national level or by return on investment (ROI) calculations by the hospital finance department. Unfortunately, none of the two methods identifies o...
La robotisation des pharmacies hospitalières est en plein développement. Ces solutions améliorent non seulement la sécurité du circuit du médicament et les flux de la dispensation médicamenteuse mais également la performance des établissements, dans un contexte permanent de tension budgétaire. Ce dernier amène toutefois de nombreuses Directions d‘é...
The theory of disruptive innovation, developed by Clayton M. Christensen, is not widely used by health economists because it is outside their traditional analytical framework. Applied to the field of health, however, it provides a completely new perspective on the responses that could be considered to achieve a less costly but better quality health...
The effects on the cost and the length of hospital stay of inpatients who have a lower or a precarious socioeconomic status were studied by the Mission PMSI (French DRG office), in the French health ministry, in 1998. This enquiry was carried out in about twenty public hospitals, over 3 months. 55.625 hospital stays were integrated in the database...
Objectives: The aim of this study was to develop a medico-economic classification to describe the emergency department activities. As any casemix system, the emergency visit groups, called GPU (Groupes de Passage aux Urgences), had to be resource homogeneous, clinically meaningful and contain adequate number of classes. Then, the system of GPU had...
Cette recherche a pour objectif de mod�liser l'h�t�rog�n�it� de l'activit� hospitali�re afin d'am�liorer la r�gulation hospitali�re tant en externe qu'en interne dans une double perspective d'efficacit� et d'�quit�. La premi�re partie, rappelle les fondements th�oriques d'une telle r�gulation et d�bouche sur l'�laboration d'un mod�le pour l'analyse...
After the implementation of the Medicare Prospective Payment System (PPS) in the USA, many European countries like France have introduced DRGs to curb hospital overspending. However, there has been some reluctance from hospital actors, especially because of the heterogeneous nature of DRG's. To analyse this situation, we propose a method based on d...
We propose here a structural and conjunctural compensation method to improve budgetary allocation which could be based on Diagnosis Related Groups. This method consists in the determination of sub-group costs within DRGs. The specification of these sub-groups is possible by introducing clinical and social parameters in the statistical model. Hospit...
Thesis (doctoral)--Université de Bourgogne, 1998.
Projects
Projects (5)
3 pôles de santé vaudois vont implémenter SCIROCCO-POL. Cet outil de gestion et de pilotage innovant 1) mesurera leur performance en matière d'organisation de soins intégrés, 2) créera une démarche d'amélioration continue et 3) apportera aux autorités de santé des réponses concernant leur pertinence.
Le projet réunit 5 partenaires au total : 2 académiques [HES-SO/HEIG-VD/IIDE (chef de projet), Unisanté] et 3 pôles santé (RSBJ, PSPE, PSVJ).
Le projet de recherche « EvalUp-DM » vise à développer un questionnaire, scientifiquement robuste, permettant d’évaluer les impacts organisationnels d’un nouveau dispositif médical (DM), perçus par des soignants, utilisateurs de ce type de technologie de santé.
Analyse détaillée des systèmes de régulation, de financement et de coordination au sein d'une région du Canton de Vaud,
Cartographie et organisation des acteurs, comparaison avec d'autres cantons romands,
Identification de sources de création de valeur et des opportunités / freins au développement d'innovations.
