<?xml version="1.0" encoding="utf-8"?>
<TEI xmlns="http://www.tei-c.org/ns/1.0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:hal="http://hal.archives-ouvertes.fr/" xmlns:gml="http://www.opengis.net/gml/3.3/" xmlns:gmlce="http://www.opengis.net/gml/3.3/ce" version="1.1" xsi:schemaLocation="http://www.tei-c.org/ns/1.0 http://api.archives-ouvertes.fr/documents/aofr-sword.xsd">
  <teiHeader>
    <fileDesc>
      <titleStmt>
        <title>HAL TEI export of hal-03708799</title>
      </titleStmt>
      <publicationStmt>
        <distributor>CCSD</distributor>
        <availability status="restricted">
          <licence target="https://creativecommons.org/publicdomain/zero/1.0/">CC0 1.0 - Universal</licence>
        </availability>
        <date when="2026-05-17T09:21:17+02:00"/>
      </publicationStmt>
      <sourceDesc>
        <p part="N">HAL API Platform</p>
      </sourceDesc>
    </fileDesc>
  </teiHeader>
  <text>
    <body>
      <listBibl>
        <biblFull>
          <titleStmt>
            <title xml:lang="en">[A gerontological network as an interface between healthcare professionals and homecare professionals]</title>
            <title xml:lang="fr">Rôle d'interface d'un réseau gérontologique entre les acteurs du sanitaire et du maintien à domicile</title>
            <author role="aut">
              <persName>
                <forename type="first">Véronique</forename>
                <surname>Ghadi</surname>
              </persName>
              <idno type="halauthorid">304742-0</idno>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Isabelle</forename>
                <surname>Vedel</surname>
              </persName>
              <idno type="halauthorid">683730-0</idno>
              <affiliation ref="#struct-301986"/>
              <affiliation ref="#struct-460326"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Christelle</forename>
                <surname>Routelous</surname>
              </persName>
              <email type="md5">b792cae5fca2131bc2affc14c793bd5a</email>
              <email type="domain">ehesp.fr</email>
              <idno type="idhal" notation="string">christelle-routelous</idno>
              <idno type="idhal" notation="numeric">12173</idno>
              <idno type="halauthorid" notation="string">10997-12173</idno>
              <idno type="ORCID">https://orcid.org/0000-0002-1695-957X</idno>
              <idno type="GOOGLE SCHOLAR">https://scholar.google.fr/citations?user=LAy6_c0AAAAJ</idno>
              <idno type="IDREF">https://www.idref.fr/136698905</idno>
              <idno type="VIAF">https://viaf.org/viaf/187605679</idno>
              <idno type="ISNI">http://isni.org/isni/0000000357688443</idno>
              <affiliation ref="#struct-301986"/>
              <affiliation ref="#struct-460326"/>
              <affiliation ref="#struct-2577"/>
              <affiliation ref="#struct-1005583"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Matthieu</forename>
                <surname>de Stampa</surname>
              </persName>
              <idno type="halauthorid">672996-0</idno>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Joël</forename>
                <surname>Ankri</surname>
              </persName>
              <idno type="halauthorid">174201-0</idno>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Bernard</forename>
                <surname>Cassou</surname>
              </persName>
              <idno type="halauthorid">672997-0</idno>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Liette</forename>
                <surname>Lapointe</surname>
              </persName>
              <idno type="halauthorid">683734-0</idno>
            </author>
            <editor role="depositor">
              <persName>
                <forename>SCD</forename>
                <surname>EHESP</surname>
              </persName>
              <email type="md5">5e36673fd18aefae3d0f313619c4fa25</email>
              <email type="domain">ehesp.fr</email>
            </editor>
          </titleStmt>
          <editionStmt>
            <edition n="v1" type="current">
              <date type="whenSubmitted">2022-06-29 14:34:38</date>
              <date type="whenModified">2025-11-27 16:06:16</date>
              <date type="whenReleased">2022-06-29 14:34:38</date>
              <date type="whenProduced">2011-10-17</date>
            </edition>
            <respStmt>
              <resp>contributor</resp>
              <name key="516375">
                <persName>
                  <forename>SCD</forename>
                  <surname>EHESP</surname>
                </persName>
                <email type="md5">5e36673fd18aefae3d0f313619c4fa25</email>
                <email type="domain">ehesp.fr</email>
              </name>
            </respStmt>
          </editionStmt>
          <publicationStmt>
            <distributor>CCSD</distributor>
            <idno type="halId">hal-03708799</idno>
            <idno type="halUri">https://ehesp.hal.science/hal-03708799</idno>
            <idno type="halBibtex">ghadi:hal-03708799</idno>
            <idno type="halRefHtml">&lt;i&gt;Santé Publique&lt;/i&gt;, 2011, Vol. 23 (4), pp.317-328. &lt;a target="_blank" href="https://dx.doi.org/10.3917/spub.114.0317"&gt;&amp;#x27E8;10.3917/spub.114.0317&amp;#x27E9;&lt;/a&gt;</idno>
            <idno type="halRef">Santé Publique, 2011, Vol. 23 (4), pp.317-328. &amp;#x27E8;10.3917/spub.114.0317&amp;#x27E9;</idno>
            <availability status="restricted"/>
          </publicationStmt>
          <seriesStmt>
            <idno type="stamp" n="UNIV-RENNES1">Université de Rennes 1</idno>
            <idno type="stamp" n="UR2-HB">Université Rennes 2 - Haute Bretagne</idno>
            <idno type="stamp" n="CNRS">CNRS - Centre national de la recherche scientifique</idno>
            <idno type="stamp" n="CRAPE">Centre de Recherches sur l'Action Politique en Europe</idno>
            <idno type="stamp" n="SANTE_PUB_INSERM" corresp="INSERM">Santé Publique à l'Inserm</idno>
            <idno type="stamp" n="UR1-HAL">Publications labos UR1 dans HAL-Rennes 1</idno>
            <idno type="stamp" n="EHESP">École des hautes études en santé publique</idno>
            <idno type="stamp" n="UR1-SHS">UR1 - publications SHS</idno>
            <idno type="stamp" n="UNIV-RENNES2">Université Rennes 2</idno>
            <idno type="stamp" n="UR1-DROIT">Faculté de droit - unités de recherche</idno>
            <idno type="stamp" n="EHESP-IDM" corresp="EHESP">EHESP-IDM</idno>
            <idno type="stamp" n="TEST-UR-CSS">TEST Université de Rennes CSS</idno>
            <idno type="stamp" n="UNIV-RENNES">Université de Rennes</idno>
            <idno type="stamp" n="UR1-DEGSP">Pôle UnivRennes - Sciences de l'Homme, des Organisations et de la Société</idno>
            <idno type="stamp" n="ARENES">Arènes: politique, santé publique, environnement, médias</idno>
          </seriesStmt>
          <notesStmt>
            <note type="audience" n="2">International</note>
            <note type="popular" n="0">No</note>
            <note type="peer" n="1">Yes</note>
          </notesStmt>
          <sourceDesc>
            <biblStruct>
              <analytic>
                <title xml:lang="en">[A gerontological network as an interface between healthcare professionals and homecare professionals]</title>
                <title xml:lang="fr">Rôle d'interface d'un réseau gérontologique entre les acteurs du sanitaire et du maintien à domicile</title>
                <author role="aut">
                  <persName>
                    <forename type="first">Véronique</forename>
                    <surname>Ghadi</surname>
                  </persName>
                  <idno type="halauthorid">304742-0</idno>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Isabelle</forename>
                    <surname>Vedel</surname>
                  </persName>
                  <idno type="halauthorid">683730-0</idno>
                  <affiliation ref="#struct-301986"/>
                  <affiliation ref="#struct-460326"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Christelle</forename>
                    <surname>Routelous</surname>
                  </persName>
                  <email type="md5">b792cae5fca2131bc2affc14c793bd5a</email>
                  <email type="domain">ehesp.fr</email>
                  <idno type="idhal" notation="string">christelle-routelous</idno>
                  <idno type="idhal" notation="numeric">12173</idno>
                  <idno type="halauthorid" notation="string">10997-12173</idno>
                  <idno type="ORCID">https://orcid.org/0000-0002-1695-957X</idno>
                  <idno type="GOOGLE SCHOLAR">https://scholar.google.fr/citations?user=LAy6_c0AAAAJ</idno>
                  <idno type="IDREF">https://www.idref.fr/136698905</idno>
                  <idno type="VIAF">https://viaf.org/viaf/187605679</idno>
                  <idno type="ISNI">http://isni.org/isni/0000000357688443</idno>
                  <affiliation ref="#struct-301986"/>
                  <affiliation ref="#struct-460326"/>
                  <affiliation ref="#struct-2577"/>
                  <affiliation ref="#struct-1005583"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Matthieu</forename>
                    <surname>de Stampa</surname>
                  </persName>
                  <idno type="halauthorid">672996-0</idno>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Joël</forename>
                    <surname>Ankri</surname>
                  </persName>
                  <idno type="halauthorid">174201-0</idno>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Bernard</forename>
                    <surname>Cassou</surname>
                  </persName>
                  <idno type="halauthorid">672997-0</idno>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Liette</forename>
                    <surname>Lapointe</surname>
                  </persName>
                  <idno type="halauthorid">683734-0</idno>
                </author>
              </analytic>
              <monogr>
                <idno type="halJournalId" status="VALID">21300</idno>
                <idno type="issn">0995-3914</idno>
                <idno type="eissn">2104-3841</idno>
                <title level="j">Santé Publique</title>
                <imprint>
                  <publisher>Société Française de Santé Publique</publisher>
                  <biblScope unit="volume">Vol. 23</biblScope>
                  <biblScope unit="issue">4</biblScope>
                  <biblScope unit="pp">317-328</biblScope>
                  <date type="datePub">2011-10-17</date>
                </imprint>
              </monogr>
              <idno type="doi">10.3917/spub.114.0317</idno>
            </biblStruct>
          </sourceDesc>
          <profileDesc>
            <langUsage>
              <language ident="en">English</language>
            </langUsage>
            <textClass>
              <keywords scheme="author">
                <term xml:lang="en">Integrated services</term>
                <term xml:lang="en">Frail elderly</term>
                <term xml:lang="en">Community network</term>
                <term xml:lang="en">Case manager</term>
                <term xml:lang="fr">Réseau gérontologique</term>
                <term xml:lang="fr">Soutien domicile</term>
                <term xml:lang="fr">Réseau santé social</term>
                <term xml:lang="fr">Médecin généraliste</term>
                <term xml:lang="fr">Personne âgée</term>
                <term xml:lang="fr">Dépendance</term>
              </keywords>
              <classCode scheme="halDomain" n="sdv.spee">Life Sciences [q-bio]/Santé publique et épidémiologie</classCode>
              <classCode scheme="halTypology" n="ART">Journal articles</classCode>
              <classCode scheme="halOldTypology" n="ART">Journal articles</classCode>
              <classCode scheme="halTreeTypology" n="ART">Journal articles</classCode>
            </textClass>
            <abstract xml:lang="en">
              <p>The increase in the number of elderly people requires a reorganization of patient care based on integrated networks of healthcare and community services. These services enable patients to remain at home, thus avoiding the significant costs incurred as a result of long hospital stays and numerous visits to emergency departments. Despite the interest of policymakers in integrated services, the real impact of gerontological networks remains unknown. This study aims to investigate healthcare professionals' perceptions of the links between the various actors involved in older patient care (professionals, health services and community services) and to examine the perceived impact of a gerontological network among a range of different actors. The qualitative study conducted as part of this research examined the Parisian gerontological network Ancrage and its partners based on three main data sources: Ancrage documentation; interviews with 40 healthcare professionals; and observations (inter-service meetings and case management meetings). The data were analyzed using qualitative research methods. Data analysis highlighted three characteristics: the central role of the general practitioner, who remains responsible for the trajectory of care; the relevance of the geriatrician's interventions in the case of severely dependent patients and the assessment of older patients' needs; and the interface between hospitals, general practitioners and homecare professionals. Healthcare professionals highlighted improvements in patients' transition between home and hospital. Two particular areas for improvement emerged from the data. The relationship between the case manager and general practitioners was found to be akin to a delegation of homecare responsibilities and has little impact on practices and relationships between actors. In addition, although geriatricians are gaining in legitimacy, collaboration with general practitioners remains limited</p>
            </abstract>
            <abstract xml:lang="fr">
              <p>L'augmentation du nombre de personnes âgées dépendantes impose la réorganisation de la prise en charge par des réseaux sanitaires et médico-sociaux, pour leur permettre de rester à domicile, évitant les hospitalisations et les passages aux urgences. L'objectif de cette étude est d'étudier le vécu des professionnels concernant l'articulation entre les professionnels, les services sanitaires et médico-sociaux et l'impact d'un réseau gérontologique. Cette étude qualitative a été réalisée au sein d'un réseau gérontologique et ses partenaires de proximité, à partir de trois sources de données: la documentation concernant le réseau; des interviews auprès de 40 professionnels; l'observation de réunions. Une analyse thématique qualitative a été réalisée. L'analyse met à jour trois caractéristiques: le rôle central du médecin généraliste qui demeure responsable de la trajectoire de soins de la personne; la pertinence de l'intervention des gériatres sur les situations de dépendances sévères et sur l'évaluation des besoins du patient; l'interface entre l'hôpital, les médecins généralistes et les professionnels du maintien à domicile. Cependant, deux zones de fragilité émergent; la relation entre le gestionnaire de cas et les médecins généralistes s'apparente à une délégation du maintien à domicile et produit peu d'impact sur les pratiques et les relations entre acteurs. La collaboration avec le gériatre reste ponctuelle avec les médecins généralistes, ce qui réduit les possibilités de transfert de compétences</p>
            </abstract>
          </profileDesc>
        </biblFull>
      </listBibl>
    </body>
    <back>
      <listOrg type="structures">
        <org type="institution" xml:id="struct-301986" status="VALID">
          <idno type="IdRef">161356915</idno>
          <idno type="ISNI">0000 0001 1943 5037</idno>
          <idno type="ROR">https://ror.org/01sc83v92</idno>
          <orgName>École des Hautes Études en Santé Publique</orgName>
          <orgName type="acronym">EHESP</orgName>
          <date type="start">2008-01-01</date>
          <desc>
            <address>
              <addrLine>15, avenue du Pr. Léon Bernard - 35043 Rennes Cedex</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.ehesp.fr/</ref>
          </desc>
        </org>
        <org type="department" xml:id="struct-460326" status="VALID">
          <orgName>Institut du Management</orgName>
          <orgName type="acronym">IDM</orgName>
          <date type="start">2008-01-01</date>
          <desc>
            <address>
              <addrLine>15 avenue du Professeur Léon-Bernard - 35043 Rennes cedex</addrLine>
              <country key="FR"/>
            </address>
          </desc>
          <listRelation>
            <relation active="#struct-301986" type="direct"/>
          </listRelation>
        </org>
        <org type="laboratory" xml:id="struct-2577" status="VALID">
          <idno type="IdRef">026366460</idno>
          <idno type="ISNI">0000 0001 2162 1832</idno>
          <idno type="RNSR">200012142C</idno>
          <idno type="ROR">https://ror.org/00m4rxj18</idno>
          <orgName>Arènes: politique, santé publique, environnement, médias</orgName>
          <orgName type="acronym">ARENES</orgName>
          <date type="start">2000-01-01</date>
          <desc>
            <address>
              <addrLine>104 Bvd Duchesse Anne 35700 RENNES</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://arenes.eu/</ref>
          </desc>
          <listRelation>
            <relation active="#struct-105160" type="direct"/>
            <relation active="#struct-300381" type="direct"/>
            <relation active="#struct-301986" type="direct"/>
            <relation active="#struct-406201" type="direct"/>
            <relation name="UMR6051" active="#struct-441569" type="direct"/>
          </listRelation>
        </org>
        <org type="researchteam" xml:id="struct-1005583" status="VALID">
          <orgName>Collectif de recherche handicap, autonomie et société inclusive</orgName>
          <orgName type="acronym">CoRHASI</orgName>
          <date type="start">2017-01-01</date>
          <desc>
            <address>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.ehesp.fr/recherche/domaines-de-recherche/politiques-sociales-et-de-sante/collectif-de-recherche-sur-le-handicap-lautonomie-societe-inclusive-corhasi/</ref>
          </desc>
          <listRelation>
            <relation active="#struct-301986" type="direct"/>
          </listRelation>
        </org>
        <org type="institution" xml:id="struct-105160" status="VALID">
          <idno type="IdRef">26693823X</idno>
          <idno type="ROR">https://ror.org/015m7wh34</idno>
          <orgName>Université de Rennes</orgName>
          <orgName type="acronym">UR</orgName>
          <desc>
            <address>
              <addrLine>Campus de Beaulieu, 263 avenue Général Leclerc, CS 74205, 35042 RENNES CEDEX</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.univ-rennes.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-300381" status="VALID">
          <orgName>Institut d'Études Politiques [IEP] - Rennes</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
        </org>
        <org type="institution" xml:id="struct-406201" status="VALID">
          <idno type="IdRef">054447658</idno>
          <idno type="ISNI">0000000121522279</idno>
          <idno type="ROR">https://ror.org/01m84wm78</idno>
          <orgName>Université de Rennes 2</orgName>
          <orgName type="acronym">UR2</orgName>
          <desc>
            <address>
              <addrLine>Place du recteur Henri Le Moal - CS 24307 - 35043 Rennes cedex</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.univ-rennes2.fr/</ref>
          </desc>
        </org>
        <org type="regroupinstitution" xml:id="struct-441569" status="VALID">
          <idno type="IdRef">02636817X</idno>
          <idno type="ISNI">0000000122597504</idno>
          <idno type="ROR">https://ror.org/02feahw73</idno>
          <orgName>Centre National de la Recherche Scientifique</orgName>
          <orgName type="acronym">CNRS</orgName>
          <date type="start">1939-10-19</date>
          <desc>
            <address>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.cnrs.fr/</ref>
          </desc>
        </org>
      </listOrg>
    </back>
  </text>
</TEI>