Antras-Ferry J, Laprérie A L, Gravoueille E, Guibert H, Lacaze G, Lambert H, Mariaux C, Hossler V, Stora O, Lombrail P, Trochu J N
Respecti-Coeur, CHU de Nantes, hôpital G.-et-R.-Laennec, boulevard Jacques-Monod, 44800 Saint-Herblain, France.
Ann Cardiol Angeiol (Paris). 2006 Jan;55(1):3-5. doi: 10.1016/j.ancard.2005.12.002.
Health care networks correspond to a form of horizontal and flexible organisation, which consists in dealing with complex problems of health and long-term care. Networks rest entirely on the mechanisms of coordination between the various actors of care, whose keystone is the medical information flow. The challenge of the health networks evaluation is to prove the added value of a network organization, instead of a conventional disease-centred health care. The evaluation of health care networks is legally required but not sustained by specialists. Evaluation must ensure the existence of a real management; measure the interest of health care professionals and the impact of the network on professional practices. Moreover, evaluation accompanies the development of the network and offers the advisability to the decision maker of obtaining a tool for control of management, i.e. an information tool and a decision-making help, with the aim of a continuous improvement of the quality of care. However the absence of formation of the medical coordinators to management, makes networks management problematic. Thus, health care networks cannot make the saving in a good administrative and management base. In the same way health care networks must obtain an information system adapted to their type of coordination, allowing the evaluation required by the financier.
医疗保健网络对应于一种横向且灵活的组织形式，其在于处理健康和长期护理的复杂问题。网络完全依赖于护理各参与者之间的协调机制，其中枢是医疗信息流。医疗保健网络评估的挑战在于证明网络组织而非传统的以疾病为中心的医疗保健的附加值。法律要求对医疗保健网络进行评估，但专家对此支持不足。评估必须确保存在真正的管理；衡量医疗保健专业人员的利益以及网络对专业实践的影响。此外，评估伴随网络的发展，并为决策者提供获取管理控制工具（即信息工具和决策辅助）的建议，目的是持续提高护理质量。然而，医疗协调员缺乏管理方面的培训，使得网络管理存在问题。因此，医疗保健网络无法在良好的行政和管理基础上实现节约。同样，医疗保健网络必须获得一个适合其协调类型的信息系统，以满足资助者要求的评估。
