{"id":2105,"date":"2022-01-04T13:51:00","date_gmt":"2022-01-04T13:51:00","guid":{"rendered":"https:\/\/fmc.ch\/?p=2105"},"modified":"2025-12-01T13:42:07","modified_gmt":"2025-12-01T12:42:07","slug":"reduction-des-prestations-non-necessaires-sur-le-plan-medical","status":"publish","type":"post","link":"https:\/\/fmc.ch\/fr\/reduzierung-von-medizinisch-nicht-notwendigen-leistungen\/","title":{"rendered":"R\u00e9duction des prestations non n\u00e9cessaires sur le plan m\u00e9dical"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"2105\" class=\"elementor elementor-2105\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4379a24 elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"4379a24\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeIn&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-422ab2e\" data-id=\"422ab2e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-39a5e13 elementor-widget elementor-widget-text-editor\" data-id=\"39a5e13\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>L'\u00e9tude men\u00e9e dans le r\u00e9seau de m\u00e9decins Delta en Suisse romande montre qu'un feed-back syst\u00e9matique sur les performances dans les cercles de qualit\u00e9 a permis de r\u00e9duire significativement la r\u00e9alisation ou la prescription de trois mesures pr\u00e9sentant un faible b\u00e9n\u00e9fice m\u00e9dical.<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fb23d20 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fb23d20\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0e459a6\" data-id=\"0e459a6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-531c512 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"531c512\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>\u00c9valuation du m\u00e9decin et feedback pendant le cercle de qualit\u00e9 pour r\u00e9duire les services \u00e0 faible valeur ajout\u00e9e chez les patients externes : une \u00e9tude pr\u00e9-post d'am\u00e9lioration de la qualit\u00e9<\/strong><\/p><p>Depuis plusieurs ann\u00e9es, diff\u00e9rentes mesures tentent de r\u00e9duire la r\u00e9alisation\/prescription d'actes m\u00e9dicaux inutiles. Avec \"Smarter Medicine\", il existe depuis 2017 une association de soutien dont l'objectif est de \"limiter, voire supprimer les pratiques m\u00e9dicales qui n'apportent pas de valeur ajout\u00e9e aux patients (<a href=\"https:\/\/medicalforum.ch\/de\/detail\/doi\/smf.2021.08932\">Lien<\/a>)\".<\/p><p>Plusieurs soci\u00e9t\u00e9s sp\u00e9cialis\u00e9es ont publi\u00e9 une liste des 5 meilleures pratiques. Mais on sait peu de choses sur la mani\u00e8re dont ces recommandations sont appliqu\u00e9es dans la pratique et sur la fa\u00e7on dont cette application peut \u00eatre soutenue dans la pratique. Une \u00e9tude r\u00e9cemment publi\u00e9e par le r\u00e9seau de m\u00e9decins Delta en Suisse romande s'est pr\u00e9cis\u00e9ment pench\u00e9e sur cette question. Dans les cercles de qualit\u00e9 du r\u00e9seau, un feed-back syst\u00e9matique sur les performances a \u00e9t\u00e9 \u00e9tabli pour trois mesures ayant une faible utilit\u00e9 m\u00e9dicale, avec pour effet que les trois mesures ont \u00e9t\u00e9 significativement moins pratiqu\u00e9es ou prescrites apr\u00e8s l'intervention. En revanche, les changements dans le groupe de contr\u00f4le n'\u00e9taient pas statistiquement significatifs au cours de la p\u00e9riode \u00e9tudi\u00e9e.<\/p><p class=\"p1\">L'\u00e9tude montre tr\u00e8s bien que des changements de comportement sont possibles. Ils n\u00e9cessitent toutefois une structure de soutien et de qualit\u00e9 appropri\u00e9e.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fef269a elementor-widget elementor-widget-button\" data-id=\"fef269a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8390713\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Lien vers l'\u00e9tude<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-125cee1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"125cee1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c0dc3e1\" data-id=\"c0dc3e1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-81e8b49 elementor-widget elementor-widget-spacer\" data-id=\"81e8b49\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Un retour d'information syst\u00e9matique sur les performances dans les cercles de qualit\u00e9 a permis de r\u00e9duire significativement la r\u00e9alisation ou la prescription de trois mesures pr\u00e9sentant un faible b\u00e9n\u00e9fice m\u00e9dical.<\/p>","protected":false},"author":2,"featured_media":7222,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":[149,139],"meta":{"footnotes":""},"strategie":[163],"thema":[169,168],"class_list":["post-2105","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","strategie-integrierte-versorgung-allgemein","thema-population-health","thema-qualitaetsentwicklung","format-artikel-und-studien","format-publikation"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Reduzierung von medizinisch nicht notwendigen Leistungen - FMC<\/title>\n<meta name=\"description\" content=\"Durch ein systematisches Leistungsfeedback in den Qualit\u00e4tszirkel konnte die Durchf\u00fchrung bzw. Verschreibung von drei Massnahmen mit einem geringen medizinischen Nutzen signifikant reduziert werden.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fmc.ch\/fr\/reduction-des-prestations-non-necessaires-sur-le-plan-medical\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reduzierung von medizinisch nicht notwendigen Leistungen - FMC\" \/>\n<meta property=\"og:description\" content=\"Durch ein systematisches Leistungsfeedback in den Qualit\u00e4tszirkel konnte die Durchf\u00fchrung bzw. 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