{"id":39209,"date":"2019-02-01T11:38:40","date_gmt":"2019-02-01T10:38:40","guid":{"rendered":"https:\/\/gestions-hospitalieres.fr\/?p=39209"},"modified":"2019-02-20T16:32:30","modified_gmt":"2019-02-20T15:32:30","slug":"chu-et-prevention","status":"publish","type":"post","link":"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/","title":{"rendered":"CHU et pr\u00e9vention"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Temps de lecture\u00a0: <\/span> <span class=\"rt-time\"> 3<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p>En introduction de cette table ronde qu\u2019il a organis\u00e9e et anim\u00e9e, le Pr Philippe\u00a0Amouyel, professeur de sant\u00e9 publique au CHRU de Lille et ancien directeur g\u00e9n\u00e9ral de l\u2019Institut Pasteur de Lille, a insist\u00e9 sur l\u2019\u00e9volution de la m\u00e9decine vers la pr\u00e9vision\u2009: les sympt\u00f4mes et \u00e9v\u00e9nements qui \u00e9maillent notre quotidien ne sont que l\u2019\u00e9volution d\u2019un processus long, qu\u2019on peut aujourd\u2019hui anticiper, notamment gr\u00e2ce \u00e0 la g\u00e9nomique et \u00e0 l\u2019intelligence artificielle. Le mod\u00e8le biom\u00e9dical sur lequel est construit notre syst\u00e8me de sant\u00e9 \u00e9volue\u2009: la plupart des affections qui nous touchent sont des affections chroniques, qui font qu\u2019on pourra \u00eatre suivi tout au long de la vie, mais jamais totalement gu\u00e9ri. En ce sens, le mod\u00e8le pasteurien se r\u00e9v\u00e8le toujours tr\u00e8s efficace dans le cadre des affections aigu\u00ebs, mais montre ses limites face \u00e0 la maladie chronique. Le Pr Amouyel a ainsi soulign\u00e9 l\u2019av\u00e8nement d\u2019une m\u00e9decine dite des \u00ab\u20094P\u2009\u00bb\u2009: pr\u00e9dire, pr\u00e9venir, personnaliser et participer.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/JW0m0pa7_V4\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h3>Doit-on s\u2019int\u00e9resser \u00e0 l\u2019homme apparemment sain\u2009?<span class=\"Apple-converted-space\">\u00a0<\/span><\/h3>\n<p>Le Pr Fran\u00e7ois-Ren\u00e9 Pruvot, professeur de chirurgie au CHRU de Lille et pr\u00e9sident de la Conf\u00e9rence des pr\u00e9sidents de CME de CHU, a r\u00e9pondu \u00e0 cette question en paraphrasant Jules Romains\u2009: tout homme sain est un malade qui s\u2019ignore. L\u2019homme sain est celui qui se pr\u00e9occupe de sa sant\u00e9 avant de se pr\u00e9occuper de la maladie. Les h\u00f4pitaux universitaires sont les \u00e9tablissements cens\u00e9s avoir l\u2019homme physiologique comme sujet d\u2019\u00e9tude. C\u2019est un champ qui ne peut pas ne pas \u00eatre \u00e9tudi\u00e9 et pris en compte. On sait les progr\u00e8s que font faire les diagnostics pr\u00e9emptifs\u2009; or, une grande partie de ces diagnostics pr\u00e9emptifs rel\u00e8vent du domaine complexe. Les CHU sont au c\u0153ur de ce domaine, et \u00e0 m\u00eame de traiter les donn\u00e9es de sant\u00e9 consid\u00e9rables ainsi g\u00e9n\u00e9r\u00e9es.<\/p>\n<h3>Quel r\u00f4le pour les CHU face \u00e0 l\u2019homme apparemment sain\u2009?<\/h3>\n<p>Le Pr Beno\u00eet Vallet, ancien directeur g\u00e9n\u00e9ral de la sant\u00e9 et conseiller ma\u00eetre \u00e0 la Cour des comptes, a relev\u00e9 que le syst\u00e8me de sant\u00e9, tel qu\u2019il est organis\u00e9 aujourd\u2019hui, n\u2019assume pas bien la pr\u00e9paration \u00e0 l\u2019apparition des maladies chroniques. Or, ces maladies chroniques concernent le tiers de la population et cette proportion ne fait que s\u2019accro\u00eetre. Les CHU ont un r\u00f4le \u00e0 jouer dans le d\u00e9pistage pr\u00e9coce et le rep\u00e9rage des maladies chroniques\u2009: ils disposent des plateaux techniques et des moyens n\u00e9cessaires. Avec leurs partenaires hospitaliers, publics ou priv\u00e9s, ils doivent s\u2019emparer de ce r\u00f4le de pr\u00e9vention. Ce pourrait \u00eatre la quatri\u00e8me mission des CHU.<\/p>\n<blockquote><p>Les CHU ont un r\u00f4le \u00e0 jouer dans le d\u00e9pistage pr\u00e9coce et le rep\u00e9rage des maladies chroniques\u2009: ils disposent des plateaux techniques et des moyens n\u00e9cessaires.<\/p><\/blockquote>\n<h3>Quel r\u00f4le pour les technologies dans la pr\u00e9vention\u2009?<\/h3>\n<p>Pour le Pr\u00a0Guy Vallancien, membre de l\u2019Acad\u00e9mie nationale de m\u00e9decine, \u00ab\u2009<i>le terme pr\u00e9vention est insupportable<\/i>\u2009\u00bb. Si l\u2019on veut que les populations adh\u00e8rent, il faut parler de prise en charge sanitaire. Il faut envoyer des infirmiers et infirmi\u00e8res dans toutes les entreprises et administrations pour \u00eatre des r\u00e9f\u00e9rents de proximit\u00e9 pour cette prise en charge de proximit\u00e9\u2009: de la pr\u00e9sence humaine avant les outils technologiques. Il faudrait envoyer 50 \u00e0 60\u2009000 infirmiers\/\u00e8res dans ces lieux, soit un budget de 3\u00a0milliards d\u2019euros. Avec les informations r\u00e9colt\u00e9es, d\u2019\u00e9normes donn\u00e9es de sant\u00e9, devront \u00eatre trait\u00e9es par la technologie pour avoir une connaissance fine de l\u2019\u00e9tat de sant\u00e9 de la population.<\/p>\n<h3>Quelle place pour les CHU dans ce syst\u00e8me de pr\u00e9vention\u2009?<\/h3>\n<p>Le Pr \u00c9tienne Minvielle, de l\u2019Institut interdisciplinaire de l\u2019innovation (i3), a soulign\u00e9 une tendance de la soci\u00e9t\u00e9 \u00e0 aller vers une id\u00e9e du bien-\u00eatre, au-del\u00e0 de l\u2019\u00e9tat de sant\u00e9. L\u2019innovation technologique va avoir un r\u00f4le, encore difficile \u00e0 d\u00e9finir. Le suivi \u00e0 distance doit \u00eatre pris en compte\u2009: en une ann\u00e9e, un patient atteint d\u2019une maladie chronique passe en moyenne 5\u2009000 heures en dehors de l\u2019h\u00f4pital.<\/p>\n<h3>Quel financement pour la pr\u00e9vention\u2009?<\/h3>\n<p>La pr\u00e9vention ne repr\u00e9sente que 15\u00a0milliards d\u2019euros, sur un budget global de la sant\u00e9 de 270 milliards d\u2019euros. Il faut mettre en \u00e9vidence des financements sp\u00e9cifiques, garantissant la compl\u00e9mentarit\u00e9 entre les acteurs et aller vers le paiement au parcours.<\/p>\n<h3>Quelles cons\u00e9quences pour les patients\u2009?<\/h3>\n<p>Les participants se sont interrog\u00e9s sur la notion d\u2019assurance. La question de l\u2019assurance doit aussi \u00eatre prise en compte, avec les tests pr\u00e9dictifs\u2009; cela posera la question de la couverture assurantielle. La pr\u00e9vention ne doit pas \u00eatre qu\u2019une question de clinique, mais aussi de comportement de la personne. Il faut toutefois se garder d\u2019une vision p\u00e9nalisante, car les donn\u00e9es de sant\u00e9 sont aussi le fait de facteurs sociaux, d\u00e9passant la seule action personnelle\u2009: il y a des d\u00e9terminants sociaux et culturels qu\u2019il faut prendre en compte. Cela implique aussi que la meilleure cible en termes de pr\u00e9vention reste la population jeune.<\/p>\n<h3>Les CHU doivent-ils investir le champ de la pr\u00e9vention\u2009?<\/h3>\n<p>Pour tous les participants de la table ronde, la r\u00e9ponse est oui\u2009: par leur taille, leur capacit\u00e9 \u00e0 s\u2019organiser et \u00e0 f\u00e9d\u00e9rer le maillage r\u00e9gional, les CHU peuvent assurer le pilotage n\u00e9cessaire et doivent s\u2019impliquer plus avant dans le champ de la pr\u00e9vention. Cela devra aussi se faire avec les structures locales, comme les communaut\u00e9s professionnelles territoriales de sant\u00e9.<\/p>\n<script>function PlayerjsAsync(){} if(window[\"Playerjs\"]){PlayerjsAsync();}<\/script>","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Temps de lecture\u00a0: <\/span> <span class=\"rt-time\"> 3<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>En introduction de cette table ronde qu\u2019il a organis\u00e9e et anim\u00e9e, le Pr Philippe\u00a0Amouyel, professeur de sant\u00e9 publique au CHRU de Lille et ancien directeur g\u00e9n\u00e9ral de l\u2019Institut Pasteur de Lille, a insist\u00e9 sur l\u2019\u00e9volution de la m\u00e9decine vers la pr\u00e9vision\u2009: les sympt\u00f4mes et \u00e9v\u00e9nements qui \u00e9maillent notre quotidien ne sont que l\u2019\u00e9volution d\u2019un processus long, qu\u2019on peut aujourd\u2019hui anticiper, notamment gr\u00e2ce \u00e0 la g\u00e9nomique et \u00e0 l\u2019intelligence artificielle. Le&hellip; <\/p>\n","protected":false},"author":23133,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6793,2],"tags":[7053,5135,43,6626,7143,7144,2326,1872,5198],"class_list":["post-39209","post","type-post","status-publish","format-standard","hentry","category-compte-rendu","category-gestions-hospitalieres","tag-7053","tag-assises","tag-chu","tag-etudes-medicales","tag-genomique","tag-innovations-medicales","tag-intelligence-artificielle","tag-numerique","tag-poitiers"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>CHU et pr\u00e9vention - Gestions hospitali\u00e8res<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CHU et pr\u00e9vention - Gestions hospitali\u00e8res\" \/>\n<meta property=\"og:description\" content=\"Temps de lecture\u00a0:  3 minutesEn introduction de cette table ronde qu\u2019il a organis\u00e9e et anim\u00e9e, le Pr Philippe\u00a0Amouyel, professeur de sant\u00e9 publique au CHRU de Lille et ancien directeur g\u00e9n\u00e9ral de l\u2019Institut Pasteur de Lille, a insist\u00e9 sur l\u2019\u00e9volution de la m\u00e9decine vers la pr\u00e9vision\u2009: les sympt\u00f4mes et \u00e9v\u00e9nements qui \u00e9maillent notre quotidien ne sont que l\u2019\u00e9volution d\u2019un processus long, qu\u2019on peut aujourd\u2019hui anticiper, notamment gr\u00e2ce \u00e0 la g\u00e9nomique et \u00e0 l\u2019intelligence artificielle. Le&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/\" \/>\n<meta property=\"og:site_name\" content=\"Gestions hospitali\u00e8res\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/gestionshospitalieres\/\" \/>\n<meta property=\"article:published_time\" content=\"2019-02-01T10:38:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-02-20T15:32:30+00:00\" \/>\n<meta name=\"author\" content=\"Gestions hospitali\u00e8res\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@revue_GH\" \/>\n<meta name=\"twitter:site\" content=\"@revue_GH\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Gestions hospitali\u00e8res\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/\"},\"author\":{\"name\":\"Gestions hospitali\u00e8res\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/3ba9fe913190dfe9507feb621e902c1f\"},\"headline\":\"CHU et pr\u00e9vention\",\"datePublished\":\"2019-02-01T10:38:40+00:00\",\"dateModified\":\"2019-02-20T15:32:30+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/\"},\"wordCount\":975,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#organization\"},\"keywords\":[\"2018\",\"Assises\",\"CHU\",\"\u00e9tudes m\u00e9dicales\",\"g\u00e9nomique\",\"innovations m\u00e9dicales\",\"intelligence artificielle\",\"num\u00e9rique\",\"Poitiers\"],\"articleSection\":[\"compte-rendu\",\"Gestions Hospitali\u00e8res\"],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/\",\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/\",\"name\":\"CHU et pr\u00e9vention - Gestions hospitali\u00e8res\",\"isPartOf\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#website\"},\"datePublished\":\"2019-02-01T10:38:40+00:00\",\"dateModified\":\"2019-02-20T15:32:30+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/www.ricom-web8.com\/gestions\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"CHU et pr\u00e9vention\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#website\",\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/\",\"name\":\"Gestions hospitali\u00e8res\",\"description\":\"la revue des d\u00e9cideurs hospitaliers\",\"publisher\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.ricom-web8.com\/gestions\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#organization\",\"name\":\"Gestions hospitali\u00e8res\",\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2017\/02\/picto_Gif-GH-trans.png\",\"contentUrl\":\"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2017\/02\/picto_Gif-GH-trans.png\",\"width\":512,\"height\":512,\"caption\":\"Gestions hospitali\u00e8res\"},\"image\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/gestionshospitalieres\/\",\"https:\/\/x.com\/revue_GH\",\"https:\/\/www.linkedin.com\/company\/gestions-hospitalieres?trk=top_nav_home\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/3ba9fe913190dfe9507feb621e902c1f\",\"name\":\"Gestions hospitali\u00e8res\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/1a0d93e6db5dbe7dac96bae4757d256f?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/1a0d93e6db5dbe7dac96bae4757d256f?s=96&d=mm&r=g\",\"caption\":\"Gestions hospitali\u00e8res\"},\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/author\/benjamin\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"CHU et pr\u00e9vention - Gestions hospitali\u00e8res","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/","og_locale":"fr_FR","og_type":"article","og_title":"CHU et pr\u00e9vention - Gestions hospitali\u00e8res","og_description":"Temps de lecture\u00a0:  3 minutesEn introduction de cette table ronde qu\u2019il a organis\u00e9e et anim\u00e9e, le Pr Philippe\u00a0Amouyel, professeur de sant\u00e9 publique au CHRU de Lille et ancien directeur g\u00e9n\u00e9ral de l\u2019Institut Pasteur de Lille, a insist\u00e9 sur l\u2019\u00e9volution de la m\u00e9decine vers la pr\u00e9vision\u2009: les sympt\u00f4mes et \u00e9v\u00e9nements qui \u00e9maillent notre quotidien ne sont que l\u2019\u00e9volution d\u2019un processus long, qu\u2019on peut aujourd\u2019hui anticiper, notamment gr\u00e2ce \u00e0 la g\u00e9nomique et \u00e0 l\u2019intelligence artificielle. Le&hellip;","og_url":"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/","og_site_name":"Gestions hospitali\u00e8res","article_publisher":"https:\/\/www.facebook.com\/gestionshospitalieres\/","article_published_time":"2019-02-01T10:38:40+00:00","article_modified_time":"2019-02-20T15:32:30+00:00","author":"Gestions hospitali\u00e8res","twitter_card":"summary_large_image","twitter_creator":"@revue_GH","twitter_site":"@revue_GH","twitter_misc":{"\u00c9crit par":"Gestions hospitali\u00e8res","Dur\u00e9e de lecture estim\u00e9e":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/#article","isPartOf":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/"},"author":{"name":"Gestions hospitali\u00e8res","@id":"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/3ba9fe913190dfe9507feb621e902c1f"},"headline":"CHU et pr\u00e9vention","datePublished":"2019-02-01T10:38:40+00:00","dateModified":"2019-02-20T15:32:30+00:00","mainEntityOfPage":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/"},"wordCount":975,"commentCount":0,"publisher":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/#organization"},"keywords":["2018","Assises","CHU","\u00e9tudes m\u00e9dicales","g\u00e9nomique","innovations m\u00e9dicales","intelligence artificielle","num\u00e9rique","Poitiers"],"articleSection":["compte-rendu","Gestions Hospitali\u00e8res"],"inLanguage":"fr-FR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/","url":"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/","name":"CHU et pr\u00e9vention - Gestions hospitali\u00e8res","isPartOf":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/#website"},"datePublished":"2019-02-01T10:38:40+00:00","dateModified":"2019-02-20T15:32:30+00:00","breadcrumb":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ricom-web8.com\/gestions\/chu-et-prevention\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/www.ricom-web8.com\/gestions\/"},{"@type":"ListItem","position":2,"name":"CHU et pr\u00e9vention"}]},{"@type":"WebSite","@id":"https:\/\/www.ricom-web8.com\/gestions\/#website","url":"https:\/\/www.ricom-web8.com\/gestions\/","name":"Gestions hospitali\u00e8res","description":"la revue des d\u00e9cideurs hospitaliers","publisher":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ricom-web8.com\/gestions\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.ricom-web8.com\/gestions\/#organization","name":"Gestions hospitali\u00e8res","url":"https:\/\/www.ricom-web8.com\/gestions\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/logo\/image\/","url":"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2017\/02\/picto_Gif-GH-trans.png","contentUrl":"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2017\/02\/picto_Gif-GH-trans.png","width":512,"height":512,"caption":"Gestions hospitali\u00e8res"},"image":{"@id":"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/gestionshospitalieres\/","https:\/\/x.com\/revue_GH","https:\/\/www.linkedin.com\/company\/gestions-hospitalieres?trk=top_nav_home"]},{"@type":"Person","@id":"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/3ba9fe913190dfe9507feb621e902c1f","name":"Gestions hospitali\u00e8res","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/1a0d93e6db5dbe7dac96bae4757d256f?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/1a0d93e6db5dbe7dac96bae4757d256f?s=96&d=mm&r=g","caption":"Gestions hospitali\u00e8res"},"url":"https:\/\/www.ricom-web8.com\/gestions\/author\/benjamin\/"}]}},"_links":{"self":[{"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/posts\/39209","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/users\/23133"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/comments?post=39209"}],"version-history":[{"count":0,"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/posts\/39209\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/media?parent=39209"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/categories?post=39209"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ricom-web8.com\/gestions\/wp-json\/wp\/v2\/tags?post=39209"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}