Contents. Acknowledgments... Preface... xiii. Part 1. Health Technology Coordination Approach Introduction to Part

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1 Contents Acknowledgments... xi Preface... xiii Part 1. Health Technology Coordination Approach Introduction to Part Chapter 1. Forward Vision of Technologies and Health Knowledge Robert PICARD 1.1. Issue: justifying the value of health technologies Which technologies for which health knowledge? Contribution of technologies to health knowledge Facts and actions Representations Emotions and intersubjectivity Learning transformations Economic issues The data question Models versus data mining Big Data Open public data (Open Data) Ecological data and Living Labs Evaluation data: conditions for feedback Data qualification Conclusion References

2 vi Health Efficiency Chapter 2. Coordination Between Professionals: a Public Health Issue Gérard MICK, Mario DEBELLIS, Marc WEISSMANN, Michel SABY and Alexandra GENTHON 2.1. Circumscribing the notions of coordination, pathways and complexity Identifying the structural elements of pathway coordination Mobilizing together Coordinate around the person An interpretation of reality Lack of sharing and exchanges between professionals Versatility and overlay of diagnostics Telescoping medical positions References Part 2. Optimization of Flows within a Hospital Introduction to Part Chapter 3. Decision Support Methods for Efficient Flow Management in Medical Device Sterilization Departments Maria DI MASCOLO 3.1. Context and motivation Sterilization departments for medical devices Our contributions Field study and performance evaluation of a sterilization department Simulation model Results Our outlook References Chapter 4. Prediction of Hospital Flows Based on Influenza Epidemics and Meteorological Factors Radia SPIGA, Mireille BATTON-HUBERT and Marianne SARAZIN 4.1. Introduction Method The data

3 Contents vii Data processing Data analysis Results Description of the data Correlations between variables ANOVA Principal component analysis Classification Discriminant factor analysis Markov chain prediction Discussion Conclusion References Part 3. Oncology and Technology Introduction to Part Chapter 5. Cancer Care Pathway: How Technological Advances are Helping to Address Coordination Challenges Mario DI PALMA 5.1. Contextual element: current management of cancer patients Challenges of the development of ambulatory care Care pathway Inter-functional coordination Patient-reported outcome (PRO) information Limits of coordination and the place of communication tools Specifications for communication tools? What are the guidelines for connected tools? Internet-connected tools and information systems Digital tools and the human element Coordinated follow-up, Internet-connected medicine and impact on patient survival Conclusion References

4 viii Health Efficiency Chapter 6. Optimization Issues in Chemotherapy Delivery Jean-Charles BILLAUT, Virginie ANDRÉ, Yannick KERGOSIEN and Jean-François TOURNAMILLE 6.1. Background presentation Production planning issues Modeling the scheduling problem Complete model Scale model used Implementation and impact Problem linked to the consideration of residues Presentation of the problem Special case: one machine and one product General case Consideration of distribution Presentation of the problem Special case: flow shop workshop and a single vehicle General case Conclusion Acknowledgments References Part 4. Age-appropriate Technologies Introduction to Part Chapter 7. Comparison of Two Hospitalization Admission Pathways in Geriatrics, Either Directly through a Telephone Line or Hotline or After a Visit to an Emergency Department Laure MARTINEZ, Marie-Ange BLANCHON, Thomas CELARIER and Marianne SARAZIN 7.1. Introduction Materials and methodology How the hotline works Population studied Variables studied Comparison of the two types of pathways Statistical analysis Study results Socio-demographic characteristics and care pathways of the population studied

5 Contents ix Comparison of pathways according to the two hospitalization admission modes Discussion Limits Additional work in progress Conclusion References Chapter 8. Therapeutic Education for the Patient over 75 Years Old Living at Home Justine DIJON, Marianne SARAZIN, Vincent AUGUSTO, Thomas FRANCK and Régis GONTHIER 8.1. Introduction Materials and methodology Study type Population studied The study process Data collected Economic evaluation Statistical tests Ethical considerations Results Patient characteristics Evaluation of inclusion criteria at 3 months and 6 months Therapeutic reorientation and lost to follow-up Cost evaluation for each branch of the study Discussion Conclusion References Part 5. The Health Network Introduction to Part Chapter 9. The Evolution of the Economic Model of the Health Network in France: Challenges and Prospects Aline LEMEUR 9.1. Introduction Theoretical framework: resource dependence

6 x Health Efficiency Dependence-generating factors Reducing factors of dependence Empirical study: gerontological health networks in Île-de-France Methodology Interpretation of results Dependence on the resources of the gerontological health network in Île-de-France Conclusion Avenues for reflection References Chapter 10. Primary Care Electronic Health Data: Good to the Last Byte Richard BIRTWHISTLE Introduction The Canadian Primary Care Sentinel Surveillance Network (CPCSSN) EMR data limitations Chronic disease surveillance Research Quality improvement and practice feedback References Conclusion List of Authors Index