Zusammenfassung
Die Zusammenarbeit zwischen den Praktikern der ambulanten Versorgung (Ärzte und andere Medizinalberufe) ist noch wenig untersucht. Dieser Aspekt der Gesundheitsökonomie begegnet indessen zunehmendem Interesse. Er betrifft wichtige Probleme der Organisation der Versorgung, die Entscheidungen über Qualität und Wirtschaftlichkeit zugleich anbelangen. Ein wichtiger und unausweichlicher Widerspruch folgt aus der Forderung sowohl eine qualitativ hervorragende — das heisst spezialisierte — wie eine ganzheitliche und kontinuierliche Betreuung anzustreben.
Résumé
La collaboration entre les praticiens ambulatoires (médicaux et paramédicaux) est encore peu étudiée. Cet aspect de l'économie sanitaire suscite pourtant un intérêt croissant; il concerne en effet d'importants problèmes d'organisation du secteur ambulatoire, impliquant à la fois des choix qualitatifs et économiques. Un aspect fondamental est la contradiction relativement inévitable entre deux impératifs: la qualification spécialisée du prestataire requis d'une part, la souhaitable continuité des soins d'autre part.
Summary
There are still few studies about the collaboration between ambulatory practitioners (physicians and paramedical services). Nevertheless, the interest seems to be growing for this aspect of health care; it involves indeed basic organisational problems as well as fundamental questions about quality of care and its economic implication. A basic problem is rooted in the inevitable contradiction of the efforts towards a highly qualified-i. e. specialised-care on the one hand and those towards continuity on the other hand.
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Ce travail entre dans le cadre du projet «Quantification et qualification des prestations de soins ambulatoires» du PNR 8 du Fonds national suisse de la recherche scientifique (Requête No. 4.356.0.79.08 - requérant responsable: Dr J. Martin).
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Paccaud, F., Pult, G. Note méthodologique sur la collaboration entre praticiens dans le secteur ambulatoire. Soz Präventivmed 26, 49–51 (1981). https://doi.org/10.1007/BF02076316
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DOI: https://doi.org/10.1007/BF02076316