Publika-法国医疗体系的危机（英）

1 September 2025 2 SKEMA Publika is an independent think tank aiming to produce accessible international thought far from formatted conventions, to fuel public debate and better inform national and international policymakers. Affiliated with SKEMA Business School, the think tank addresses political and societal issues connected with public policy and on which SKEMA has a legitimate voice. It looks at them from the angle of early signs, anticipates, and formulates recommendations for the way forward. It takes a multidisciplinary and hybrid approach to processing information, relying on a combination of human and digital intelligence. It draws on the international and transcultural dimension of SKEMA, a school present on five continents and boasting thousands of students and hundreds of researchers. 3 TABLE OF CONTENTS ............................................................................................................................................... 3 Introduction ............................................................................................................................................................ 4 THEORETICAL FOUNDATIONS OF QUEUEING IN EMERGENCY DEPARTMENTS ...................................................... 7 QUEUEING THEORY ............................................................................................................................................. 7 THE UNIQUE CASE OF EMERGENCY DEPARTMENTS: THE LIMITS OF STANDARD QUEUEING FORMULAE ......... 8 GAME THEORY TO UNDERSTAND PATIENT BEHAVIOUR ...................................................................................... 10 OVERCROWDING DUE TO FAILING TO ACCOUNT FOR NEGATIVE EXTERNALITIES ........................................... 10 PATIENT WAITING-TIME RISK AVERSION: AN AMPLIFIER OF CONGESTION ..................................................... 10 THE CRITICAL ISSUE OF PATIENT PRIORITISATION ................................................................................................ 13 TRAINING OF CLINICAL AND NON-CLINICAL STAFF AND ITS ROLE IN FLOW OPTIMISATION ............................... 15 IDENTIFYING THE KEY ROLES OF CLINICAL AND NON-CLINICAL STAFF ............................................................. 15 TARGETED TRAINING PROGRAMMES ............................................................................................................... 16 THE ROLE OF CALL CENTRES IN EMERGENCY MANAGEMENT .............................................................................. 18 THE CURRENT ROLE OF CALL CENTRES ............................................................................................................. 18 IMPROVING COORDINATION AND INFORMATION SHARING ........................................................................... 19 CHALLENGES AND OUTLOOK ................................................................................................................................ 21 APPLICABILITY