Anne Laurence GOUZIEN

• Country : FRANCE
• al.gouzien@free.fr
• Occupation : Consultant
• EUROPHAMILI Training centre : Rennes - France
• Promotion : 2007

Background

Hello, I’m from Brittany, I live in Rennes. After completing an engineer degree in project management and in statistics, I‘ve worked in health sector in France for eleven years , first as a consultant for a company specialized in health software for clinics and  public hospitals then as a free lance consultant ( in Brittany , Paris and rest of France). I worked on the optimisation of organisation on the following topics: Electronic Medical Record, PMSI (DRG Diagnosis Related Groups) , T2A, Billing .

I have been interested in the health sector because of the different kind of organisations you can find: public and private system, medical and administrative staff. This is the reason why in 1998, I completed a post graduated diploma in economics health and management (DESS).
I took a sabbatical year in 2006, after having spent 8 months in North America especially in Quebec, I came back in France last autumn, and this foreign experience emphasizes my idea that sharing different culture and point of view are the best way to analyse problem (often common issue in health management), to find solutions and to increase creativity. I would like to work in the next years on topics about organisation and assessment in an international context.
About my hobbies, I love music especially concerts,  I play ( as an amateur !) diatonic accordion,  I also play theatre, I love travelling and I like sports such as windsurfing and jogging.

Publication(s)

External evaluation as a new perspective in the evolution of health networks - Example on diabetes health networks

In a European dimension, health networking is guided through a trend of high decentralization and empowerment of local initiatives. The current trend is towards new innovator approaches and new organizations to improve continuity of care and coordination of care in a multidisciplinary context. In UK, the primary care trusts model is supported by a coherent health policy; the networking has more informal characters in other countries (Spain) or is limited to local initiatives in some cities (Italy); in East-European countries (inclusive Romania) the level of local initiative is very low but there are real premises to shift from informal to formal local health networks.
The French model of health networks emerged from the spontaneous aggregation of patient and health professional around specific public health issues (AIDS).
The year 2006 seemed to mark a further step in the end of the health networks first cycle: in particular in experimentations and maybe 2007 could be a new period toward regulations that miss to healthcare system. The experimentation level is continuing in both term of financing and evaluation process. Nevertheless there is a political pressure to introduce an external evaluation approach for French health networks governed by principles such as institutionalisation, refinancing, rationalisation.

In this context the present study’s purpose is to provide evidences on the French health networks evaluation system in a perspective regarding the introducing external evaluation and to identify the position of the external evaluation in the life’s cycle of health network.

The methodology is to analyse the current evaluation system combining both theoretical and practical approaches; it focuses on collecting and analysing the experts’ opinions about legal frameworks, obstacles, added values in order to understand what would be its roles and the perspectives induced in the life’s cycle of health network.  

By comparing both approaches (theoretical and practical) external evaluation seems to lead to new perspectives in consolidating self evaluations, providing professional tools and methodologies, therefore ensuring helpful support for promoters thanks to high level of expertises and neutrality. Their specialisations will strengthen the experiences shared and therefore the learning process.  To guarantee a successful implementation every actor have to keep in mind the fact that evaluation is more a support than a sanction to overpass this common confusion’s feeling regarding this topic in France. The methodology has to be simple, coherent and adaptive regarding these complex and dynamics organisations such as health networks.
External evaluation and more widely evaluation shall not be considered as a tool but a way to shift health networks from experimental step to a regulation function.