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Pierre-Henri Bréchat, Alain Jourdain

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |July 25, 2020
    PubMed
    Summary

    Regional Health Projects (RHP) in France show weak problem formulation and justification due to challenges integrating diverse stakeholder perspectives. Improved methods and training are needed for effective health policy implementation.

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    Area of Science:

    • Public Health Policy
    • Health Systems Management
    • Regional Health Planning

    Background:

    • The Regional Health Project (RHP) is central to French regional health policy development.
    • RHPs involve preparation, diagnosis, and prioritization stages with diverse institutional actors.
    • Understanding actor involvement across RHP stages is crucial for effective health system building.

    Purpose of the Study:

    • To analyze the implementation of RHPs in two French regions.
    • To assess how regional actors perceived the RHP implementation process.

    Main Methods:

    • Focused on RHP implementation process, diagnosis, and problem identification.
    • Included development of priorities, objectives, resource allocation, and evaluation.
    • Conducted in two medium-sized French regions from 2011-2015.

    Main Results:

    • RHP problem formulation was general; priorities/objectives lacked strong justification.
    • Resource allocation and evaluation were inadequately addressed.
    • Weaknesses stem from difficulties integrating administrative, managerial, and democratic views with regional care practices.

    Conclusions:

    • A detailed method integrating public policy representations is needed before formal planning.
    • Harmonization of methodology and terms is essential.
    • Development of targeted training and research is recommended.

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