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La Nouvelle-Calédonie face à la crise des finances publiques : le point de vue du praticien. Crise de la tête ou du corps (médical) ?

Author

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  • Viviane Damiens

    (FPLS - Fédération des Professionnels Libéraux de Santé, UNC - Université de la Nouvelle-Calédonie)

Abstract

This document analyzes the healthcare system crisis in New Caledonia through the lens of public finances and medical practice [Title, 1]. The author highlights a major imbalance between highly expensive cutting-edge medicine, centered on the public hospital sector, and the growing needs linked to aging and chronic diseases. She criticizes a fragmented administrative organization, often compared to an institutional 'mille-feuille,' which undermines care coordination and budgetary efficiency. The text also points to a lack of reliable management tools and medical training that fails to sufficiently prepare practitioners for the realities of prevention. In conclusion, Viviane Damiens calls for a profound structural reform, inspired by collaborative models, to ensure the sustainability of healthcare within the territory.

Suggested Citation

  • Viviane Damiens, 2019. "La Nouvelle-Calédonie face à la crise des finances publiques : le point de vue du praticien. Crise de la tête ou du corps (médical) ?," Post-Print hal-05616694, HAL.
    • Handle: RePEc:hal:journl:hal-05616694
    Note: View the original document on HAL open archive server: https://hal.science/hal-05616694v1
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