Analysis of the French system for persons in complex situation in regard of the implementation of a public policy aiming to integrate health and social services
International Journal of Integrated Care, 31 December 2009 - ISSN 1568-4156
Conference abstract
Analysis of the French system for persons in complex situation in regard of the implementation of a public policy aiming to integrate health and social services
Dominique Somme, MD, PhD, Assistance Publique Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Service de Gériatrie, Paris France and Expert for the National Project Team, Ministère de la Santé et des Sports, Direction Générale de la Santé, Paris, France
Matthieu de Stampa, MD, PhD, Assistance Publique Hôpitaux de Paris, Hôpital Sainte Perrine, Service de Gériatrie, Paris France and Expert for the National Project Team, Ministère de la Santé et des Sports, Direction Générale de la Santé, Paris, France
Catherine Périsset, Expert Project Manager for the National Project Team, Caisse Nationale de Solidarité pour l'Autonomie, Paris, France
Olivier Dupont, MD, Project Responsable for the National Project Team, Caisse Nationale de Solidarité pour l'Autonomie, Paris, France
Joël Ankri, MD, PhD, Assistance Publique Hôpitaux de Paris, Hôpital Sainte Perrine, Service de Gériatrie, Paris France and Paris Versailles University, Paris, France
Olivier Saint-Jean, MD, PhD, Assistance Publique Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Service de Gériatrie, Paris France and Paris René Descartes University, Paris, France
Correspondence to: Dominique Somme, E-mail: dominique.somme@egp.aphp.fr
Abstract


Introduction: The French Alzheimer plan, states that one of its principle orientations is the implementation of ‘Homes for Integration and Autonomy for Alzheimer patients’. Alzheimer disease is taken as a model to implement integration for all persons in complex situation (handicap…).


Method: Seventeen experimental sites were selected in January 2009 for the first two years. They were selected by policy-makers taking into account the readiness of the local policy-makers to implement the program, the diversity of sizes of sites, the diversity of the experimentation leaders' organizational link (public administrations, not for profit organizations, private organizations) and the diversity of societal structure (rural, urban and mega-urban). The experimental sites were analyzed considering six components of integration: coordination boards, unique point of access, case-management, standardized assessment tool, individualized services plan and information system. A complete and computerized tool was specifically developed for the organizational diagnosis.


Results: During the session, results will be exposed. These results will give a contrasted image of the French system for persons in complex situation. The tool will be also exposed and the receptivity will be discussed.


Conclusion: The French Alzheimer plan gives a unique opportunity to have a portrait of the French system in regard of integration challenges.

Keywords
national public policy; Alzheimer disease; organizational tools; integrated health care networks; France

Presentation slides