Approche systémique pour la gouvernance des systèmes de santé from edX

Comment faire pour renforcer la première ligne de soins ?
Comment accompagner les réformes qui aboutissent à une réduction de séjour hospitalier ?
Que mettre en place comme modalités d’accompagnement pour des personnes âgées vivant à domicile, en perte d’autonomie ? Créer plus de maison de repos ou développer des services à domicile ?

Ces questions illustrent des décisions parfois difficiles à prendre pour assurer en même temps les meilleurs services de santé possibles et une gestion réaliste des ressources disponibles.

Vous êtes impliqué*e dans la gestion, le management ou la coordination de réseaux de soins, de systèmes locaux de santé, d’un organisme médico-social, d’un hôpital, d’une maison de repos, d’une maison médicale, d’ONG... ? Ces questions vous sont sans doute familières. Et si vous appreniez à les examiner sous un nouvel angle?

Les enjeux et les réformes actuelles dans l’organisation des soins de santé mettent en avant le besoin depenser différemmentla gouvernance des soins de santé. On s’accorde aujourd’hui sur l’importance de ne pas se limiter à une approche de causalité linéaire centrée sur l’identification d’interventions efficaces. Reconnaitre la complexité de différentes situations dans une approche systémique s’avère plus porteur. Ce cours vous propose une méthode et des outils pour analyser et améliorer la gouvernance des systèmes de santé dans le cadre d’une approche systémique.

À partir de cas concrets, vous découvrirez des concepts et des modèles théoriques qui transformeront votre regard sur ces situations. Vous développerez une compréhension systémique des dynamiques en jeu et des interactions entre agents et caractéristiques du système. Vous pourrez alors penser et accompagner des changements de système.

Vous serez invité*e à appliquer cette démarche à des situations problématiques issues de votre propre contexte et à collaborer à leur analyse systémique avec les autres apprenants. Si vous choisissez la trajectoire certifiante, vous aurez l’occasion de mener une analyse complète de votre projet personnel avec l’équipe enseignante.

What's inside

Learning objectives

Identifier les situations de santé pouvant bénéficier d’une approche systémique
Modéliser ces situations complexes sous la forme d’un système de service de santé faisant interagir les différents acteurs en interdépendance
Analyser un système de services de santé de façon à y repérer les sources d’inefficacité

Planifier la mise en place d’un changement de dynamique qui entrainera une meilleure efficacité du système.
Au terme de ce cours, vous serez capables de:

Identifier les situations de santé pouvant bénéficier d’une approche systémique
Modéliser ces situations complexes sous la forme d’un système de service de santé faisant interagir les différents acteurs en interdépendance
Analyser un système de services de santé de façon à y repérer les sources d’inefficacité
Planifier la mise en place d’un changement de dynamique qui entrainera une meilleure efficacité du système.
Au terme de ce cours, vous serez capables de:

Syllabus

Introduction générale : Approche systémique - dans quels cas l'utiliser ?

Module 1 : Définir et délimiter le système à partir du processus de soins

Analyser le processus de soins

Analyse de situation centrée sur le processus de soins

Processus de soins, cours de la vie et communauté

Module 2 : Développer une théorie de changement

Histoire d’un changement observé

Concepts utiles : système complexe adaptatif et gouvernance centrée sur une situation

Théorie de changement dans son approche classique

Module 3 : Le mécanisme comme source majeure d'apprentissage sur le système

Concepts utiles : réalisme critique, mécanismes et modèles

Logique participative pour identifier un mécanisme : raconter une histoire et construire un BOTG

Logique théorique pour identifier un mécanisme : comment identifier des théories à moyenne ou plus large portée

Module 4 : Dynamique du système, comportement des agents et interactions

Principes de modélisation centrée agents

Décrire un système centré agents : les diagrammes UML

Utilisation de Netlogo pour élaborer une simulation ABM

Module 5 : Comprendre la dynamique du système au travers des mécanismes en jeu

Analyse de la dynamique globale du système

Construire un modèle de dynamique globale du système

Utilisation de Vensim

Good to know

Know what's good

, what to watch for

, and possible dealbreakers

Covers topics that are relevant for analyzing and improving complex health systems

Provides a framework for understanding the dynamics and interactions within health systems

Offers practical tools and methods for developing effective strategies for system change

Instructors have extensive experience and expertise in health systems analysis and improvement

Appropriate for professionals involved in healthcare management, policy development, and service delivery

Requires familiarity with basic concepts of health systems and healthcare management

Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in Approche systémique pour la gouvernance des systèmes de santé with these activities:

Review systems thinking

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Review key concepts of systems thinking, such as system dynamics, feedback loops, and emergent behavior. This will help you understand the complex interactions within healthcare systems and prepare you for the course materials.

Browse courses on System Thinking

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Read articles and textbooks on systems thinking
Attend an online workshop or webinar on systems thinking
Identify examples of systems thinking in your own work or personal life

Discuss governance challenges with peers

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Discussing governance challenges with peers will help you gain different perspectives and learn from the experiences of others.

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Find a group of peers who are also interested in governance.
Meet regularly to discuss governance challenges and share ideas.

Practice applying governance models to case studies

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Practicing applying governance models to case studies will help you develop your critical thinking and problem-solving skills.

Browse courses on Governance Models

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Find a case study of a governance issue.
Identify the relevant governance models that could be applied to the case study.
Apply the governance models to the case study and analyze the results.

Three other activities

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Develop a conceptual model of a healthcare system

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Create a visual representation of a healthcare system, including its key components, relationships, and processes. This will help you visualize and analyze the system in a holistic way.

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Identify the boundaries and scope of the healthcare system you want to model
Identify the key components of the system, such as patients, providers, payers, and policymakers
Identify the relationships and interactions between the components of the system
Create a visual representation of the system, such as a diagram or flowchart

Analyze case studies of healthcare systems

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Examine real-world examples of healthcare systems to identify their strengths, weaknesses, and areas for improvement. This will help you develop your critical thinking and problem-solving skills.

Browse courses on Case Study Analysis

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Read case studies of healthcare systems
Identify the key issues and challenges faced by the healthcare systems in the case studies
Develop recommendations for improving the healthcare systems in the case studies

Write a blog post about a governance topic

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Writing a blog post about a governance topic will help you synthesize your understanding of the course material and share your knowledge with others.

Browse courses on Governance

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Choose a governance topic that you are interested in.
Do some research on the topic.
Write a blog post about the topic.

Career center

Learners who complete Approche systémique pour la gouvernance des systèmes de santé will develop knowledge and skills that may be useful to these careers:

Healthcare Administrator

Healthcare Administrators plan, direct, and coordinate the delivery of healthcare services in hospitals, clinics, and other healthcare settings. The course on Approche systémique pour la gouvernance des systèmes de santé will provide you with the knowledge and skills you need to succeed in this role. The course will help you understand the complex factors that affect the delivery of healthcare services and the strategies you can use to improve quality and efficiency.

See salaries and explore the career path for Healthcare Administrator

Health Economist

Health Economists apply economic principles to the analysis of health care systems. They study the cost and effectiveness of different health care interventions and make recommendations on how to improve the efficiency of health care delivery. The course on Approche systémique pour la gouvernance des systèmes de santé will provide you with the knowledge and skills you need to succeed in this role. The course will help you understand the complex factors that affect the cost and effectiveness of health care interventions.

See salaries and explore the career path for Health Economist

Public Health Administrator

Public Health Administrators plan, implement, and evaluate public health programs and services. They work to protect and improve the health of communities. The course on Approche systémique pour la gouvernance des systèmes de santé will provide you with the knowledge and skills you need to succeed in this role. The course will help you understand the complex factors that affect the health of communities and the strategies you can use to improve public health.

See salaries and explore the career path for Public Health Administrator

Quality Improvement Specialist

Quality Improvement Specialists work to improve the quality of healthcare services in hospitals, clinics, and other healthcare settings. They identify and implement strategies to improve patient care, reduce costs, and increase efficiency. The course on Approche systémique pour la gouvernance des systèmes de santé will provide you with the knowledge and skills you need to succeed in this role. The course will help you understand the complex challenges facing healthcare systems and the strategies you can use to improve quality of care.

See salaries and explore the career path for Quality Improvement Specialist

Health Policy Analyst

Health Policy Analysts research and analyze healthcare policies and programs. They make recommendations to policymakers on how to improve the healthcare system. The course on Approche systémique pour la gouvernance des systèmes de santé will provide you with the skills you need to succeed in this role. The course will help you understand the complex factors that affect the development and implementation of healthcare policies.

See salaries and explore the career path for Health Policy Analyst

Nurse Manager

Nurse Managers are responsible for the day-to-day operations of a nursing unit in a hospital or other healthcare setting. They supervise nurses and other healthcare professionals and ensure that patients receive high-quality care. The course on Approche systémique pour la gouvernance des systèmes de santé will provide you with the knowledge and skills you need to succeed in this role. The course will help you understand the complex challenges facing healthcare systems and the strategies you can use to improve patient care.

See salaries and explore the career path for Nurse Manager

Physician Assistant

Physician Assistants are licensed healthcare professionals who work under the supervision of a physician. They provide a wide range of medical services, including diagnosing and treating illnesses, prescribing medications, and performing certain procedures. The course on Approche systémique pour la gouvernance des systèmes de santé will provide you with the knowledge and skills you need to succeed in this role. The course will help you understand the complex challenges facing healthcare systems and the strategies you can use to improve patient care.

See salaries and explore the career path for Physician Assistant

Medical Director

Medical Directors are responsible for the overall medical care of patients in a hospital or other healthcare setting. They oversee the work of other physicians and healthcare professionals and ensure that patients receive high-quality care. The course on Approche systémique pour la gouvernance des systèmes de santé will provide you with the knowledge and skills you need to succeed in this role. The course will help you understand the complex challenges facing healthcare systems and the strategies you can use to improve patient care.

See salaries and explore the career path for Medical Director

Social Worker

Social Workers help people cope with personal and social problems. They provide counseling, case management, and other services to individuals, families, and groups. The course on Approche systémique pour la gouvernance des systèmes de santé may be useful for Social Workers who want to specialize in healthcare social work. The course will provide you with a deep understanding of the complex issues facing healthcare systems and the strategies you can use to help patients and families cope with illness.

See salaries and explore the career path for Social Worker

Writer

Writers create written content for a variety of purposes, including healthcare. The course on Approche systémique pour la gouvernance des systèmes de santé may be useful for Writers who want to specialize in healthcare writing. The course will provide you with a deep understanding of the complex issues facing healthcare systems and the tools you need to develop effective written materials for healthcare organizations.

See salaries and explore the career path for Writer

Consultant

Consultants provide expert advice to businesses and organizations on a wide range of topics, including healthcare. The course on Approche systémique pour la gouvernance des systèmes de santé may be useful for Consultants who want to specialize in healthcare consulting. The course will provide you with a deep understanding of the complex issues facing healthcare systems and the tools you need to develop effective solutions.

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Systems Analyst

Systems Analysts design and implement computer systems to meet the needs of businesses and organizations. The course on Approche systémique pour la gouvernance des systèmes de santé may be useful for Systems Analysts who want to specialize in healthcare systems. The course will provide you with a deep understanding of the complex issues facing healthcare systems and the tools you need to develop effective solutions.

See salaries and explore the career path for Systems Analyst

Teacher

Teachers educate students in a variety of subjects, including healthcare. The course on Approche systémique pour la gouvernance des systèmes de santé may be useful for Teachers who want to specialize in healthcare education. The course will provide you with a deep understanding of the complex issues facing healthcare systems and the tools you need to develop effective educational programs.

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Research Scientist

Research Scientists conduct research to advance scientific knowledge and develop new technologies. They work in a variety of fields, including healthcare, energy, and the environment. The course on Approche systémique pour la gouvernance des systèmes de santé may be useful for Research Scientists who want to specialize in healthcare research. The course will provide you with a deep understanding of the complex issues facing healthcare systems and the tools you need to develop effective solutions.

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Web Developer

Web Developers design and develop websites. The course on Approche systémique pour la gouvernance des systèmes de santé may be useful for Web Developers who want to specialize in healthcare websites. The course will provide you with a deep understanding of the complex issues facing healthcare systems and the tools you need to develop effective websites for healthcare organizations.

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Approche systémique pour la gouvernance des systèmes de santé

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