Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 {"id":10616,"date":"2018-05-14T15:55:31","date_gmt":"2018-05-14T13:55:31","guid":{"rendered":"https:\/\/www.3-min.info\/wp_201802\/?p=10616"},"modified":"2018-06-01T18:32:37","modified_gmt":"2018-06-01T16:32:37","slug":"gestion-de-la-qualite-plutot-que-rabais-mesquins","status":"publish","type":"post","link":"https:\/\/3-min.info\/fr\/2018\/05\/14\/gestion-de-la-qualite-plutot-que-rabais-mesquins\/","title":{"rendered":"Gestion de la qualite plut\u00f4t que rabais mesquins"},"content":{"rendered":"

\u00abMoins d\u2019h\u00f4pitaux ! Moins de caisses ! Plus de contr\u00f4les !\u00bb Ce titre figure en caract\u00e8res gras dans le Blick du 18 avril, au-dessus d\u2019une interview de l\u2019\u00e9conomiste de la sant\u00e9 Heinz Locher. Il demande au peuple de renverser le cartel que constitue la conf\u00e9d\u00e9ration, des cantons et des caisses maladie, et il se plaint du manque de connaissances en \u00e9conomie de la sant\u00e9 manifest\u00e9 par les caisses maladie. Ce manque de connaissance, accompagn\u00e9 d\u2019une certaine facilit\u00e9, ont amen\u00e9 les caisses \u00e0 ne pas conduire de politique de la sant\u00e9 mais \u00e0 se comporter comme de simples bureaux de paiement.<\/strong> C\u2019est alarmant. Et Heinz Locher demande plus de contr\u00f4les de qualit\u00e9 de la part de la Conf\u00e9d\u00e9ration.<\/p>\n

Le point remarquable de cet article est que, pour une fois, il ne s\u2019attaque pas uniquement aux prix des m\u00e9dicaments.<\/p>\n

Le r\u00f4le tenu par les caisses maladie est effectivement alarmant. Bien que leurs patrons per\u00e7oivent des salaires correspondant \u00e0 ceux des managers de grandes entreprises, ils pr\u00e9sentent des bilans de performance bien maigres. La cheffe de Sant\u00e9suisse la premi\u00e8re, qui fait comprendre lors de ses interventions publiques qu\u2019elle ne semble pas int\u00e9ress\u00e9e \u00e0 d\u00e9ployer de s\u00e9rieux efforts afin de r\u00e9aliser des am\u00e9liorations. Son r\u00e9pertoire se limite \u00e0 la pr\u00e9sentation d\u2019\u00e9tudes douteuses contenant de scandaleuses comparaisons de prix avec l\u2019\u00e9tranger et des montants fantaisistes en centaines de millions comme possibilit\u00e9s d\u2019\u00e9conomies all\u00e9gu\u00e9es.<\/p>\n

Une gestion efficace de la qualit\u00e9 serait importante pour l\u2019ensemble du syst\u00e8me de sant\u00e9, mais cela n\u00e9cessite des comp\u00e9tences. Cela pourrait se r\u00e9aliser en coop\u00e9ration avec les partenaires. Au lieu de \u00e7a, on parle toujours moins de gestion de la qualit\u00e9 et bient\u00f4t uniquement de rabais.<\/p>\n

Il faut par exemple soutenir toujours plus les cercles de qualit\u00e9 qui r\u00e9unissent d\u00e9j\u00e0 m\u00e9decins et pharmaciens dans de nombreux endroits. Et nous avons besoin de projets pilotes pour am\u00e9liorer la qualit\u00e9 et renforcer la coop\u00e9ration entre les prestataires de services. Mais les compagnies d\u2019assurance maladie sont particuli\u00e8rement avares, m\u00eame s\u2019il existe un fonds destin\u00e9 \u00e0 de tels projets. Il est toujours bloqu\u00e9 et l\u2019on ne parle pas de cet argent disponible. \u00a0Cette attitude est incompr\u00e9hensible et t\u00e9moigne du manque de volont\u00e9, et peut-\u00eatre aussi du manque de connaissances techniques, de la part de ces comptables. Ils pr\u00e9f\u00e8rent assurer la promotion de l\u2019inqualifiable envoi postal de m\u00e9dicaments et favoriser ainsi la consommation incontr\u00f4l\u00e9e (aucun conseil par une sp\u00e9cialiste) et excessive (r\u00e9trocommissions du commer\u00e7ant par correspondance au m\u00e9decin prescripteur) de m\u00e9dicaments.<\/p>\n

La responsabilit\u00e9 envers l\u2019assur\u00e9 semble diff\u00e9rente. <\/a><\/p>\n

Si les comptables ne veulent pas s\u2019en charger, nous pouvons \u00e9conomiser leurs salaires. Il est aussi possible de faire contr\u00f4ler des factures \u00e0 Calcutta. Et l\u00e0-bas, c\u2019est moins cher.<\/a><\/p>\n

https:\/\/www.blick.ch\/news\/wirtschaft\/heinz-locher-praemienzahler-sind-opfer-einer-falschen-gesundheitspolitik-id8266716.html<\/a><\/p>\n

24 avril 2018<\/p>\n

Foto \u00a9 Colours Pic Fotolia.com<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00abMoins d\u2019h\u00f4pitaux ! Moins de caisses ! Plus de contr\u00f4les !\u00bb Ce titre figure en caract\u00e8res gras dans le Blick du 18 avril, au-dessus d\u2019une […]<\/p>\n","protected":false},"author":5,"featured_media":10614,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[19],"tags":[48,47],"class_list":["post-10616","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee","tag-baisses-de-prix","tag-prix-des-medicaments"],"jetpack_featured_media_url":"https:\/\/www.3-min.info\/wp_201802\/wp-content\/uploads\/2018\/04\/Fotolia_78425746_XS-1.jpg","_links":{"self":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/10616","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/comments?post=10616"}],"version-history":[{"count":1,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/10616\/revisions"}],"predecessor-version":[{"id":10617,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/10616\/revisions\/10617"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media\/10614"}],"wp:attachment":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media?parent=10616"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/categories?post=10616"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/tags?post=10616"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}