The French national action plan: 'Stroke 2010-2014' results from years of increasing concern related to stroke, initially carried by stoke physicians and progressively shared by all other health professionals and more recently by administration and politicians. Its aim is the development not only of stroke care networks, but also of prevention and health education. Its success will mainly depend on the reactivity of the regional health agencies; therefore it is important to maintain political momentum and pressure.
Neurology/legislation & jurisprudence , Neurology/organization & administration , Public Health/legislation & jurisprudence , Public Health/methods , Stroke/therapy , France , Humans , Neurology/economics , Public Health/economics
Three generations of regional health organisation plans (SROS) were established in France by the Ministry responsible for health over a time span of 15 years. Given that many other types of reforms are being implemented concurrently, this offers a timely opportunity for their assessment and reflection on issues to be considered for future proposals. The research strategy is based on the correlation of data resulting from semi-directed interviews, legislative text, and documents regarding the development, implementation and follow-up of the SROS. The study shows that from 1991 to 2006 the SROS became the fulcrum of health planning in France. Thus, it gradually served to unite and federate institutions, professionals and actors around a shared objective to design and implement medical projects at the territorial level with adequate services to meet the health needs of the population. An analysis concerning an international frame of reference and future prospects is proposed.
Regional Medical Programs/organization & administration , France , Humans , Public Health Administration , Regional Medical Programs/trends
