Aspects sociétaux Flashcards

1
Q

Caractéristiques système social français

A
  • universel
  • obligatoire
  • fondé sur la solidarité
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2
Q

Régime générale

A

Caisse Nationale d’Assurance des Travailleurs Salariés
85%

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3
Q

Régime agricole

A

Mutualité Sociale Agricole
7%

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4
Q

Régime des non-salariés/non-agricoles

A

Régime Social des Indépendant
5%

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5
Q

Union Nationale des Caisse d’Assurance Maladie

A

générale + agricole + indépendant

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6
Q

Loi de financement de la sécurité sociale

A

1996

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7
Q

Couverture Maladie Universelle

A

1 janvier 2000

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8
Q

Droit de substitution

A

principes pour un générique
1999

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9
Q

Fixation remboursement et prix du médicament

A

1- avis Commission de Transparence
2- décision Ministre
3- Prix CEPS

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10
Q

Fixation du taux de remboursement

A

Union Nationale des Caisses de l’Assurance Maladie

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11
Q

Automédication

A

PAS de définition juridique
=> disponible sans ordonnance et non remboursé

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12
Q

Convention d’Objectifs et de Gestion

A

Etat + CNAMTS
=> 3 ans minimum

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13
Q

Differences établissements publics/privés

A
  • fonctionnement
  • missions
  • équipements
  • clientèle
  • rémunération
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14
Q

Commission de Transparence

A

SMR >prise en charge
+ ASMR (si SMR positif) > prix

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15
Q

Niveau ASMR

A

1 = progrès majeur
5 = aucune amélioration

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