Université Sorbonne-Paris-Cité (USPC) (the community of universities) and the EHESP have come together to create a Chair dedicated to ‘Health Management’ research, as part of the future investments programme (FIP) on the national plan.
This Chair, which will receive 3-years’ financing, is set up at the Institute of Management, research training centre ‘Health organisation management’ (EA 7348 MOS) at the EHESP.
Jean-Marie Januel is holder of the chair. He is a doctor of epidemiology, public health and health economy.
The ambition of the chair is to develop an innovative research programme on health care services (HSR) and their contribution in terms of clinical, strategic and health economy decision-making.
Its objectives are to promote research and development of the managerial aspects of the indicators used to improve health care performance, including the following questions:
- metrology of health care performance (models, data and indicators);
- identification and interpretation of human organisational factors likely to contribute to improving health care performance;
- challenges and study of geographic, ethical, social and economic factors relating to the health care offer and access to health care within the country.
The Chair should also make it possible to reinforce interaction between research, clinical practice and decision-making aspects of health care organisation, through the development of teaching for both students and those in the field (carers and managers), while encouraging exchanges and interdisciplinary partnerships at national and international level.
Health care services are at the dawn of major challenges relating to the changes in the health care field over the last decades: technical progress of medicine, demographic changes and health care demand, capacity of health care systems to produce evidence-informed public health, patient-oriented interdisciplinary approach and health care pathways. And the major structural and organisational changes in the health care system suggest that it has become necessary to develop new health care management approaches.
From a more stable model, mainly based on hospital stays in acute care, new needs mean it is necessary to move on to a system based on greater flexibility in the development of increasingly complex health care pathways due to the emergence of chronic diseases and ageing of populations.
A prospective and more responsive approach model
Standard patient safety management models are therefore inexorably affected. In effect, patient safety approaches have significant limits in terms of improvement of safety from a general standpoint. Until now they were mainly directed at measuring errors and/or damages arising during stays in acute care.
New models should be thought up, taking tightened prevention of potentially avoidable risks and anticipated control of unavoidable risks (secondary and tertiary prevention) into account
The Chair’s scientific and research programme was created on the basis of development of a prospective and more responsive approach model, with the main aim of preventing/better acknowledging the negative consequences of care, throughout the health care pathway.
Several research challenges have been identified, which define the Chair’s 3 main research areas:
- metrological (including questions concerning the availability and quality of data, methods and analysis models),
- cultural and interdisciplinary (on the organisation of health care systems and behaviour of health care professionals, especially with respect to care practices and reporting),
- ethical, geographical and economical (including country-wide issues in terms of the health care offer and access to health care).