L'ouvrage analyse les évolutions d'un métier profondément transformé par les réformes successives de la fonction publique et de l'hôpital, ainsi que par le développement des nouvelles technologies. DRH est un métier riche et complexe, où la dimension humaine est essentielle, en prise directe avec les attentes, individuelles et collectives, des professionnels de l'hôpital public. C'est en pensant à celles et ceux qui aspirent à exercer des fonctions de responsable RH que huit experts en la matière ont écrit cet ouvrage, chacun apportant un éclairage particulier sur les différents domaines de compétences et de responsabilités qui caractérisent aujourd'hui le métier de DRH hospitalier : gestion territoriale, pilotage RH, management qualité de vie au travail, gestion statutaire, nouvelles technologies, affaires médicales, dialogue social. Huit regards différents rouis complémentaires pour une vision commune et partagée d'une direction des ressources humaines moderne, performante et garante des valeurs caractérisant la responsabilité sociale au sein des établissements hospitaliers. Le DRH hospitalier public pourra ainsi s'inspirer des meilleures pratiques pour continuer à réinventer son métier et à tracer son propre sillon.

Health systems should function in such a way that the amount of inappropriate care is minimized, while at the same time stinting as little as possible on appropriate and necessary care. The ability to determine and identify which care is overused and which is underused is essential to this functioning. To this end, the "RAND/UCLA Appropriateness Method" was developed in the 1980s. It has been further developed and refined in North America and, increasingly, in Europe. The rationale behind the method is that randomized clinical trials--the "gold standard" for evidence-based medicine--are generally either not available or cannot provide evidence at a level of detail sufficient to apply to the wide range of patients seen in everyday clinical practice. Although robust scientific evidence about the benefits of many procedures is lacking, physicians must nonetheless make decisions every day about when to use them. Consequently, a method was developed that combined the best available scientific evidence with the collective judgment of experts to yield a statement regarding the appropriateness of performing a procedure at the level of patient-specific symptoms, medical history, and test results. This manual presents step-by-step guidelines for conceptualising, designing, and carrying out a study of the appropriateness of medical or surgical procedures (for either diagnosis or treatment) using the RAND/UCLA Appropriateness Method. The manual distills the experience of many researchers in North America and Europe and presents current (as of the year 2000) thinking on the subject. Although the manual is self-contained and complete, the authors do not recommend that those unfamiliar with the RAND/UCLA Appropriateness Method independently conduct an appropriateness study; instead, they suggest "seeing one" before "doing one." To this end, contact information is provided to assist potential users of the method.

This book provides concise definitions for some 700 terms used in the diagnosis & classification of mental discorder. Now in its second edition, the lexicon has been revised & expanded to meet the practical need, in clinical work, teaching & research, for an explicit & authoritiative lexis of terms used in the chapter on mental & behavioral disorders of the 10th revision of the INTERNATIONAL STATISTICAL CLASSIFICATION OF DISEASES & RELATED HEALTH PROBLEMS(ICD-10). Most of the terms have been newly defined for the second edition, in line with the extensive revisions incorporated in ICD-10. Each term is defined as precisely & concisedly as possible. Where appropriate, the code number of the ICD-10 category in which the term appears is given as part of the entry. Alternative names, synonyms, & near-synonyms are also included. The lexicon represents a major step toward the achievement of an internationally-accepted nomenclature for mental disorders & should find wide application in clinical, teaching & research settings.

Based on Foucault's 1978 and 1979 lectures on rationalities of government, this work examines the art or activity of government and the different ways in which it has been made thinkable and practicable. There are also contributions of other scholars exploring modern manifestations of government.

The vital guide to reliable diagnosis and assessment of personality disorders internationally.