Professional Documents
Culture Documents
2.rel Medic Pacient
2.rel Medic Pacient
&RPXQLFDUH0HGLFDOÅ
5(/$Ĥ,$0(',&ದ 3$&,(17
/DWXULOHSODQXULOHUHODĥLHLPHGLFSDFLHQW
H[LVWÅXQVFKLPEGHLQIRUPDĥLL°QWUHPHGLF܈LSDFLHQW
Æ UHODĥLHDVLPHWULFÅ
3ODQXO HPRĥLRQDO
WUDQVIHU
FRQWUDWUDQVIHU UÅVSXQVXOPHGLFXOXLODHPRĥLLOHSDFLHQWXOXL
HPSDWLH VWUÅGDQLDPHGLFXOXLGHDVHSXQH°QVLWXDĥLD
SDFLHQWXOXL FDSDFLWDWHDGHDDUÅWDDFHVWOXFUX
3ODQXO HWLFPRUDO
FRPSHWHQĥDSURIHVLRQDOÅ
FRQVLPĥÅP¤QWXOLQIRUPDW
XQLYHUVDOLVP
SÅVWUDUHDVHFUHWXOXLSURIHVLRQDO
FRQILGHQĥLDOLWDWH
VSHFLILFLWDWHIXQFĥLRQDOÅ
QHXWUDOLWDWHDIHFWLYÅ
VÅQXDVFXQGÅDGHYÅUXO
5ROXO VRFLDODOEROQDYXOXL
'UHSWXULGUHSWXOODDMXWRU
GUHSWXOODGHJUHYDUHGHUHVSRQVDELOLWÅĥL
2EOLJDĥLLREOLJDĥLDGHDVHDGUHVDPHGLFXOXLODSULPHOHVLPSWRPH ܈L
GHDFRRSHUD
REOLJDĥLDGHDFRQVLGHUDLQGH]LUDELOÅ VLWXDĥLDVDGHEROQDY
EROQDYXOWUHEXLHVÅYUHDಱVÅVHIDFÅELQHರ
5ROXOGHEROQDYHVWHXQXOGHGHYLDQWOHJLWLPDWVWDUHDVDGHERDOÅHVWH
R VWDUH GH LQFDSDFLWDWH GH GHYLDQĥÅ GH OD VWDUHD GH VÅQÅWDWH GDU
OHJLWLPDWÅFDDWDUHGHPHGLF
&RPXQLFDUHDPHGLFSDFLHQW
&RPXQLFDUHDYHUEDOÅ &9
PHGLFXOREĥLQHLQIRUPDĥLLSULYLQGERDOD
VLPSWRPHGHEXWLVWRULFVWLOXO UHJLPXOGH
YLDĥÅDOH SDFLHQWXOXLDY¤QGGUHSWVFRS
SUHFL]DUHDGLDJQRVWLFXOXLġLDWUDWDPHQWXOXL
3DUDOLPEDMXO HOHPHQWHOHGH&9SULQFDUH
PHVDMXOHVWHWUDQVPLVPDLQXDQĥDWH[WRQXO
YROXPXOULWPXOLQWRQDĥLDYRFLL
&RPXQLFDUHDQRQYHUEDOÅ &19
VHSHWUHFH °QDIDUDOLPEDMXOXLYHUEDOL]DWH[
FRQWDFWXOYL]XDOPLPLFDJHVWLFDSRVWXUD
DWLWXGLQHDYHVWLPHQWDĥLD
3ULQFLSLLOH&19
FRQWLQXÅ
°QPDUHPÅVXUÅ
LQFRQġWLHQWÅ
DXWHQWLFÅ
GHWHUPLQDWÅ
FXOWXUDO
LPSRUWDQWÅ°Q
FRPXQLFDUHD
VHQWLPHQWHORUġL
DWLWXGLQLORU
0HWDFRPXQLFDUHD
WHUPHQIRORVLWSHQWUXQLYHOXOVXJHUDW DOFRPXQLFăULL
ಱ°QĥHOHVXOFDUHDSDUH°QVSDWHOHFXYLQWHORUಯ
&DOLWÅĥLUHODĥLRQDOHQHFHVDUHPHGLFXOXL°Q
FRPXQLFDUHDFXSDFLHQWXO
FRQJUXHQĥDGLQWUHFRPXQLFDUHD
YHUEDOÅġLFHDQRQYHUEDOÅ
DWHQĥLHODPHVDMHOHQRQYHUEDOH
WUDQVPLVHGHSDFLHQW
DVFXOWDUHDDFWLYÅ
GLVSRQLELOLWDWHDGHFRPXQLFDUH
FXSDFLHQWXODGDSWDWÅOD
QLYHOXOGH°QĥHOHJHUHġL
HGXFDĥLHDOHDFHVWXLD
XWLOL]DUHDದ GHILHFDUHGDWÅ F¤QG
HSRVLELOD°QWUHEÅULORU
GHVFKLVH
DGDSWDUHDVWLOXOXLGHDQDPQH]Å
7LSXULGHDQDPQH]Å
$QDPQH]DಱWHKQLFLVWÅರ $QDPQH]DಱSVLKDQDOLWLFÅರ
°QWUHEÅULSUHFLVHODRELHFW °QWUHEÅULLPSUHFLVHPDLYDJLFDUH
DYDQWDMWLPSPLQLPQHFHVDUSHQWUX GDXSDFLHQWXOXLSRVLELOLWDWHDVÅVH
H[SULPHOLEHU
SXQHUHDGLDJQRVWLFXOXL
FURQRIDJÅ
GH]DYDQWDM QXSHUPLWHFDWKDUVLVXO DYDQWDMH
HPRĥLRQDOFDUHHVWHXQ HOHPHQW SHUPLWHFDWKDUVLVXO HPRĥLRQDO
FKHLH°QFRQVWLWXLUHDWUDQVIHUXOXL IDFLOLWHD]Å FRQVWLWXLUHDWUDQVIHUXOXL
SR]LWLY SR]LWLY ġLFUHġWHUHDDGHUHQĥHLOD
WUDWDPHQW
5HODĥLDPHGLFSDFLHQW
$VLPHWULFÅ 6LPHWULFÅ GHWLSSDUWHQHULDW
0HGLFXO
UROSULQFLSDOGHH[SHUW 0HGLFXOHPSDWLHPDWXULWDWH
ಱ3ÅULQWHಯ IOH[LELOLWDWH ಱ$GXOWಯ
SR]LĥLHGRPLQDQWÅSXWHUHġL 3DFLHQWXOLPSOLFDUHDFWLYÅGHWLS
DXWRULWDWHSUHVWLJLX FRODERUDWLYಱ$GXOWಯ
3DFLHQWXOUROVXERUGRQDW
GHSHQGHQWಱ&RSLOಯ (VWHDGHFYDWÅSDFLHQĥLORUFXXQJUDG
VSRULWGHLQIRUPDUHFXSULYLUHODERDOÅ
$YDQWDMDGHUHQĥÅLQLĥLDOÅOD (VWHSURGXFWLYÅVXEDVSHFWXO
WUDWDPHQW DGHUHQĥHLODWUDWDPHQW
'H]DYDQWDMSRDWHDFFHQWXD UHVSRQVDELOLWDWHDSHQWUXWUDWDPHQW
SR]LĥLDGHGHSHQGHQĥÅD SRDWHLQGXFHODSDFLHQWVHQWLPHQWXO
SDFLHQWXOXL DXWRQRPLHLġLFRQWUROXOXLDVXSUDEROLL
/HJÅWXUDWLSGHUHODĥLHದ WLSGHFRPXQLFDUH
5HODĥLDDVLPHWULFÅ 5HODĥLDVLPHWULFÅ
$ERUGDUH $ERUGDUHFHQWUDWÅ
SDWHUQDOLVWÅ SHSDFLHQW
&HQWUDWSH
3DWHUQDOLVW
SDFLHQW
%LRSVLKRVRFLDO
0RGHOGH %LRPHGLFDO 3VLKRVRFLDO
UHODĥLH
6WLOXULGHFRPXQLFDUHPHGLF SDFLHQW
&RPXQLFDUHDFXSDFLHQĥLL
FXWXOEXUÅULGHSHUVRQDOLWDWH
7LSXOSDUDQRLG
&DUDFWHULVWLFL 3DUWLFXODULWÅĥL
$WLWXGLQHDPHGLFXOXL
JHQHUDOH FD SDFLHQW
QH°QFUHGHUHD SUH]HQWDUHWDUGLYÅ DVFXOWDUHDDFWLYÅ
ULJLGLWDWHDSVLKLFÅ SRDWHDVFXQGHDQXPLWH DWHQĥLHPDLPDUH
LQWHUSUHWDWLYLWDWHD LQIRUPDĥLLLPSRUWDQWHSHQWUX DFRUGDWÅ DXWRFRQWUROXOXL
VXSUDHVWLPDUHD VWDELOLUHDGLDJQRVWLFXOXL &19
UHGXFHUHDPRGXOÅULL SRDWHUHIX]DPDQHYUH VÅGHDVHQ]DĥLDGH
DIHFWLYH PHGLFDOHVDXLQYHVWLJDĥLL FRPSOLFLWDWHIODWDUH
PDQLKHLVPXO°Q SUHWLQGHRDWHQĥLHVSHFLDOÅ RFD]LRQDOÅ
MXGHFÅĥL UDĥLRQD GLQSDUWHDPHGLFXOXL WUDQVSDUHQĥÅGHSOLQÅD
PHQWH DWLWXGLQHGHVXSHULRULWDWH DFWXOXLPHGLFDO
IDĥÅGHPHGLF
QX°ġLYDH[SULPDUHFXQRġ
WLQĥDIDĥÅGHSUHVWDĥLDPHGL
FXOXL
QH°QFUHGHUH°QPHGLF
WUDWDPHQW
QRQFRPSOLDQĥÅ
7LSXOLVWHULF
&DUDFWHULVWLFL 3DUWLFXODULWÅĥL
JHQHUDOH FD SDFLHQW $WLWXGLQHDPHGLFXOXL
3HUFHSWLRQ SHUFHSĥLDSDFLHQWXOXLDVXSUDVLWXDĥLHLVDOHPHGLFDOH
ಱQDLQWHGHDVSXQH°QWUHDEÅಯ
,QYLWDWLRQ F¤WGHPXOWHLQIRUPDĥLLYRUILRIHULWHSDFLHQWXOXL
VHUHVSHFWÅGUHSWXOSDFLHQWXOXLVÅġWLH VÅQXġWLH
&RPSRQHQWH
HSXL]DUHHPRĥLRQDOÅVHQWLPHQWHGHLURVLUHQHSXWLQĥÅ
VHSLHUGHFDSDFLWDWHDGHHPSDWL]DUH
GHSHUVRQDOL]DUHDOWHUDUHDDELOLWÅĥLLGHFRPXQLFDUH
FRPSRUWDPHQWUHFHFLQLFLURQLFQHSÅVÅWRU
VFÅGHUHDSHUFHSHULLUHDOL]ÅULORUSHUVRQDOH
VHQWLPHQWHGHLQXWLOLWDWHVFÅGHUHD°QFUHGHULL
°QVLQHH܈HFSURIHVLRQDOGHPRWLYDUH
3UHFHGDWGHHPSDWK\IDWLJXHUXVWRXW
)DFWRULSUHGLVSR]DQĥL
,QGLYLGXDOL 6RFLRFXOWXUDOL
3RVLELOLWÅĥL GHLQWHUYHQĥLH
3UHYHQĥLHPRGLILFDUHDVWLOXOXLGHYLDĥÅ
$VLVWHQĥDSVLKRWHUDSHXWLFÅ LQGLYLGXDOÅ
WHKQLFLGHUHOD[DUHSVLKRWHUDSLH
FRJQLWLYFRPSRUWDPHQWDOÅ