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Solange MENIVAL, Vice President in charge of Health, Social and Sanitary Careers

Analyse of the new models of management and health systems in Europe. Solange MENIVAL, Vice President in charge of Health, Social and Sanitary Careers Regional Council of Aquitaine, France 14th Ju ly 201 1 Sevill a, Spain. Aquitaine Region. Context in France.

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Solange MENIVAL, Vice President in charge of Health, Social and Sanitary Careers

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  1. Analyse of the new models of management and health systems in Europe Solange MENIVAL, Vice President in charge of Health, Social and Sanitary Careers Regional Council of Aquitaine, France 14th July 2011 Sevilla, Spain

  2. Aquitaine Region

  3. Context in France • Decrease of GDP in 2009 of 2,9% • Public deficit of 7,5% in 2009 • Objective of Stability Programme - deficit reduction to 3% in 2013 • Financial pressures of aging • Decrease of medical demography • Increase of hospitalisation (25% to avoid)

  4. Significant health spending Source: OECD

  5. Economic growth Source: OECD

  6. Monitoring action of the health spending • Parliament sets every year National Target of Insurance Health Spending (3% in 2010) • Control by action : decrease the reimbursement of primary care. • Elimination of undertaking of some chronic illness

  7. Willingness to evolve a hospital system based on • Law « Hospital, Patinets, Health, territories » from 2009 • Establishment of the Regional Health Agencies • Launching of the Shared Medical Record. To develop of information system • Support by the Shared Information System Agency (SISA or ASIP), implementation of reference et call projet (Aquitaine lead partner)

  8. What orientations of the Regional Council of Aquitaine ? • Collaboration with the Regional Digital Espace of Health (Télésanté) • Establishment of the entreprise cluster «e-health» by the Regional Council of Aquitaine. 50% of the national workforces • Political wilingness to joint actions and initiatives

  9. Toward what objectives? • Strengthen primary care • Develop inter-operability • Experiment the new compensation professionals • Experiment with the delegation of tasks among health care providers • Act on the work of Barbara Starfield: Access, Continuity, Coordination, Globality

  10. Innovate from the regional perspective, seeing health spending as a territorialinvestment • Develop of entreprises of new technologies : ex.Kilab et le Médoc • Objectives : • better coordination between family doctors, nurses, paramedic • for patient > 60 years, at home • using secure internet and mobile technologies • Today : 80 patients, 25 professionals • Objective : 200 patients, 100 professionals

  11. Conclusion and our convictions • Focus the innovative and territoral technologies to permit the reorganisation in France • Way to overcome the corporatist • Issues will be stronger than the threats • In a crisis, we must reverse the trend and turn threats into opportunities ... entreprise strategy "territorial"

  12. Thank you very much for your attention Regional Council of Aquitaine www.aquitaine.fr solange.menival@aquitaine.fr

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