Commune de

ville
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Faits marquants

un taux d’endettement croissant

une tendance à l’accroissement des taux de prélèvement fiscaux
Manque de climat de confiance avec le personnel municipal
climat d’insécurité : hausse des chiffres de la délinquance
montée du taux de chômage
une insatisfaction générale vis-à-vis des services municipaux
Introduction

- Mode de gestion: Marché public

Situation actuelle
- Préparation des repas externalisée
- Gestion de la restauration scolaire MAIS préparation des repas externalisée
- Politique tarifaire déterminée par la commune
- la collectivité est responsable de la sécurité des enfants et la qualité des services.

Raison du changement - Coûts élevés des repas servis par la commune.

Proposition des élus (à étudier)

Externalisation de la totalité de la gestion de la cantine scolaire.

La prochaine partie consiste à traiter et analyser les propositions et

les modes de gestion de la cantine afin de pouvoir prendre la bonne
décision.
Analyse des modes de gestion de la cantine
Quel mode de gestion est optimale pour la commune?

Pour répondre à cette question, une analyse des coûts et des gains de chaque mode de gestion en termes quantitatifs et qualitatifs est
bien nécessaire.

Analyse préliminaire
Coûts Gains

- Investissements importants - Contrôle direct sur les menus, qualité etc.

- Responsabilité totale sur l’ensemble - Personnalisation et adaptabilité: gérer les services en fonction des
Régie des aspects demandes des usagers et adaptation flexible aux besoins
Aspect financier: alimentaires.
Coût de repas 3.3 € - Transparence financière: Gestion complète des coûts et des revenus
- Création d’emplois: Créer de nouvelles opportunités d’emplois

- Perte de contrôle et dépendance - Expertise des partenaires

- Risque de réputation - Réduction des coûts opérationnels
Externalisation - Coûts cachés - Réduction des responsabilités légales
totale Aspect financier: Impact frais de
structure
0,39 à rajouter au cout de revient du
repas
- Sélection de partenaires qualifiés
- Risque de perte de contrôle
- Prix concurrentiels
Marché public Aspect financier:
- Responsabilité partagée
Coût repas: 8,17 €
Analyse des modes de gestion de la cantine

Évaluation des critères et paramètres de décision

Critères et paramètres En Régie Marché public Externalisation Proposition d’une échelle de mesure
totale

Contrôle Très bon Satisfaisant Pas bon

Expertise professionnelle Moyen Très bon Très bon Pas bon

Création d’emploi Très bon Satisfaisant Pas bon Moyen

Satisfaisant
Flexibilité et adaptabilité Très bon Moyen Pas bon
Très bon
Partage Risques (légaux, Pas bon Satisfaisant Très bon
politiques…etc) et responsabilités
Coûts et investissements Pas bon Moyen Moyen

On a choisi comme outil de décision une matrice sur la base d’une échelle qui va nous permettre d’évaluer chaque
mode de gestion en termes de quelques critères et paramètres pour nous aider à prendre une décision par rapport au
mode de gestion le plus adapté à la commune.
D’après cette échelle, on peut voir que la gestion en régie est un mode de gestion très adaptés aux objectifs mis en
place préalablement et contribue activement au développement social et au renforcement du tissu économique de la
commune. Néanmoins, ce mode de gestion a des inconvénients notamment en termes d’investissements initiaux
nécessaires, la responsabilité et la gestion des risques.
Analyse des modes de gestion de la cantine

Comparaison des coûts

Analyse Coût Commentaire

Achat repas en régie est de 3,3 € alors que pour Représente le coût le plus
Régie l’appel d’offre c’est de 3.1 € (annexe 4) 8,37 élevé mais est aligné avec les
Coût repas en régie = 8,17 -3,1+3,3 objectifs de la commune.

Coût repas en marché public s’élève à 8,17 € au Optimal au niveau financier

Marché public 8,17
lieu du coût réel qui s’élève à 8,97 € mais pas au niveau social

Il s’agit de rajouter les frais de structure au coût Se situe entre les deux autres
de repas. modes de gestion mais n’est
Délégation au service Frais de structure (unitaire) = Frais de structure/ pas aligné avec les attentes
8,21
public Qté repas de la collectivité notamment
= 48502 / 125340 = 0.39 (annexe 3) au niveau du développement
Donc le calcul du coût est de : 8.17 – 0,35 + 0.39 social.
 Tarifs Marché public (actuel) Tarifs délégation au service public Tarifs Régie

Coût réel repas 8,17

Coût d’achat repas 3,1

Prix de vente repas 3,30

9.07

Frais de structure 3,1

3,20
8,97

Prix d’achat 3,1

Abstract
In the abstract of your case report, you
should provide a concise summary of the
key aspects of the case. This includes:
● Briefly describing the patient's
condition and relevant clinical findings
● Highlighting any unique or rare
features of the case
● Mentioning the main interventions or
treatments employed and their
respective outcomes
 01
Abstract
 Introduction

Background Importance

Provide a brief overview of the Highlight the significance and

condition or disease being
discussed in the case. Include
pertinent information about its
prevalence, clinical manifestations
and any relevant previous studies
or literature
educational value of the case.
Emphasize the uniqueness, rarity,
or complexity of the presented
case, and explain how it
contributes to the existing
knowledge or clinical practice
 Discussion
Differential diagnosis
Explore potential diagnoses based on
the patient's presentation and relevant
findings. Discuss distinguishing
features for each and reasons for
inclusion/exclusion
Clinical course
Describe the patient's progression,
treatment response and any significant
events or complications. Summarize
the final outcome
Treatment
Present the confirmed diagnosis and
explain diagnostic criteria. Outline the
chosen treatment approach and
rationale behind it
Lesson learned
Discuss the case's educational value,
highlighting unique aspects. Share
insights gained, including diagnostic
challenges, treatment considerations
or disease mechanisms
 Conclusion
Challenge Success Lessons
Address any diagnostic Highlight successful Summarize valuable
challenges, emphasizing outcomes achieved lessons learned, providing
the importance of through the chosen insights to guide future
thorough investigation treatment approach, clinical decision-making
and clinical reasoning showcasing effectiveness and enhance care

Significance Research Summary

Emphasize the case's Identify areas for future End with a concise
educational value, impact investigation that have concluding statement,
on medical knowledge, emerged from the case, summarizing the overall
professional development, stimulating advancements significance of the case
and learning
 50,000
Patients on the study

20,000
Received placebo treatment

5,000
Had secondary effects
 95%
Use percentages in your case report to quantify and communicate
the frequency or proportion of important findings or outcomes
A picture is worth a
thousand words
Using an image in your case report enhances visual
representation and provides a concise and
impactful way to present key findings or illustrate
important aspects of the case
 This is a graph

Understanding the
numbers
Incorporating a graph in your
case report offers several
advantages. It allows for the
clear visualization and concise
representation of data trends,
comparisons, or correlations.
By presenting information in a
visual format, graphs enable
readers to quickly grasp and
interpret complex findings

Follow the link in the graph to modify its data and then paste the new one here. For more info, click here
 This is a table
Age Gender Med. history Symptoms Diagnosis

Patient 1 45 Male Hypertension Symptom Diagnosis 1

Patient 2 32 Female Asthma Symptom Diagnosis 2

Patient 3 60 Male Diabetes Symptom Diagnosis 3

Patient 4 50 Female None Symptom Diagnosis 4

Patient 5 28 Male None Symptom Diagnosis 5

Patient 6 70 Female Osteoarthritis Symptom Diagnosis 6

 Milestones reached

Initial presentation Diagnostic evaluation Confirmation of Initiation of

with chief complaint and investigations the diagnosis appropriate treatment

Monitoring response Resolution of Follow-up assessment Case discussion and

to treatment presenting symptoms for outcomes lessons learned
 Case presentation: medical history
About the patient Key findings
Patient’s age 42 years old ● Summarize the most important or relevant
aspects of the patient's medical history
Gender Female
● Use bullet points to present the key findings in
a clear and organized manner
Medical
Chest pain, shortness of breath
conditions

Conclusions
Previous
None reported
treatments In this section, summarize the key findings
1 from the medical history
She has been experiencing these
symptoms for the past 2 days,
Introduction Provide an overview of the implications for
with the pain increasing in 2 the current diagnosis and treatment plan
intensity and frequency
 Discussion
Introduction:

● Briefly summarize the main findings and results of the case report
● Mention the purpose of the discussion and what will be covered

Main discussion:

● Present different perspectives and opinions on the findings, based on the literature and other
relevant sources
● Use bullet points to highlight key arguments and counterarguments
● Address any limitations or weaknesses of the study and suggest potential solutions or areas for
further research

Conclusions:

● Summarize the key points of the discussion and their implications for clinical practice or future
research possibilities
● Offer any final recommendations or take-home messages for the audience
 Outcomes and recommendations
Start

1 2 3

Outcome Outcome Outcome

A. Write your A. Write your A. Write your

recommendation recommendation recommendation
B. Write your B. Write your B. Write your
recommendation recommendation recommendation
C. Write your C. Write your C. Write your
recommendation recommendation recommendation
D. Write your D. Write your D. Write your
recommendation recommendation recommendation
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