%PDF-1.4 %âãÏÓ 8 0 obj <> endobj 10 0 obj <> endobj 30 0 obj <> endobj 36 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n 0 0 0 0 k /GS1 gs 316.226 674.527 244.374 131.363 re f EMC /Figure <>BDC Q q 1 i 305.118 805.89 266.1 -131.36 re W n 316.226 805.89 244.374 -131.363 re W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 38.6353 0 0 38.6353 408.152 694.4475 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.9(t)-12.1(w)13.6(or)8(k)]TJ ET /GS2 gs BT 68.706 0 0 68.706 317.0163 740.7583 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 410.163 723.202 cm 0 0 m -.2622 -.467 -.6119 -1.1074 -1.0195 -1.9525 c -2.2727 -4.4871 -4.0789 -5.7407 -6.4101 -5.7407 c -8.3916 -5.7407 -9.5569 -5.2163 -10.635 -3.7882 c -11.538 -2.5355 -12.208 -.8157 -13.257 3.059 c -13.316 3.1469 -13.345 3.3212 -13.374 3.4965 c -13.986 5.6519 -14.277 6.9924 -14.277 7.5469 c -14.277 9.7607 -11.043 11.975 -8.508 11.975 c -7.6923 11.975 -7.3137 11.655 -6.6433 10.052 c -6.4391 9.5569 -6.2063 8.9155 -5.9146 8.0709 c -5.2443 6.2057 -4.6913 5.2737 -4.2542 5.2737 c -3.8751 5.2737 -2.3307 7.4006 .3501 11.655 c 2.9136 15.705 5.1284 19.114 6.964 21.882 c 12.121 29.603 14.336 32.401 16.521 34.178 c 18.415 35.722 21.3 36.596 25.874 36.916 c 26.282 35.897 l 16.229 24.679 7.3721 12.616 0 0 c f Q BT 28.0106 0 0 28.0106 337.089 694.1475 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .483 w 10 M [] 0 d q 1 0 0 1 339.778 694.147 cm 0 0 m 11.624 0 l 11.624 2.4089 l 2.773 2.4089 l 2.773 19.775 l 0 19.775 l s Q BT 15.4541 0 0 15.4541 351.9064 694.1475 Tm ( )Tj 28.0106 0 0 28.0106 355.8779 694.1475 Tm (T)Tj ET q 1 0 0 1 362.797 694.147 cm 0 0 m 2.773 0 l 2.773 17.367 l 9.5516 17.367 l 9.5516 19.775 l -6.7786 19.775 l -6.7786 17.367 l 0 17.367 l s Q BT 12.5565 0 0 12.5565 372.4877 694.1475 Tm ( )Tj 28.0106 0 0 28.0106 375.7146 694.1475 Tm (C)Tj ET q 1 0 0 1 377.059 704.147 cm 0 0 m 0 -5.7982 4.1736 -10.336 10.112 -10.336 c 15.07 -10.336 17.787 -7.1987 y 16.302 -5.2099 l 13.921 -7.7869 10.196 -7.7869 v 5.7982 -7.7869 2.8571 -4.2016 2.8571 .028 c 2.8571 4.2296 5.7422 7.5909 10.168 7.5909 c 13.585 7.5909 15.882 5.434 y 17.254 7.5068 l 14.818 10.111 10.056 10.111 v 4.3136 10.111 0 5.7421 0 0 c s Q EMC /Artifact <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs .015015 0 595.261 604.433 re f EMC /Artifact <>BDC 0 0 0 0 k .015015 279.407 595.261 325.026 re f EMC /Figure <>BDC Q q 1 i .007965 604.433 595.268 -325.026 re W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs q 596.221 0 0 325.608 -.2814 279.086 cm /Im1 Do Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT4 1 Tf 28 0 0 28 68.0315 201.4858 Tm 0 0 0 0 k 0 Tc 0 Tw [(fr)18.1(ench national integration pathways)]TJ ET EMC /P <>BDC BT 28 0 0 28 529.0496 201.4858 Tm ( )Tj ET EMC /P <>BDC BT 28 0 0 28 68.0315 162.3418 Tm (and local integration dynamics)Tj ET EMC /P <>BDC BT 28 0 0 28 450.2595 162.3418 Tm ( )Tj ET EMC /P <>BDC BT 24 0 0 24 68.0315 127.0059 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 14 0 0 14 68.0315 102.974 Tm (a)Tj /TT4 1 Tf .648 0 TD (lis )Tj /TT5 1 Tf 1.222 0 TD (s)Tj /TT4 1 Tf .648 0 TD (opadzhiyan and Blanche Le Bihan)Tj ET EMC /P <>BDC BT 14 0 0 14 316.4335 102.974 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 14 0 0 14 68.0315 83.4022 Tm (s)Tj /TT4 1 Tf .648 0 TD (chool o)Tj /TT5 1 Tf 3.315 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj /TT5 1 Tf .278 0 TD (p)Tj /TT4 1 Tf .648 0 TD (ublic )Tj /TT5 1 Tf 2.408 0 TD (h)Tj /TT4 1 Tf .722 0 TD (ealth \()Tj /TT5 1 Tf 2.704 0 TD (ehesp)Tj /TT4 1 Tf 3.24 0 TD (\), france )Tj ET EMC /P <>BDC BT 10 0 0 10 325.9955 83.4022 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 68.0315 67.6381 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 68.0315 53.6581 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 68.0315 39.6781 Tm (n)Tj /TT4 1 Tf .722 0 TD (ovember 2019)Tj ET EMC /Artifact <>BDC 0 0 0 1 k /GS3 gs .015015 279.407 595.261 58.57 re f EMC /P <>BDC /GS1 gs BT /TT5 1 Tf 24 0 0 24 68.0394 299.8235 Tm 0 0 0 0 k (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj ET EMC /P <>BDC BT /TT4 1 Tf 24 0 0 24 264.9114 299.8235 Tm (: )Tj ET EMC /P <>BDC BT 24 0 0 24 278.2553 299.8235 Tm (f)Tj /TT5 1 Tf .574 0 TD (rance)Tj ET EMC /Figure <>BDC Q q 1 i 490.616 74.189 74.768 -51.992 re W n 0 0 0 0 k /GS1 gs q 1 0 0 1 490.612 60.619 cm 0 0 m 22.154 2.863 22.78 2.9654 v 23.738 3.1215 24.59 3.3043 25.384 3.5239 c 27.176 4.014 28.825 4.7623 30.286 5.748 c 31.685 6.686 32.988 8.0503 34.279 9.547 c 35.1 10.499 35.962 11.741 36.766 12.94 c 36.766 13.518 l 35.812 12.107 34.872 10.892 33.905 9.8188 c 32.625 8.3946 31.281 7.2298 29.911 6.3555 c 28.498 5.4464 26.907 4.7677 25.182 4.338 c 24.409 4.1435 23.582 3.9858 22.651 3.8563 c 22.038 3.7702 21.406 3.7039 20.795 3.6396 c 20.551 3.6142 0 1.4366 y 0 0 l f Q q 1 0 0 1 520.321 64.329 cm 0 0 m -1.3867 -.7967 -2.9883 -1.3795 -4.7598 -1.7327 c -5.517 -1.8853 -6.3415 -2.0093 -7.282 -2.1117 c -7.8345 -2.1715 -8.391 -2.2197 -8.9482 -2.2677 c -9.2491 -2.2937 -9.5496 -2.3197 -9.8493 -2.3473 c -16.638 -2.9553 -23.392 -3.6021 -29.709 -4.2147 c -29.709 -5.6498 l -23.343 -4.8829 -16.542 -4.071 -9.755 -3.3038 c -9.4531 -3.2685 -9.1512 -3.235 -8.8489 -3.2022 c -8.293 -3.1407 -7.7363 -3.0797 -7.1779 -3.0061 c -6.2122 -2.8777 -5.3671 -2.7302 -4.595 -2.5553 c -2.7543 -2.1442 -1.0912 -1.4952 .3453 -.6263 c 1.7735 .2298 3.0356 1.4285 4.3924 2.8943 c 5.2372 3.8069 6.1772 5.0942 7.0568 6.3042 c 7.0568 6.8305 l 6.0209 5.4266 5.0375 4.2474 4.0645 3.2414 c 2.7397 1.8707 1.3722 .7805 0 0 c f Q q 1 0 0 1 524.198 64.681 cm 0 0 m -1.3519 -1.2384 -2.7631 -2.2123 -4.1952 -2.8952 c -5.5954 -3.5699 -7.1623 -4.0434 -8.986 -4.3431 c -9.7386 -4.4675 -10.557 -4.5691 -11.486 -4.6537 c -33.586 -6.4665 l -33.586 -7.8988 l -13.941 -5.8166 l -11.399 -5.5497 l -10.442 -5.439 -9.6074 -5.3152 -8.8472 -5.1707 c -6.9583 -4.8148 -5.338 -4.2824 -3.8943 -3.5445 c -2.4186 -2.7991 -.9439 -1.5588 .4269 -.2455 c 1.3471 .635 2.2329 1.7723 3.1796 2.9651 c 3.1796 3.4423 l 2.0862 2.0849 1.0421 .9536 0 0 c f Q q 1 0 0 1 518.854 57.243 cm 0 0 m -1.2863 -.719 -2.2485 -1.1333 -4.0857 -1.3246 c -5.1964 -1.4441 -6.3375 -1.501 -7.4417 -1.556 c -7.9761 -1.5826 -8.5111 -1.609 -9.0447 -1.6426 c -12.384 -1.8334 -15.662 -2.0446 -19.007 -2.2624 c -28.242 -2.8836 l -28.242 -4.3157 l -18.915 -3.461 l -15.901 -3.1909 -12.399 -2.8796 -8.9798 -2.601 c -6.4944 -2.4087 l -5.5242 -2.3342 -4.7285 -2.2551 -3.9914 -2.1591 c -2.1008 -1.9155 -.4857 -1.5339 .9453 -.9938 c 2.486 -.418 3.939 .4755 5.3942 1.526 c 6.7064 2.473 8.5219 4.3408 8.5239 4.3651 c 8.5239 4.8713 l 7.3367 3.7146 6.6533 3.0648 5.3541 2.2097 c 3.8013 1.188 1.1536 .6444 0 0 c f Q q 1 0 0 1 519.324 54.521 cm 0 0 m -1.3941 -.4081 -2.9634 -.6845 -4.7974 -.8447 c -5.5403 -.909 -6.3417 -.9581 -7.2476 -.9947 c -9.7194 -1.103 l -15.862 -1.388 -21.974 -1.7067 -28.712 -2.0629 c -28.712 -3.4914 l -22.276 -2.9939 -15.968 -2.5097 -9.6639 -2.0616 c -7.199 -1.8934 l -6.2477 -1.8311 -5.459 -1.7633 -4.7169 -1.6798 c -2.8367 -1.4699 -1.2286 -1.1457 .1987 -.6895 c 1.7806 -.189 3.3221 .5367 4.7809 1.467 c 5.8586 2.1522 6.936 2.9688 8.054 3.9438 c 8.054 3.9686 l 6.822 2.9183 5.6478 2.6853 4.4777 1.9794 c 3.045 1.1125 1.5385 .4466 0 0 c f Q q 1 0 0 1 519.096 52.148 cm 0 0 m -1.4043 -.3279 -2.9259 -.5387 -4.7897 -.6632 c -5.5087 -.7115 -6.2811 -.7476 -7.2221 -.7768 c -9.6703 -.8637 l -15.839 -1.0967 -22.094 -1.3646 -28.484 -1.6417 c -28.484 -3.0695 l -22.135 -2.637 -15.905 -2.2158 -9.6221 -1.823 c -7.1795 -1.6768 l -6.2218 -1.6224 -5.4413 -1.5666 -4.7242 -1.5014 c -2.826 -1.3265 -1.2729 -1.0717 .1631 -.7002 c 1.7744 -.2855 3.3405 .3223 4.8185 1.1062 c 5.9611 1.7113 7.1008 2.4387 8.2817 3.3145 c 8.2817 3.9251 l 7.0054 3.0041 5.781 2.2538 4.5552 1.6416 c 3.1042 .916 1.572 .3639 0 0 c f Q q 1 0 0 1 518.887 49.821 cm 0 0 m -1.4091 -.2579 -2.9265 -.4221 -4.7762 -.5175 c -5.472 -.5533 -6.2167 -.5789 -7.1908 -.6013 c -28.275 -1.1717 l -28.275 -2.5983 l -9.5781 -1.6234 l -7.1561 -1.5007 l -6.2108 -1.4561 -5.4376 -1.4103 -4.7226 -1.3552 c -2.8475 -1.2122 -1.3049 -1.0064 .1315 -.7062 c 1.7622 -.3682 3.3447 .1255 4.8352 .7602 c 6.0356 1.2685 7.2385 1.8888 8.4908 2.6431 c 8.4908 3.2163 l 7.1525 2.4389 5.8804 1.8148 4.6171 1.3157 c 3.1469 .7319 1.5938 .2898 0 0 c f Q q 1 0 0 1 518.721 47.484 cm 0 0 m -2.5872 -.3447 -5.2505 -.3844 -7.8263 -.4225 c -8.4166 -.431 -9.0072 -.4403 -9.5969 -.4522 c -28.109 -.7856 l -28.109 -2.2101 l -9.5648 -1.4123 l -8.9767 -1.3856 -8.3881 -1.3618 -7.7986 -1.3384 c -5.2048 -1.2345 -2.5223 -1.1279 .0995 -.7118 c 1.7596 -.4508 3.3571 -.0639 4.8473 .4368 c 6.0818 .8496 7.361 1.3839 8.6565 2.0152 c 8.6565 2.5622 l 7.295 1.9287 5.9561 1.4024 4.6707 1.008 c 3.1974 .5536 1.6262 .2144 0 0 c f Q q 1 0 0 1 518.574 45.133 cm 0 0 m -2.4242 -.1998 -4.9049 -.2001 -7.3046 -.2001 c -8.0509 -.2001 -8.7973 -.2004 -9.5437 -.2063 c -15.677 -.2331 -21.761 -.2833 -27.962 -.3369 c -27.962 -1.7619 l -22.056 -1.5619 -15.789 -1.3525 -9.5228 -1.1668 c -8.779 -1.142 -8.0349 -1.1231 -7.2899 -1.1039 c -4.8775 -1.0432 -2.3831 -.9797 .0658 -.7156 c 1.7771 -.5322 3.3336 -.2633 4.825 .105 c 6.1259 .4244 7.4617 .8502 8.8035 1.3622 c 8.8035 1.8858 l 7.4185 1.3892 6.0383 .9836 4.6943 .6885 c 3.2174 .3629 1.6814 .138 0 0 c f Q q 1 0 0 1 518.48 42.815 cm 0 0 m -1.0099 -.0398 -2.1036 -.059 -3.3442 -.059 c -3.8129 -.059 -4.2816 -.0564 -4.7491 -.0519 c -9.5205 .0059 l -12.776 .0305 -16.02 .0356 -19.063 .0381 c -27.869 .0302 l -27.869 -1.3945 l -19.042 -1.1637 l -16.01 -1.089 -12.757 -1.0125 -9.5115 -.9538 c -4.7441 -.8911 l -3.4361 -.8702 -1.7103 -.8322 .0379 -.7173 c 1.7509 -.6064 3.3099 -.436 4.8041 -.1975 c 6.1487 .0175 7.5226 .3064 8.8972 .6563 c 8.8972 1.162 l 7.4851 .8366 6.0815 .5768 4.7197 .395 c 3.2341 .1961 1.6902 .0674 0 0 c f Q q 1 0 0 1 513.676 40.575 cm 0 0 m -4.755 .0514 l -10.821 .1363 -16.882 .2472 -23.064 .3623 c -23.064 -1.0627 l -17.163 -1.0237 -10.913 -.9789 -4.7508 -.9095 c .0069 -.8392 l 1.61 -.8119 3.1802 -.7828 4.7678 -.7297 c 8.0366 -.625 10.965 -.3953 13.702 -.0336 c 13.702 .4619 l 10.955 .1667 8.0219 .011 4.7511 -.0102 c 3.1683 -.0243 1.5841 -.013 0 0 c f Q q 1 0 0 1 527.378 38.055 cm 0 0 m -36.766 .9312 l -36.766 -.493 l 0 -.493 l 0 0 l f Q q 1 0 0 1 524.067 61.989 cm 0 0 m -1.3965 -1.1206 -2.4753 -1.9168 -4.1848 -2.5953 c -5.6732 -3.1861 -7.2721 -3.4282 -9.0989 -3.6768 c -10.274 -3.8413 -11.503 -4.0848 -12.677 -4.1627 c -13.159 -4.1952 -13.642 -4.2271 -14.123 -4.2646 c -33.455 -5.6721 l -33.455 -7.1019 l -14.045 -5.222 l -11.529 -4.9861 l -10.595 -4.8981 -9.7668 -4.7953 -8.9956 -4.6712 c -7.1146 -4.3696 -5.4938 -3.9088 -4.0411 -3.2631 c -2.5337 -2.599 -1.0085 -1.5116 .4089 -.3203 c 1.3734 .4884 2.3009 1.5065 3.3105 2.6182 c 3.3105 3.1305 l 2.0892 1.8698 1.0771 .8623 0 0 c f Q Q 0 0 0 0 k /GS1 gs 505.752 23.742 32.496 14.61 re f 1 i 538.389 38.493 -32.778 -14.893 re 538.107 38.211 m 538.107 23.883 l 505.893 23.883 l 505.893 38.211 l 538.107 38.211 l f .97255 .71373 .023529 0 k 505.752 37.421 32.493 21.83 re f 0 0 0 0 k 538.387 59.392 -32.775 -22.112 re 538.104 59.11 m 538.104 37.562 l 505.893 37.562 l 505.893 59.11 l 538.104 59.11 l f q 1 0 0 1 522.348 56.046 cm 0 0 m 1.1208 0 l .2176 -.7036 l .5686 -1.82 l -.3313 -1.1323 l -1.2311 -1.82 l -.8765 -.7036 l -1.7868 0 l -.6699 0 l -.3313 1.0888 l 0 0 l f Q q 1 0 0 1 522.387 41.677 cm 0 0 m 1.1223 0 l .219 -.6786 l .57 -1.7515 l -.3298 -1.0904 l -1.2297 -1.7515 l -.875 -.6786 l -1.7873 0 l -.6682 0 l -.3298 1.0475 l 0 0 l f Q q 1 0 0 1 525.942 42.628 cm 0 0 m 1.1225 0 l .219 -.6767 l .5703 -1.7515 l -.3296 -1.0884 l -1.2294 -1.7515 l -.875 -.6767 l -1.787 0 l -.6682 0 l -.3296 1.0477 l 0 0 l f Q q 1 0 0 1 525.942 55.088 cm 0 0 m 1.1225 0 l .219 -.6771 l .5703 -1.7515 l -.3296 -1.0896 l -1.2294 -1.7515 l -.875 -.6771 l -1.787 0 l -.6682 0 l -.3296 1.0476 l 0 0 l f Q q 1 0 0 1 528.581 52.449 cm 0 0 m 1.1205 0 l .2173 -.6763 l .5683 -1.7515 l -.3315 -1.0896 l -1.2295 -1.7515 l -.8751 -.6763 l -1.7874 0 l -.6702 0 l -.3315 1.0477 l 0 0 l f Q q 1 0 0 1 528.581 45.231 cm 0 0 m 1.1205 0 l .2173 -.6789 l .5683 -1.7532 l -.3315 -1.0901 l -1.2295 -1.7532 l -.8751 -.6789 l -1.7874 0 l -.6702 0 l -.3315 1.0477 l 0 0 l f Q q 1 0 0 1 529.57 48.895 cm 0 0 m 1.1228 0 l .219 -.6773 l .57 -1.7521 l -.3299 -1.0891 l -1.2295 -1.7521 l -.8751 -.6773 l -1.787 0 l -.6699 0 l -.3299 1.0469 l 0 0 l f Q q 1 0 0 1 518.724 55.079 cm 0 0 m 1.1207 0 l .2175 -.678 l .5685 -1.7524 l -.3315 -1.0896 l -1.2314 -1.7524 l -.8766 -.678 l -1.7872 0 l -.6699 0 l -.3315 1.0476 l 0 0 l f Q q 1 0 0 1 516.158 52.44 cm 0 0 m 1.1225 0 l .2191 -.6771 l .5684 -1.7516 l -.3297 -1.0896 l -1.2294 -1.7516 l -.8757 -.6771 l -1.7872 0 l -.6682 0 l -.3297 1.0476 l 0 0 l f Q q 1 0 0 1 515.206 48.886 cm 0 0 m 1.1217 0 l .2183 -.6776 l .5692 -1.7521 l -.3305 -1.0909 l -1.2303 -1.7521 l -.8757 -.6776 l -1.7864 0 l -.6691 0 l -.3305 1.0468 l 0 0 l f Q q 1 0 0 1 516.158 45.223 cm 0 0 m 1.1225 0 l .2191 -.6789 l .5684 -1.7532 l -.3297 -1.0909 l -1.2294 -1.7532 l -.8757 -.6789 l -1.7872 0 l -.6682 0 l -.3297 1.046 l 0 0 l f Q q 1 0 0 1 518.761 42.619 cm 0 0 m 1.1205 0 l .2172 -.6772 l .5665 -1.7515 l -.3316 -1.0886 l -1.2314 -1.7515 l -.8767 -.6772 l -1.7872 0 l -.67 0 l -.3316 1.0478 l 0 0 l f Q .97255 .71373 .023529 0 k 505.752 22.333 32.496 2.1212 re f 0 0 0 0 k 538.389 24.595 -32.778 -2.4033 re 538.107 24.313 m 538.107 22.474 l 505.893 22.474 l 505.893 24.313 l 538.107 24.313 l f q 1 0 0 1 542.622 74.189 cm 0 0 m 6.7357 -10.442 7.9671 -12.362 v 9.1988 -14.281 10.606 -15.799 15.59 -16.831 c 20.574 -17.862 22.743 -18.349 y 22.743 -18.721 l 19.577 -18.062 15.502 -17.174 v 11.427 -16.286 9.7615 -15.988 7.9039 -13.465 c 6.3581 -11.366 0 -2.4461 y 0 0 l f Q q 1 0 0 1 542.622 71.219 cm 0 0 m 6.9603 -9.9271 7.8839 -11.144 v 8.8077 -12.36 10.052 -14.322 15.554 -15.48 c 16.974 -15.778 22.762 -16.912 y 22.762 -17.225 l 18.364 -16.382 15.554 -15.793 v 12.743 -15.205 9.7885 -14.667 7.9039 -12.301 c 6.1922 -10.151 -.0132 -2.2234 y 0 0 l f Q q 1 0 0 1 542.622 68.237 cm 0 0 m 6.5587 -8.4363 7.8839 -10.123 v 9.2092 -11.811 11.036 -13.204 15.554 -14.067 c 18.158 -14.565 22.742 -15.401 y 22.742 -15.715 l 18.726 -14.969 15.554 -14.401 v 12.381 -13.832 9.7615 -13.281 7.8839 -11.183 c 6.2365 -9.3419 -.0132 -2.106 y 0 0 l f Q q 1 0 0 1 542.609 65.308 cm 0 0 m 6.6398 -7.6533 7.9169 -9.0179 v 9.9054 -11.144 10.869 -11.876 15.566 -12.765 c 17.446 -13.121 22.754 -14.041 y 22.754 -14.374 l 18.358 -13.589 15.566 -13.099 v 12.776 -12.609 10.414 -12.425 7.8969 -10.019 c 5.9791 -8.1849 .013 -1.9749 y 0 0 l f Q q 1 0 0 1 542.622 62.26 cm 0 0 m 6.1315 -6.2701 7.9039 -8.0701 v 9.7849 -9.9796 12.194 -10.686 15.533 -11.268 c 18.721 -11.823 22.742 -12.465 y 22.742 -12.818 l 18.966 -12.214 15.533 -11.641 v 12.167 -11.078 9.8114 -10.764 7.8839 -9.0309 c 6.1575 -7.4789 0 -1.8442 y 0 0 l f Q q 1 0 0 1 542.622 59.435 cm 0 0 m 5.831 -5.2841 7.9039 -7.0889 v 9.8114 -8.7502 11.358 -9.2668 15.554 -9.9929 c 19.75 -10.719 22.742 -11.17 y 22.742 -11.543 l 18.947 -10.934 15.533 -10.405 v 12.12 -9.8752 9.9454 -9.6655 7.9039 -8.0504 c 5.5474 -6.1854 0 -1.7266 y 0 0 l f Q q 1 0 0 1 542.609 56.414 cm 0 0 m 6.6524 -5.1467 7.8971 -6.0491 v 9.1418 -6.9518 10.788 -8.0043 15.567 -8.6782 c 20.305 -9.3461 22.734 -9.6788 y 22.734 -10.071 l 18.438 -9.4626 15.567 -9.1099 v 12.696 -8.7563 10.494 -8.6068 7.9171 -6.9318 c 5.4088 -5.3019 .0132 -1.5956 y 0 0 l f Q q 1 0 0 1 542.609 53.523 cm 0 0 m 6.6721 -4.336 7.9371 -5.0222 v 9.2025 -5.7091 10.688 -6.8274 15.567 -7.4355 c 20.446 -8.0439 22.734 -8.3184 y 22.734 -8.6909 l 18.699 -8.2597 15.547 -7.9259 v 12.394 -7.5923 10.247 -7.1411 7.8971 -5.886 c 5.5477 -4.6303 .0132 -1.4779 y 0 0 l f Q q 1 0 0 1 542.622 50.632 cm 0 0 m 5.9055 -3.1342 7.9039 -4.1133 v 10.133 -5.2057 12.06 -5.7285 15.554 -6.1343 c 18.984 -6.5325 22.742 -6.9191 y 22.742 -7.2721 l 19.267 -6.9092 15.554 -6.5658 v 11.873 -6.2255 10.561 -6.0688 7.9039 -4.9178 c 5.5273 -3.8887 -.013 -1.3734 y 0 0 l f Q q 1 0 0 1 542.622 47.69 cm 0 0 m 4.6447 -1.9413 7.9239 -3.2109 v 11.15 -4.4599 13.613 -4.5651 15.574 -4.7807 c 16.437 -4.8755 22.721 -5.5065 y 22.721 -5.8592 l 18.967 -5.5652 15.554 -5.2714 v 12.14 -4.9771 10.668 -4.8524 7.9039 -3.9568 c 5.1072 -3.0507 -.0132 -1.3078 y 0 0 l f Q q 1 0 0 1 542.622 44.707 cm 0 0 m 4.7115 -1.4253 7.9239 -2.2493 v 11.137 -3.0735 14.088 -3.4073 15.574 -3.5047 c 17.059 -3.6035 22.721 -4.0541 y 22.721 -4.3879 l 19.511 -4.1729 15.554 -3.8975 v 12.354 -3.6751 9.7849 -3.4398 7.9039 -3.034 c 5.8197 -2.5851 -.013 -1.2289 y 0 0 l f Q q 1 0 0 1 542.609 41.764 cm 0 0 m 3.8661 -.649 7.9369 -1.3076 v 10.989 -1.8012 15.125 -2.1124 15.566 -2.1319 c 16.008 -2.1514 22.754 -2.6028 y 22.754 -2.9556 l 18.437 -2.7377 15.566 -2.5831 v 12.577 -2.4217 9.6049 -2.245 7.9169 -2.0732 c 4.1359 -1.688 0 -1.1767 y 0 0 l f Q q 1 0 0 1 542.622 38.717 cm 0 0 m 6.077 -.2229 7.9239 -.2621 v 9.7714 -.3011 22.742 -.8116 y 22.742 -1.1646 l 0 -1.1513 l 0 0 l f Q .71765 .52157 .011765 0 k q 1 0 0 1 507.776 35.439 cm 0 0 m 0 .0657 .0304 .1013 .1017 .1013 c 1.9714 .1013 l 2.0323 .1013 2.0679 .0657 2.0679 .0048 c 2.0679 -.3101 l 2.0679 -.3711 2.0425 -.4016 1.9663 -.4016 c .5793 -.4016 l .5793 -1.2755 l 1.8088 -1.2755 l 1.8748 -1.2755 1.9104 -1.3059 1.9104 -1.3669 c 1.9104 -1.6818 l 1.9104 -1.7428 1.885 -1.7732 1.8088 -1.7732 c .5793 -1.7732 l .5793 -2.7741 l 2.0019 -2.7741 l 2.0628 -2.7741 2.0934 -2.8049 2.0934 -2.8706 c 2.0934 -3.1808 l 2.0934 -3.2468 2.0679 -3.2722 1.9968 -3.2722 c .1017 -3.2722 l .0304 -3.2722 0 -3.2417 0 -3.1808 c 0 0 l f Q q 1 0 0 1 512.226 32.167 cm 0 0 m -.3609 0 l -.4371 0 -.4573 .0356 -.4573 .0965 c -.4573 .254 l -.4675 .2591 l -.6656 .1219 -1.0112 -.0457 -1.3211 -.0457 c -2.007 -.0457 -2.0729 .3606 -2.0729 .8942 c -2.0729 2.3881 l -2.0729 2.4491 -2.0476 2.4894 -1.9765 2.4894 c -1.6056 2.4894 l -1.5395 2.4894 -1.5141 2.4539 -1.5141 2.3881 c -1.5141 .9603 l -1.5141 .6552 -1.4532 .4625 -1.1432 .4625 c -.9248 .4625 -.5894 .625 -.4573 .6911 c -.4573 2.3881 l -.4573 2.4491 -.4371 2.4894 -.3609 2.4894 c 0 2.4894 l .0711 2.4894 .0964 2.4539 .0964 2.3881 c .0964 .0965 l .0964 .0305 .0711 0 0 0 c f Q q 1 0 0 1 513.312 32.264 cm 0 0 m 0 -.0609 -.0253 -.0965 -.0964 -.0965 c -.4623 -.0965 l -.5335 -.0965 -.5588 -.066 -.5588 0 c -.5588 2.2916 l -.5588 2.3573 -.5335 2.3929 -.4623 2.3929 c -.1016 2.3929 l -.0253 2.3929 0 2.3525 0 2.2916 c 0 2.0678 l .0102 2.058 l .1626 2.2002 .5233 2.3729 .7622 2.4185 c .8282 2.4338 .874 2.4185 .884 2.3319 c .9197 1.9916 l .9248 1.9205 .9298 1.89 .8231 1.8697 c .5386 1.8138 .1779 1.7123 0 1.6361 c 0 0 l f Q q 1 0 0 1 515.451 34.22 cm 0 0 m -.4319 0 -.5284 -.2743 -.5284 -.8025 c -.5284 -1.3412 -.4319 -1.6056 -.0051 -1.6056 c .4572 -1.6056 .5486 -1.3463 .5486 -.8025 c .5486 -.2641 .4623 0 0 0 c h -.0051 -2.0935 m -1.0263 -2.0935 -1.0925 -1.3463 -1.0925 -.767 c -1.0925 -.2895 -.9857 .4879 -.0051 .4879 c .9807 .4879 1.1177 -.1676 1.1177 -.767 c 1.1177 -1.3463 1.0466 -2.0935 -.0051 -2.0935 c f Q q 1 0 0 1 518.087 34.189 cm 0 0 m -.2084 0 -.5284 -.1473 -.6808 -.2288 c -.6808 -1.4989 l -.4523 -1.565 -.2692 -1.585 -.0966 -1.585 c .2693 -1.585 .3962 -1.3971 .3962 -.7571 c .3962 -.1117 .2693 0 0 0 c h -.0406 -2.0678 m -.2084 -2.0678 -.442 -2.0373 -.6757 -1.9561 c -.6808 -1.9612 l -.6808 -2.8554 l -.6808 -2.9113 -.6961 -2.9567 -.7774 -2.9567 c -1.1381 -2.9567 l -1.2194 -2.9567 -1.2347 -2.9214 -1.2347 -2.8554 c -1.2347 .366 l -1.2347 .4318 -1.2092 .4673 -1.1381 .4673 c -.7774 .4673 l -.7062 .4673 -.6859 .427 -.6859 .366 c -.6859 .2133 l -.6707 .2035 l -.4878 .3304 -.1626 .5082 .1321 .5082 c .7977 .5082 .9703 .0054 .9703 -.7621 c .9703 -1.5904 .7621 -2.0678 -.0406 -2.0678 c f Q q 1 0 0 1 519.936 33.641 cm 0 0 m 1.0062 0 l 1.0062 .3098 .925 .6095 .5031 .6095 c .1273 .6095 .0257 .381 0 0 c h -.0051 -.3812 m .0104 -.8942 .1933 -1.0364 .6098 -1.0364 c .7929 -1.0364 1.0773 -1.0009 1.2703 -.9808 c 1.3618 -.9707 1.3923 -.9707 1.4075 -1.0672 c 1.438 -1.2345 l 1.4532 -1.311 1.4431 -1.3516 1.3516 -1.3923 c 1.1535 -1.4685 .7825 -1.5192 .5336 -1.5192 c -.4368 -1.5192 -.579 -.8996 -.579 -.239 c -.579 .254 -.4876 1.067 .5031 1.067 c 1.4126 1.067 1.5751 .4775 1.5903 -.0711 c 1.5955 -.2542 1.5446 -.3812 1.3415 -.3812 c -.0051 -.3812 l f Q q 1 0 0 1 523.324 33.3 cm 0 0 m -.6197 0 l -.8737 0 -1.0364 -.0917 -1.0364 -.4269 c -1.0364 -.6504 -.9603 -.7218 -.7213 -.7218 c -.5029 -.7218 -.193 -.5948 0 -.4828 c 0 0 l h .0308 -.8437 m -.2235 -1.0367 -.5638 -1.1742 -.9041 -1.1742 c -1.4427 -1.1742 -1.6002 -.8793 -1.6002 -.4523 c -1.6053 .1422 -1.2853 .3962 -.645 .3962 c .0051 .3962 l .0051 .5283 l .0051 .833 -.1067 .9397 -.5232 .9397 c -.6908 .9397 -1.011 .9143 -1.2142 .8942 c -1.3158 .8787 -1.3412 .8838 -1.3564 .9549 c -1.4022 1.1429 l -1.4123 1.2091 -1.3971 1.2495 -1.2853 1.2952 c -1.0667 1.3717 -.6654 1.4073 -.4266 1.4073 c .4523 1.4073 .559 1.0466 .559 .4774 c .559 -.5034 l .559 -.7116 .5844 -.7165 .7419 -.7371 c .8181 -.7419 .8384 -.7574 .8384 -.813 c .8384 -1.0266 l .8384 -1.0824 .8028 -1.118 .7164 -1.1332 c .6352 -1.1485 .554 -1.1586 .4777 -1.1586 c .239 -1.1586 .0914 -1.0875 .0406 -.8488 c .0308 -.8437 l f Q q 1 0 0 1 526.377 32.167 cm 0 0 m -.3657 0 l -.432 0 -.4622 .0305 -.4622 .0965 c -.4571 1.524 l -.4571 1.824 -.5283 2.0221 -.8231 2.0221 c -1.0263 2.0221 -1.3818 1.8596 -1.5192 1.7933 c -1.5192 .0965 l -1.5192 .0356 -1.5446 0 -1.6158 0 c -1.9764 0 l -2.0475 0 -2.0729 .0305 -2.0729 .0965 c -2.0729 2.3881 l -2.0729 2.4539 -2.0475 2.4894 -1.9764 2.4894 c -1.6158 2.4894 l -1.5446 2.4894 -1.5192 2.4539 -1.5192 2.3881 c -1.5192 2.2354 l -1.5142 2.2354 -1.5091 2.2304 -1.5037 2.2304 c -1.3158 2.3624 -.9603 2.5351 -.6504 2.5351 c .0356 2.5351 .0965 2.0831 .0965 1.5698 c .0965 .0965 l .0965 .0356 .0762 0 0 0 c f Q q 1 0 0 1 509.102 30.215 cm 0 0 m .249 0 .6605 -.0358 .9299 -.1473 c 1.0112 -.1829 1.0416 -.2238 1.0263 -.3051 c .9806 -.5133 l .9654 -.5742 .9399 -.5997 .8486 -.5895 c .5996 -.559 .2947 -.5235 .0306 -.5235 c -.6604 -.5235 -.7621 -1.0825 -.7621 -1.7428 c -.7621 -2.4084 -.6351 -2.9319 .0306 -2.9319 c .3251 -2.9319 .5741 -2.9011 .8486 -2.8656 c .9451 -2.8554 .9654 -2.8808 .9857 -2.9468 c 1.0263 -3.1401 l 1.0467 -3.2214 1.0212 -3.2671 .9399 -3.3026 c .6911 -3.4093 .249 -3.455 0 -3.455 c -1.133 -3.455 -1.3718 -2.6167 -1.3718 -1.7529 c -1.3718 -.8844 -1.1584 0 0 0 c f Q q 1 0 0 1 511.281 28.858 cm 0 0 m -.4319 0 -.5284 -.2743 -.5284 -.8025 c -.5284 -1.3412 -.4319 -1.6056 -.0051 -1.6056 c .4572 -1.6056 .5486 -1.3463 .5486 -.8025 c .5486 -.2641 .4622 0 0 0 c h -.0051 -2.0935 m -1.0264 -2.0935 -1.0924 -1.3463 -1.0924 -.767 c -1.0924 -.2895 -.9857 .4879 -.0051 .4879 c .9805 .4879 1.1177 -.1676 1.1177 -.767 c 1.1177 -1.3463 1.0466 -2.0935 -.0051 -2.0935 c f Q q 1 0 0 1 516.239 26.806 cm 0 0 m -.3658 0 l -.4369 0 -.4623 .0305 -.4623 .0965 c -.4623 1.5396 l -.4623 1.9154 -.5537 2.0221 -.8078 2.0221 c -.9957 2.0221 -1.3007 1.8748 -1.4581 1.7933 c -1.4581 1.7428 -1.4531 1.6513 -1.4531 1.5345 c -1.4531 .0965 l -1.4531 .0356 -1.4734 0 -1.5496 0 c -1.9205 0 l -1.9865 0 -2.007 .0305 -2.007 .0965 c -2.007 1.565 l -2.007 1.8748 -2.0883 2.0221 -2.3422 2.0221 c -2.52 2.0221 -2.8046 1.8951 -2.9976 1.7933 c -2.9976 .0965 l -2.9976 .0356 -3.0229 0 -3.0941 0 c -3.4601 0 l -3.5261 0 -3.5515 .0305 -3.5515 .0965 c -3.5515 2.3881 l -3.5515 2.4539 -3.5261 2.4894 -3.4601 2.4894 c -3.0992 2.4894 l -3.0229 2.4894 -2.9976 2.4491 -2.9976 2.3881 c -2.9976 2.2405 l -2.9925 2.2354 l -2.7944 2.3726 -2.515 2.525 -2.2355 2.5351 c -1.9408 2.5351 -1.6969 2.4745 -1.5394 2.1798 c -1.2853 2.3678 -.9703 2.5351 -.6452 2.5351 c .0254 2.5351 .0916 2.0986 .0916 1.5904 c .0916 .0965 l .0916 .0356 .0711 0 0 0 c f Q q 1 0 0 1 520.221 26.806 cm 0 0 m -.3657 0 l -.4368 0 -.4625 .0305 -.4625 .0965 c -.4625 1.5396 l -.4625 1.9154 -.5536 2.0221 -.8079 2.0221 c -.9958 2.0221 -1.3006 1.8748 -1.4581 1.7933 c -1.4581 1.7428 -1.4531 1.6513 -1.4531 1.5345 c -1.4531 .0965 l -1.4531 .0356 -1.4734 0 -1.5496 0 c -1.9205 0 l -1.9866 0 -2.007 .0305 -2.007 .0965 c -2.007 1.565 l -2.007 1.8748 -2.0883 2.0221 -2.3422 2.0221 c -2.52 2.0221 -2.8046 1.8951 -2.9976 1.7933 c -2.9976 .0965 l -2.9976 .0356 -3.023 0 -3.0941 0 c -3.4601 0 l -3.5259 0 -3.5516 .0305 -3.5516 .0965 c -3.5516 2.3881 l -3.5516 2.4539 -3.5259 2.4894 -3.4601 2.4894 c -3.0992 2.4894 l -3.023 2.4894 -2.9976 2.4491 -2.9976 2.3881 c -2.9976 2.2405 l -2.9926 2.2354 l -2.7944 2.3726 -2.5149 2.525 -2.2355 2.5351 c -1.9408 2.5351 -1.6969 2.4745 -1.5394 2.1798 c -1.2853 2.3678 -.9705 2.5351 -.6451 2.5351 c .0254 2.5351 .0914 2.0986 .0914 1.5904 c .0914 .0965 l .0914 .0356 .071 0 0 0 c f Q q 1 0 0 1 521.282 26.902 cm 0 0 m 0 -.0556 -.0203 -.0965 -.0914 -.0965 c -.4523 -.0965 l -.5234 -.0965 -.5539 -.066 -.5539 0 c -.5539 2.2964 l -.5539 2.3675 -.5234 2.3929 -.4523 2.3929 c -.0914 2.3929 l -.0203 2.3929 0 2.3525 0 2.2964 c 0 0 l h -.2692 2.7589 m -.5336 2.7589 -.5692 2.9064 -.5692 3.0535 c -.5692 3.216 -.513 3.343 -.2692 3.343 c -.0203 3.343 .0305 3.2262 .0305 3.0535 c .0305 2.896 -.0152 2.7589 -.2692 2.7589 c f Q q 1 0 0 1 522.542 26.765 cm 0 0 m -.2539 0 -.5945 .0358 -.7875 .112 c -.8891 .1527 -.9094 .1987 -.8942 .2799 c -.8586 .4473 l -.8431 .5288 -.8076 .5336 -.7263 .5237 c -.5028 .4879 -.1777 .4625 -.0051 .4625 c .3203 .4625 .4524 .5491 .4524 .7523 c .4524 .9859 .366 1.0367 .0458 1.0824 c -.452 1.1536 -.8891 1.2602 -.8891 1.8141 c -.8891 2.317 -.5028 2.5814 .066 2.5814 c .2743 2.5814 .6251 2.5509 .8384 2.4694 c .9247 2.4338 .9603 2.3935 .9451 2.317 c .9044 2.1341 l .8892 2.063 .8587 2.0529 .7673 2.063 c .5489 2.0884 .2642 2.1189 .0762 2.1189 c -.2488 2.1189 -.3251 2.0275 -.3251 1.8342 c -.3251 1.6361 -.2031 1.6107 .1067 1.5602 c .5895 1.4891 1.0266 1.3923 1.0266 .7876 c 1.0266 .1933 .5235 0 0 0 c f Q q 1 0 0 1 524.67 26.765 cm 0 0 m -.254 0 -.5945 .0358 -.7876 .112 c -.8892 .1527 -.9095 .1987 -.8942 .2799 c -.8587 .4473 l -.8431 .5288 -.8079 .5336 -.7263 .5237 c -.5029 .4879 -.1778 .4625 -.0051 .4625 c .3203 .4625 .4523 .5491 .4523 .7523 c .4523 .9859 .366 1.0367 .0457 1.0824 c -.4521 1.1536 -.8892 1.2602 -.8892 1.8141 c -.8892 2.317 -.5029 2.5814 .066 2.5814 c .2743 2.5814 .6251 2.5509 .8384 2.4694 c .9247 2.4338 .9603 2.3935 .945 2.317 c .9044 2.1341 l .8892 2.063 .8587 2.0529 .7673 2.063 c .5488 2.0884 .2641 2.1189 .0762 2.1189 c -.2489 2.1189 -.3251 2.0275 -.3251 1.8342 c -.3251 1.6361 -.2032 1.6107 .1067 1.5602 c .5895 1.4891 1.0263 1.3923 1.0263 .7876 c 1.0263 .1933 .5234 0 0 0 c f Q q 1 0 0 1 526.59 26.902 cm 0 0 m 0 -.0556 -.0203 -.0965 -.0914 -.0965 c -.4521 -.0965 l -.5232 -.0965 -.5536 -.066 -.5536 0 c -.5536 2.2964 l -.5536 2.3675 -.5232 2.3929 -.4521 2.3929 c -.0914 2.3929 l -.0203 2.3929 0 2.3525 0 2.2964 c 0 0 l h -.2692 2.7589 m -.5333 2.7589 -.5689 2.9064 -.5689 3.0535 c -.5689 3.216 -.513 3.343 -.2692 3.343 c -.0203 3.343 .0308 3.2262 .0308 3.0535 c .0308 2.896 -.015 2.7589 -.2692 2.7589 c f Q q 1 0 0 1 528.058 28.858 cm 0 0 m -.432 0 -.5282 -.2743 -.5282 -.8025 c -.5282 -1.3412 -.432 -1.6056 -.0051 -1.6056 c .4575 -1.6056 .5489 -1.3463 .5489 -.8025 c .5489 -.2641 .4623 0 0 0 c h -.0051 -2.0935 m -1.0262 -2.0935 -1.0923 -1.3463 -1.0923 -.767 c -1.0923 -.2895 -.9859 .4879 -.0051 .4879 c .9806 .4879 1.118 -.1676 1.118 -.767 c 1.118 -1.3463 1.0466 -2.0935 -.0051 -2.0935 c f Q q 1 0 0 1 531.522 26.806 cm 0 0 m -.3657 0 l -.4318 0 -.4622 .0305 -.4622 .0965 c -.4572 1.5241 l -.4572 1.824 -.5283 2.0221 -.8231 2.0221 c -1.0263 2.0221 -1.3818 1.8596 -1.519 1.7933 c -1.519 .0965 l -1.519 .0356 -1.5447 0 -1.6158 0 c -1.9764 0 l -2.0475 0 -2.0729 .0305 -2.0729 .0965 c -2.0729 2.3881 l -2.0729 2.4539 -2.0475 2.4894 -1.9764 2.4894 c -1.6158 2.4894 l -1.5447 2.4894 -1.519 2.4539 -1.519 2.3881 c -1.519 2.2354 l -1.5139 2.2354 -1.5091 2.2304 -1.5037 2.2304 c -1.3158 2.3624 -.96 2.5351 -.6504 2.5351 c .0355 2.5351 .0968 2.0831 .0968 1.5698 c .0968 .0965 l .0968 .0356 .0762 0 0 0 c f Q EMC /P <>BDC q 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n BT /TT4 1 Tf 14 0 0 14 69 625.0809 Tm .533 .114 .024 0 k 0 Tc 0 Tw (Quality and cost-e)Tj /TT5 1 Tf 8.206 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(ectiveness in long-term car)18.1(e and dependency pr)18.1(evention)]TJ ET EMC Q endstream endobj 37 0 obj <>/XObject<>/ExtGState<>>> endobj 49 0 obj <> endobj 67 0 obj <> endobj 70 0 obj <> endobj 71 0 obj <> endobj 76 0 obj <> endobj 79 0 obj <> endobj 107 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 576.2063 802.4034 Tm (1)Tj ET EMC /P <>BDC BT 14 0 0 14 56.6929 690.1615 Tm .533 .114 .024 0 k (1)Tj ET EMC /P <>BDC BT 14 0 0 14 72.6929 690.1615 Tm (Introduction )Tj ET EMC /P <>BDC BT 14 0 0 14 137.4849 690.1615 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 56.6929 661.3303 Tm (1.1)Tj ET EMC /P <>BDC BT 11 0 0 11 72.6916 661.3303 Tm [(Integra)-10(tion policies in F)20(rance )]TJ ET EMC /P <>BDC BT 11 0 0 11 192.2947 661.3303 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT5 1 Tf 10 0 0 10 56.6929 640.7951 Tm 0 0 0 1 k (i)Tj /TT4 1 Tf .259 0 TD [(n france, the necessity to develop coor)18.1(dination at)]TJ ET EMC /P <>BDC BT 10 0 0 10 282.6622 640.7951 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 626.8151 Tm [(various levels in the elderly car)18.1(e )]TJ /TT5 1 Tf 14.4639 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ield has been a)Tj ET EMC /P <>BDC BT 10 0 0 10 271.9022 626.8151 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 612.8351 Tm [(longstanding pr)18.1(eoccupation o)]TJ /TT5 1 Tf 13.3549 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the state \()Tj /TT5 1 Tf 4.705 0 TD (a)Tj /TT4 1 Tf .648 0 TD (myot,)Tj ET EMC /P <>BDC BT 10 0 0 10 271.9322 612.8351 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 598.8551 Tm (2006; )Tj /TT5 1 Tf 2.78 0 TD (h)Tj /TT4 1 Tf .722 0 TD [(enrar)18.1(d and V)55.2(edel, 2003; Bloch and )]TJ /TT5 1 Tf 15.7097 0 TD (h)Tj /TT4 1 Tf .722 0 TD (énaut,)Tj ET EMC /P <>BDC BT 10 0 0 10 283.8203 598.8551 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 584.8752 Tm [(2014\) and a r)18.1(esponse to the highly )]TJ /TT5 1 Tf 15.6909 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ragmented)Tj ET EMC /P <>BDC BT 10 0 0 10 264.9121 584.8752 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 570.8952 Tm [(or)28.1(ganization and )]TJ /TT5 1 Tf 7.6939 0 TD (f)Tj /TT4 1 Tf .296 0 TD (unding o)Tj /TT5 1 Tf 3.909 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( health, social and what)Tj ET EMC /P <>BDC BT 10 0 0 10 284.2121 570.8952 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 556.9152 Tm [(ar)18.1(e r)18.1(e)]TJ /TT5 1 Tf 2.5189 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(err)18.1(ed to as ‘medico-social’ interventions.)]TJ ET EMC /P <>BDC BT 10 0 0 10 266.9109 556.9152 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 542.9352 Tm (s)Tj /TT4 1 Tf .648 0 TD [(ince the 1980s, various public policies r)18.1(egar)18.1(ding)]TJ ET EMC /P <>BDC BT 10 0 0 10 278.2215 542.9352 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 528.9552 Tm [(the elderly car)18.1(e sector have been intr)18.1(oduced that)]TJ ET EMC /P <>BDC BT 10 0 0 10 275.6315 528.9552 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 514.9753 Tm [(can be seen as coor)18.1(dination and integration)]TJ ET EMC /P <>BDC BT 10 0 0 10 252.6622 514.9753 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 500.9953 Tm (initiatives. )Tj /TT5 1 Tf 4.704 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(hese have tar)28.1(geted di)]TJ /TT5 1 Tf 9.6219 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent levels and)]TJ ET EMC /P <>BDC BT 10 0 0 10 281.6307 500.9953 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 487.0153 Tm (dimensions o)Tj /TT5 1 Tf 5.965 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( integration and, to )Tj /TT5 1 Tf 8.706 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ollow the)Tj ET EMC /P <>BDC BT 10 0 0 10 249.6829 487.0153 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 473.0353 Tm (classi)Tj /TT5 1 Tf 2.518 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ication identi)Tj /TT5 1 Tf 5.686 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ied by V)55.2(alentijn et al. \(2013\),)]TJ ET EMC /P <>BDC BT 10 0 0 10 269.321 473.0353 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 459.0553 Tm [(include institutional integration at the macr)18.1(o system)]TJ ET EMC /P <>BDC BT 10 0 0 10 286.9421 459.0553 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 445.0754 Tm [(level, or)28.1(ganizational and pr)18.1(o)]TJ /TT5 1 Tf 12.5088 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essional integration at)Tj ET EMC /P <>BDC BT 10 0 0 10 282.7114 445.0754 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 431.0954 Tm [(the meso level, and clinical integration at the micr)18.1(o)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.0422 431.0954 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 417.1154 Tm (\(user\) level. )Tj /TT5 1 Tf 5.296 0 TD (a)Tj /TT4 1 Tf .648 0 TD (mong the most signi)Tj /TT5 1 Tf 9.115 0 TD (f)Tj /TT4 1 Tf .296 0 TD (icant, we can)Tj ET EMC /P <>BDC BT 10 0 0 10 269.5029 417.1154 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 403.1354 Tm [(point to the ger)18.1(ontological coor)18.1(dinators, the home)]TJ ET EMC /P <>BDC BT 10 0 0 10 280.6315 403.1354 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 389.1554 Tm [(nursing pr)18.1(oviders \()]TJ /TT5 1 Tf 8.2789 0 TD (ssiad)Tj /TT4 1 Tf 2.907 0 TD [(\) and the ger)18.1(ontological)]TJ ET EMC /P <>BDC BT 10 0 0 10 273.7515 389.1554 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 375.1754 Tm (health networks in the 1980s; or the multidisciplinary)Tj ET EMC /P <>BDC BT 10 0 0 10 291.3828 375.1754 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 361.1955 Tm [(car)18.1(e teams \()]TJ /TT5 1 Tf 5.4829 0 TD (e)Tj /TT4 1 Tf .611 0 TD (M)Tj /TT5 1 Tf .871 0 TD (s)Tj /TT4 1 Tf .648 0 TD (\), the local in)Tj /TT5 1 Tf 5.649 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormation and)Tj ET EMC /P <>BDC BT 10 0 0 10 251.5522 361.1955 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 347.2155 Tm [(coor)18.1(dination centr)18.1(es \()]TJ /TT5 1 Tf 9.6869 0 TD (c)Tj /TT4 1 Tf .722 0 TD (L)Tj /TT5 1 Tf .556 0 TD (ic)Tj /TT4 1 Tf .981 0 TD (\), the health networks,)Tj ET EMC /P <>BDC BT 10 0 0 10 274.8715 347.2155 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 333.2355 Tm (the mobile geriatric teams \()Tj /TT5 1 Tf 12.132 0 TD (e)Tj /TT4 1 Tf .611 0 TD (MG\), the hospital at)Tj ET EMC /P <>BDC BT 10 0 0 10 271.9228 333.2355 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 319.2556 Tm [(home pr)18.1(ogrammes \()]TJ /TT5 1 Tf 9.0039 0 TD (had)Tj /TT4 1 Tf 2.074 0 TD (\) or the intra-hospitals)Tj ET EMC /P <>BDC BT 10 0 0 10 265.2622 319.2556 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 305.2255 Tm [(geriatric car)18.1(e services \()]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 159.6422 305.2255 Tm [(filièr)18.1(es de soins gériatriques)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 282.9615 305.2255 Tm (\))Tj ET EMC /P <>BDC BT 10 0 0 10 285.5515 305.2255 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 291.2356 Tm (in the 1990s and the 2000s. )Tj /TT5 1 Tf 12.674 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(hey all concer)-17.8(ned the)]TJ ET EMC /P <>BDC BT 10 0 0 10 285.1111 291.2356 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 277.2556 Tm [(meso-or)28.1(ganizational and micr)18.1(o-users’ levels and)]TJ ET EMC /P <>BDC BT 10 0 0 10 273.2914 277.2556 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 263.2756 Tm [(wer)18.1(e r)18.1(elated to either social or health car)18.1(e sectors;)]TJ ET EMC /P <>BDC BT 10 0 0 10 282.0708 263.2756 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 249.2956 Tm (only occasionally did they link both sectors.)Tj ET EMC /Reference <>BDC BT 6 0 0 6 251.5428 252.5956 Tm (1)Tj ET EMC /P <>BDC BT 10 0 0 10 254.8789 249.2956 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 257.6589 249.2956 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 226.8116 Tm (i)Tj /TT4 1 Tf .259 0 TD [(n the 2000s, two laws r)18.1(eshaped the L)]TJ /TT5 1 Tf 16.6159 0 TD (tc)Tj /TT4 1 Tf 1.296 0 TD ( sector)Tj ET EMC /P <>BDC BT 10 0 0 10 269.1417 226.8116 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 212.8317 Tm [(institutional settings and gover)-17.8(nance at both)]TJ ET EMC /P <>BDC BT 10 0 0 10 255.251 212.8317 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 198.8517 Tm [(national and r)18.1(egional levels by cr)18.1(eating two new)]TJ ET EMC /P <>BDC BT 10 0 0 10 270.5915 198.8517 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 184.8716 Tm (agencies: the national solidarity )Tj /TT5 1 Tf 14.335 0 TD (f)Tj /TT4 1 Tf .296 0 TD (und )Tj /TT5 1 Tf 1.983 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or autonomy)Tj ET EMC /P <>BDC BT 10 0 0 10 282.2928 184.8716 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 170.8418 Tm (\()Tj /TT5 1 Tf .259 0 TD (cnsa)Tj /TT4 1 Tf 2.74 0 TD (\))Tj ET EMC /Reference <>BDC BT 6 0 0 6 89.2729 174.1418 Tm (2)Tj ET EMC /P <>BDC BT 10 0 0 10 92.6089 170.8418 Tm [( in char)28.1(ge o)]TJ /TT5 1 Tf 5.2319 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj /TT5 1 Tf .278 0 TD (f)Tj /TT4 1 Tf .296 0 TD (unding bene)Tj /TT5 1 Tf 5.558 0 TD (f)Tj /TT4 1 Tf .296 0 TD (its )Tj /TT5 1 Tf 1.315 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or elderly )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 272.3481 170.8418 Tm (and)Tj ET EMC /P <>BDC BT 10 0 0 10 289.0281 170.8418 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 156.8018 Tm (disabled )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 97.0729 156.8018 Tm (people, o)Tj /TT5 1 Tf 4.186 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( guaranteeing territorial equality)Tj ET EMC /P <>BDC BT 10 0 0 10 282.8228 156.8018 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 690.6375 Tm (and o)Tj /TT5 1 Tf 2.538 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( pr)18.1(oviding in)]TJ /TT5 1 Tf 5.4829 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormation and expertise on both)Tj ET EMC /P <>BDC BT 10 0 0 10 529.9871 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 676.6575 Tm [(sectors; and the r)18.1(egional health agencies \()]TJ /TT5 1 Tf 18.8549 0 TD (ars)Tj /TT4 1 Tf 1.981 0 TD (\))Tj ET EMC /Reference <>BDC BT 6 0 0 6 514.587 679.9576 Tm (3)Tj ET EMC /P <>BDC BT 10 0 0 10 517.9231 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 662.6776 Tm [(r)18.1(epr)18.1(esentative o)]TJ /TT5 1 Tf 7.1679 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( central gover)-17.8(nment and)]TJ ET EMC /P <>BDC BT 10 0 0 10 487.3747 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 648.6976 Tm (implementing national health policies at the local)Tj ET EMC /P <>BDC BT 10 0 0 10 520.7277 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 634.7176 Tm (level. )Tj /TT5 1 Tf 2.574 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(he r)18.1(egional health agencies’ r)18.1(esponsibilities)]TJ ET EMC /P <>BDC BT 10 0 0 10 528.8464 634.7176 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 620.7376 Tm [(wer)18.1(e also extended to the social \(medico-social\))]TJ ET EMC /P <>BDC BT 10 0 0 10 519.0171 620.7376 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 606.7576 Tm [(car)18.1(e sector though without r)18.1(emoving traditional)]TJ ET EMC /P <>BDC BT 10 0 0 10 514.5964 606.7576 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 592.7276 Tm [(leading r)18.1(ole o)]TJ /TT5 1 Tf 6.0189 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 386.4272 592.7276 Tm (départements)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 448.1071 592.7276 Tm ( \(local)Tj ET EMC /P <>BDC BT 10 0 0 10 474.3971 592.7276 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 578.7377 Tm (administrative divisions\) in )Tj /TT5 1 Tf 12.002 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(inancing and or)28.1(ganizing)]TJ ET EMC /P <>BDC BT 10 0 0 10 532.637 578.7377 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 564.7577 Tm (both cash bene)Tj /TT5 1 Tf 6.947 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(its and social car)18.1(e pr)18.1(ovision on their)]TJ ET EMC /P <>BDC BT 10 0 0 10 536.6464 564.7577 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 550.7777 Tm (territories. )Tj /TT5 1 Tf 4.777 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he need )Tj /TT5 1 Tf 3.872 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or coor)18.1(dination between the)]TJ ET EMC /P <>BDC BT 10 0 0 10 524.3972 550.7777 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 536.7977 Tm (di)Tj /TT5 1 Tf .815 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent institutional and territorial levels dealing)]TJ ET EMC /P <>BDC BT 10 0 0 10 519.0264 536.7977 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 522.8178 Tm (with di)Tj /TT5 1 Tf 2.944 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent aspects o)]TJ /TT5 1 Tf 6.9089 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( health and social car)18.1(e )]TJ /TT5 1 Tf 10.3169 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or)Tj ET EMC /P <>BDC BT 10 0 0 10 526.0657 522.8178 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 508.8378 Tm (elderly people was thus accentuated \(Le Bihan and)Tj ET EMC /P <>BDC BT 10 0 0 10 531.8276 508.8378 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 494.8578 Tm (s)Tj /TT4 1 Tf .648 0 TD (opadzhiyan, 2017a\).)Tj ET EMC /P <>BDC BT 10 0 0 10 400.1378 494.8578 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /F1 1 Tf 11 0 0 11 303.6378 468.3706 Tm .533 .114 .024 0 k (1.2)Tj ET EMC /P <>BDC BT 11 0 0 11 319.6365 468.3706 Tm [(Recent developments:)37( presenta)-10(tion of the measures)]TJ ET EMC /P <>BDC BT 11 0 0 11 533.6635 468.3706 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 319.6365 455.1706 Tm [(inc)20(luded in the in-depth stud)-10(y )]TJ ET EMC /P <>BDC BT 11 0 0 11 443.5186 455.1706 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT5 1 Tf 10 0 0 10 303.6378 434.6353 Tm 0 0 0 1 k (a)Tj /TT4 1 Tf .648 0 TD [(ttempts to better coor)18.1(dinate health and social car)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 535.9162 434.6353 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 420.6554 Tm (f)Tj /TT4 1 Tf .296 0 TD (or the elderly have intensi)Tj /TT5 1 Tf 11.409 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ied since the beginning o)Tj /TT5 1 Tf 11.188 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 538.4877 420.6554 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 406.6754 Tm (the 2010s with the development o)Tj /TT5 1 Tf 15.172 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( thr)18.1(ee di)]TJ /TT5 1 Tf 3.6309 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent)]TJ ET EMC /P <>BDC BT 10 0 0 10 522.9657 406.6754 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 392.6954 Tm (and independent schemes: the M)Tj /TT5 1 Tf 14.97 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD (, the )Tj /TT5 1 Tf 2.242 0 TD [(p)74.2(aerp)74.2(a)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 528.7032 392.6954 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 378.7154 Tm (and the )Tj /TT5 1 Tf 3.65 0 TD [(pt)92(a)]TJ /TT4 1 Tf 1.778 0 TD ( schemes:)Tj ET EMC /Reference <>BDC BT 6 0 0 6 403.6773 382.0154 Tm (4)Tj ET EMC /P <>BDC BT 10 0 0 10 407.0135 378.7154 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 303.6378 351.7248 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 312.0113 351.7248 Tm 0 0 0 1 k [( )37(The MAIA scheme:)37( method of action for the integra)-10(tion)]TJ ET EMC /P <>BDC BT 11 0 0 11 536.0375 351.7248 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 303.6378 338.5248 Tm [(of health and social ser)-18(vices in the eld of autonomy)55(.)]TJ ET EMC /Reference <>BDC BT 6.6 0 0 6.6 519.5789 342.1548 Tm (5)Tj ET EMC /P <>BDC BT 11 0 0 11 522.7469 338.5248 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 525.3869 338.5248 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 317.9894 Tm (c)Tj /TT4 1 Tf .722 0 TD [(r)18.1(eated by the thir)18.1(d national plan on )]TJ /TT5 1 Tf 15.8389 0 TD (a)Tj /TT4 1 Tf .648 0 TD [(lzheimer’)74.2(s)]TJ ET EMC /P <>BDC BT 10 0 0 10 520.1642 317.9894 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 304.0096 Tm (disease \(2008 )Tj ET EMC /P <>BDC BT 10 0 0 10 365.5077 304.0096 Tm (–)Tj ET EMC /P <>BDC BT 10 0 0 10 370.5077 304.0096 Tm (2012\) and transcribed to common)Tj ET EMC /P <>BDC BT 10 0 0 10 522.2376 304.0096 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 290.0295 Tm [(law thr)18.1(ough various pieces o)]TJ /TT5 1 Tf 12.7969 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( legislation. )Tj /TT5 1 Tf 5.315 0 TD (i)Tj /TT4 1 Tf .259 0 TD [(t concer)-17.8(ns)]TJ ET EMC /P <>BDC BT 10 0 0 10 537.7153 290.0295 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 276.0496 Tm [(pr)18.1(o)]TJ /TT5 1 Tf 1.4819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals intervening with elderly people aged)Tj ET EMC /P <>BDC BT 10 0 0 10 526.7972 276.0496 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 262.0696 Tm [(60+ with complex health and social car)18.1(e situations.)]TJ ET EMC /P <>BDC BT 10 0 0 10 532.087 262.0696 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 248.0896 Tm (i)Tj /TT4 1 Tf .259 0 TD [(t has thr)18.1(ee main components or integration)]TJ ET EMC /P <>BDC BT 10 0 0 10 498.697 248.0896 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 234.1097 Tm [(mechanisms: a consultation pr)18.1(ocess at two)]TJ ET EMC /P <>BDC BT 10 0 0 10 497.3871 234.1097 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 220.1297 Tm [(inter)18.1(dependent – institutional and or)28.1(ganizational –)]TJ ET EMC /P <>BDC BT 10 0 0 10 525.2462 220.1297 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 206.0997 Tm (levels \()Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 334.1877 206.0997 Tm (table stratégique and table tactique)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 491.4677 206.0997 Tm (\); an)Tj ET EMC /P <>BDC BT 10 0 0 10 510.5476 206.0997 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 192.0597 Tm (integrated entry point \()Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 404.7677 192.0597 Tm (guichet intégré)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 471.2577 192.0597 Tm (\); and intensive)Tj ET EMC /P <>BDC BT 10 0 0 10 538.4977 192.0597 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 178.0197 Tm (case management )Tj /TT5 1 Tf 8.522 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or complex cases \()Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 476.2677 178.0197 Tm [(gestionnair)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 530.347 178.0197 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 163.9798 Tm (de cas)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 333.0879 163.9798 Tm (\). )Tj /TT5 1 Tf .815 0 TD (i)Tj /TT4 1 Tf .259 0 TD (ts )Tj /TT5 1 Tf 1.093 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(unctioning is insur)18.1(ed by a M)]TJ /TT5 1 Tf 12.5599 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD ( pilot)Tj ET EMC /P <>BDC BT 10 0 0 10 520.907 163.9798 Tm ( )Tj ET EMC /Artifact <>BDC 0 0 0 1 K 0 J 0 j 1 w 10 M [] 0 d /GS4 gs q 1 0 0 1 56.693 135.189 cm 0 0 m 178.252 0 l S Q EMC /P <>BDC /GS1 gs BT 4.8 0 0 4.8 56.6929 121.2087 Tm (1)Tj ET EMC /P <>BDC BT 8 0 0 8 60.6962 118.5687 Tm ( )Tj /TT5 1 Tf .278 0 TD (t)Tj /TT4 1 Tf .574 0 TD (his is the case )Tj /TT5 1 Tf 6.631 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or the multidisciplinary car)10.8(e teams in the)]TJ ET EMC /P <>BDC BT 8 0 0 8 267.3217 118.5687 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 107.3847 Tm [(départements which wer)10.8(e intr)10.8(oduced as a part o)]TJ /TT5 1 Tf 21.6664 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( a national)Tj ET EMC /P <>BDC BT 8 0 0 8 269.2882 107.3847 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 96.2008 Tm -.0108 Tc (re)Tj /TT5 1 Tf .8592 0 TD 0 Tc (f)Tj /TT4 1 Tf .296 0 TD [(orm cr)10.8(eating a speci)]TJ /TT5 1 Tf 9.1202 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ic allowance )Tj /TT5 1 Tf 5.795 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or older people in a bid to)Tj ET EMC /P <>BDC BT 8 0 0 8 282.0082 96.2008 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 85.0168 Tm (o)Tj /TT5 1 Tf .574 0 TD -.0108 Tc (ff)Tj /TT4 1 Tf .5812 0 TD 0 Tc (er them )Tj /TT5 1 Tf 3.687 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(inancial support in setting up an adapted car)10.8(e)]TJ ET EMC /P <>BDC BT 8 0 0 8 261.6082 85.0168 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 73.8329 Tm (arrangement \(Le Bihan and Martin, 2007\). )Tj ET EMC /P <>BDC BT 4.8 0 0 4.8 56.6929 61.037 Tm (2)Tj ET EMC /P <>BDC BT 8 0 0 8 60.6962 58.3969 Tm ( Law on solidarity and loss o)Tj /TT5 1 Tf 12.723 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( autonomy o)Tj /TT5 1 Tf 5.595 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( 2004.)Tj ET EMC /Artifact <>BDC /GS4 gs q 1 0 0 1 303.638 139.441 cm 0 0 m 178.252 0 l S Q EMC /P <>BDC /GS1 gs BT 4.8 0 0 4.8 303.6378 125.4608 Tm (3)Tj ET EMC /P <>BDC BT 8 0 0 8 307.641 122.8207 Tm ( ‘)Tj /TT5 1 Tf .556 0 TD (h)Tj /TT4 1 Tf .722 0 TD (ospital, )Tj /TT5 1 Tf 3.519 0 TD (p)Tj /TT4 1 Tf .648 0 TD (atients, )Tj /TT5 1 Tf 3.538 0 TD (h)Tj /TT4 1 Tf .722 0 TD (ealth )Tj /TT5 1 Tf 2.445 0 TD (t)Tj /TT4 1 Tf .5076 0 TD (erritories’ Law o)Tj /TT5 1 Tf 7.165 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( 2009.)Tj ET EMC /P <>BDC BT 4.8 0 0 4.8 303.6378 110.0248 Tm (4)Tj ET EMC /P <>BDC BT 8 0 0 8 307.641 107.3847 Tm ( for a detailed description o)Tj /TT5 1 Tf 12.52 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the policies, see )Tj /TT5 1 Tf 7.779 0 TD (a)Tj /TT4 1 Tf .648 0 TD (ppendix and the)Tj ET EMC /P <>BDC BT 8 0 0 8 535.6812 107.3847 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 303.6378 96.2008 Tm [(fr)10.8(ench national r)10.8(eport and templates \(Le Bihan and )]TJ /TT5 1 Tf 23.1884 0 TD (s)Tj /TT4 1 Tf .648 0 TD (opadzhiyan,)Tj ET EMC /P <>BDC BT 8 0 0 8 537.7371 96.2008 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 303.6378 85.0168 Tm (2017b\). )Tj ET EMC /P <>BDC BT 4.8 0 0 4.8 303.6378 72.2209 Tm (5)Tj ET EMC /P <>BDC BT 8 0 0 8 307.641 69.5809 Tm ( )Tj ET EMC /P <>BDC BT /TT11 1 Tf 8 0 0 8 309.865 69.5809 Tm (Méthode d’action pour l’intégration des services d’aide et de)Tj ET EMC /P <>BDC BT 8 0 0 8 518.6649 69.5809 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 303.6378 58.3969 Tm (soins dans le champ de l’autonomie)Tj ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 427.8057 58.3969 Tm (.)Tj ET EMC Q endstream endobj 108 0 obj <>/ExtGState<>>> endobj 114 0 obj <> endobj 126 0 obj <> endobj 131 0 obj <> endobj 152 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 576.2063 802.4034 Tm (2)Tj ET EMC /P <>BDC /GS2 gs BT /TT4 1 Tf 10 0 0 10 56.6929 690.6375 Tm 0 0 0 1 k [(r)18.1(ecruited to )]TJ /TT5 1 Tf 5.3899 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(oster integration dynamics acr)18.1(oss the)]TJ ET EMC /P <>BDC BT 10 0 0 10 281.3615 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 676.6575 Tm [(scheme’)74.2(s territory)74.2(, alongside between two and )]TJ /TT5 1 Tf 21.0386 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ive)Tj ET EMC /P <>BDC BT 10 0 0 10 282.6285 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 662.6776 Tm [(case managers in char)28.1(ge o)]TJ /TT5 1 Tf 12.0479 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( up to 40 complex cases)Tj ET EMC /P <>BDC BT 10 0 0 10 289.9821 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 648.6976 Tm (each.)Tj ET EMC /P <>BDC BT 10 0 0 10 81.1429 648.6976 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 56.6929 621.7069 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 65.0666 621.7069 Tm 0 0 0 1 k [( )37(The P)37(AERP)37(A scheme:)37( elderly people a)-10(t)0( risk of loss of)]TJ ET EMC /P <>BDC BT 11 0 0 11 280.3036 621.7069 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 56.6929 608.507 Tm [(autonomy)55(.)]TJ ET EMC /Reference <>BDC BT 6.6 0 0 6.6 98.8229 612.137 Tm (6)Tj ET EMC /P <>BDC BT 11 0 0 11 101.991 608.507 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 104.631 608.507 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 587.9717 Tm (c)Tj /TT4 1 Tf .722 0 TD [(r)18.1(eated by the social security )]TJ /TT5 1 Tf 12.8169 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inancing law o)Tj /TT5 1 Tf 6.407 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( 2013,)Tj ET EMC /P <>BDC BT 10 0 0 10 289.8722 587.9717 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 573.9917 Tm (the )Tj /TT5 1 Tf 1.686 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( is a speci)Tj /TT5 1 Tf 4.482 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ic pr)18.1(ogramme combining a)]TJ ET EMC /P <>BDC BT 10 0 0 10 278.5878 573.9917 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 560.0118 Tm (range o)Tj /TT5 1 Tf 3.389 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( tools in a pr)18.1(evention perspective tar)28.1(geting)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.6614 560.0118 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 546.0318 Tm (elderly people aged 75+. )Tj /TT5 1 Tf 11.343 0 TD (i)Tj /TT4 1 Tf .259 0 TD (t has )Tj /TT5 1 Tf 2.464 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ive inter)18.1(dependent)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.3022 546.0318 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 532.0518 Tm (objectives )Tj 4.815 0 TD [(– pr)18.1(eventing elderly people’)74.2(s loss o)]TJ /TT5 1 Tf 15.6687 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 264.49 532.0518 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 518.0718 Tm [(autonomy)74.2(, better coor)18.1(dination o)]TJ /TT5 1 Tf 14.2817 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( health and social)Tj ET EMC /P <>BDC BT 10 0 0 10 280.82 518.0718 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 504.0918 Tm [(car)18.1(e, secur)18.1(e hospital dischar)28.1(ges, avoiding)]TJ ET EMC /P <>BDC BT 10 0 0 10 244.0308 504.0918 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 490.1119 Tm (unplanned hospitalizations and better use o)Tj /TT5 1 Tf 19.504 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 254.6928 490.1119 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 476.1319 Tm [(medicines. Locally)74.2(, it is composed o)]TJ /TT5 1 Tf 16.1708 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( a decision-)Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 462.1519 Tm (making and evaluation body at the strategic or)Tj ET EMC /P <>BDC BT 10 0 0 10 264.1528 462.1519 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 448.1719 Tm [(institutional level and a tactical or or)28.1(ganizational)]TJ ET EMC /P <>BDC BT 10 0 0 10 270.3021 448.1719 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 434.1919 Tm (body de)Tj /TT5 1 Tf 3.668 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ining r)18.1(egional monitoring indicators and)]TJ ET EMC /P <>BDC BT 10 0 0 10 272.6622 434.1919 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 420.2119 Tm (local needs. )Tj /TT5 1 Tf 5.649 0 TD (a)Tj /TT4 1 Tf .648 0 TD (t the operational level, the scheme)Tj ET EMC /P <>BDC BT 10 0 0 10 273.0328 420.2119 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 406.232 Tm [(leans on coor)18.1(dination between )]TJ /TT5 1 Tf 14.0019 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(ont-line)]TJ ET EMC /P <>BDC BT 10 0 0 10 236.5316 406.232 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 392.252 Tm [(pr)18.1(o)]TJ /TT5 1 Tf 1.4819 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(essionals \(close clinical coor)18.1(dination,)]TJ ET EMC /P <>BDC BT 10 0 0 10 239.6616 392.252 Tm ( )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 56.6929 378.222 Tm [(coor)18.1(dination clinique de pr)18.1(oximité, CCP)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 233.9415 378.222 Tm (\), and o)Tj /TT5 1 Tf 3.353 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (ers)Tj ET EMC /P <>BDC BT 10 0 0 10 286.9109 378.222 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 364.2321 Tm (support to )Tj /TT5 1 Tf 4.909 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(ont-line pr)18.1(o)]TJ /TT5 1 Tf 5.4459 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(essionals’ coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 268.951 364.2321 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 350.252 Tm (f)Tj /TT4 1 Tf .296 0 TD [(unctions thr)18.1(ough a dedicated territorial plat)]TJ /TT5 1 Tf 19.2629 0 TD (f)Tj /TT4 1 Tf .296 0 TD (orm)Tj ET EMC /P <>BDC BT 10 0 0 10 272.8422 350.252 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 336.222 Tm [(\(dedicated territorial coor)18.1(dination, )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 210.2223 336.222 Tm [(coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 265.7915 336.222 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 322.1821 Tm [(territoriale d’appui, CT)92(A)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 161.9025 322.1821 Tm (\). )Tj /TT5 1 Tf .815 0 TD (i)Tj /TT4 1 Tf .259 0 TD (t can be accessed by both)Tj ET EMC /P <>BDC BT 10 0 0 10 291.3824 322.1821 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 308.1921 Tm [(pr)18.1(o)]TJ /TT5 1 Tf 1.4819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals and elderly people. )Tj /TT5 1 Tf 13.224 0 TD (a)Tj /TT4 1 Tf .648 0 TD (n earlier version)Tj ET EMC /P <>BDC BT 10 0 0 10 283.7422 308.1921 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 294.2121 Tm (o)Tj /TT5 1 Tf .574 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the pr)18.1(ogramme was contained in article 70 o)]TJ /TT5 1 Tf 20.1899 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the)Tj ET EMC /P <>BDC BT 10 0 0 10 287.1122 294.2121 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 280.2322 Tm (social security )Tj /TT5 1 Tf 6.648 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inancing law o)Tj /TT5 1 Tf 6.407 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( 2012.)Tj ET EMC /P <>BDC BT 10 0 0 10 220.9629 280.2322 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 56.6929 253.2415 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 65.0666 253.2415 Tm 0 0 0 1 k [( )37(The PT)55(A scheme:)37( territorial support pla)-10(tforms for)]TJ ET EMC /P <>BDC BT 11 0 0 11 264.8596 253.2415 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 56.6929 240.0415 Tm [(coordina)-10(tion)]TJ ET EMC /Reference <>BDC BT 6.6 0 0 6.6 106.897 243.6715 Tm (7)Tj ET EMC /P <>BDC BT 11 0 0 11 110.0648 240.0415 Tm -.037 Tc (. )Tj ET EMC /P <>BDC BT 11 0 0 11 114.938 240.0415 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 219.5063 Tm (c)Tj /TT4 1 Tf .722 0 TD [(r)18.1(eated by the health law on moder)-17.8(nizing the health)]TJ ET EMC /P <>BDC BT 10 0 0 10 289.6905 219.5063 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 205.5263 Tm (system o)Tj /TT5 1 Tf 4.057 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( 2016 \()Tj /TT5 1 Tf 3.039 0 TD (a)Tj /TT4 1 Tf .648 0 TD (rt. 74\). )Tj /TT5 1 Tf 3.131 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(his pr)18.1(ovides support to)]TJ ET EMC /P <>BDC BT 10 0 0 10 277.1322 205.5263 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 191.5463 Tm [(health, social and medico-social pr)18.1(o)]TJ /TT5 1 Tf 16.1699 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals )Tj /TT5 1 Tf 4.426 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or)Tj ET EMC /P <>BDC BT 10 0 0 10 277.6422 191.5463 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 177.5163 Tm [(the coor)18.1(dination o)]TJ /TT5 1 Tf 8.1129 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 143.5623 177.5163 Tm (complex)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 181.5222 177.5163 Tm ( health pathways in)Tj ET EMC /P <>BDC BT 10 0 0 10 267.8321 177.5163 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 163.5264 Tm [(or)18.1(der to pr)18.1(event avoidable hospitalizations and)]TJ ET EMC /P <>BDC BT 10 0 0 10 265.7915 163.5264 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 149.5464 Tm [(discontinuities in car)18.1(e. )]TJ /TT5 1 Tf 10.2429 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(he aim is thr)18.1(ee-)]TJ /TT5 1 Tf 6.9099 0 TD (f)Tj /TT4 1 Tf .296 0 TD (old:)Tj ET EMC /P <>BDC BT 10 0 0 10 253.5915 149.5464 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 135.5663 Tm [(mobilize available r)18.1(esour)18.1(ces in a territory and)]TJ ET EMC /P <>BDC BT 10 0 0 10 257.8115 135.5663 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 121.5865 Tm (support )Tj /TT5 1 Tf 3.742 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(ontline pr)18.1(o)]TJ /TT5 1 Tf 5.0569 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals \(G)Tj /TT5 1 Tf 5.444 0 TD (p)Tj /TT4 1 Tf .648 0 TD (s\); identi)Tj /TT5 1 Tf 3.76 0 TD (f)Tj /TT4 1 Tf .296 0 TD (y)Tj ET EMC /P <>BDC BT 10 0 0 10 257.0815 121.5865 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 107.6065 Tm [(existing solutions during admissions and dischar)28.1(ges)]TJ ET EMC /P <>BDC BT 10 0 0 10 289.6021 107.6065 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 690.6375 Tm (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om hospital and pr)18.1(event avoidable hospitalizations)]TJ ET EMC /P <>BDC BT 10 0 0 10 535.8964 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 676.6575 Tm (and discontinuities o)Tj /TT5 1 Tf 9.243 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( car)18.1(e. )]TJ /TT5 1 Tf 2.7599 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he )Tj /TT5 1 Tf 1.371 0 TD [(pt)92(a)]TJ /TT4 1 Tf 1.778 0 TD [(s ar)18.1(e not)]TJ ET EMC /P <>BDC BT 10 0 0 10 502.756 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 662.6776 Tm (population-based and can intervene with all patients)Tj ET EMC /P <>BDC BT 10 0 0 10 537.3878 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 648.6976 Tm (in complex situations, whatever their age. )Tj /TT5 1 Tf 18.817 0 TD (t)Tj /TT4 1 Tf .574 0 TD (hey)Tj ET EMC /P <>BDC BT 10 0 0 10 513.4777 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 634.7176 Tm [(r)18.1(epr)18.1(esent the transcription into common law o)]TJ /TT5 1 Tf 20.5789 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 512.3864 634.7176 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 620.7376 Tm [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.6653 0 TD [(’)74.2(s)0( dedicated territorial plat)]TJ /TT5 1 Tf 11.6118 0 TD (f)Tj /TT4 1 Tf .296 0 TD (orms \()Tj /TT5 1 Tf 2.797 0 TD [(ct)92(a)]TJ /TT4 1 Tf 1.852 0 TD (\). )Tj ET EMC /P <>BDC BT 10 0 0 10 525.1285 620.7376 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 598.2537 Tm (a)Tj /TT4 1 Tf .648 0 TD [(ll thr)18.1(ee schemes have been cr)18.1(eated at the national)]TJ ET EMC /P <>BDC BT 10 0 0 10 534.6263 598.2537 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 584.2737 Tm [(level and ar)18.1(e designed to be implemented locally)74.2(.)]TJ ET EMC /P <>BDC BT 10 0 0 10 523.6948 584.2737 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 570.2037 Tm (On the one hand, they have )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 429.8077 570.2037 Tm (common objectives)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 506.9278 570.2037 Tm (:)Tj ET EMC /P <>BDC BT 10 0 0 10 509.7078 570.2037 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 556.1098 Tm [(enhancing coor)18.1(dination between the r)18.1(egional health)]TJ ET EMC /P <>BDC BT 10 0 0 10 534.6063 556.1098 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 542.1298 Tm [(agencies and the local départements in char)28.1(ge o)]TJ /TT5 1 Tf 21.7359 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 523.9569 542.1298 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 528.1498 Tm [(social car)18.1(e at institutional ‘strategic’ level; and)]TJ ET EMC /P <>BDC BT 10 0 0 10 509.217 528.1498 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 514.1698 Tm [(between health and social car)18.1(e or)28.1(ganizations and)]TJ ET EMC /P <>BDC BT 10 0 0 10 524.2963 514.1698 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 500.1899 Tm [(pr)18.1(o)]TJ /TT5 1 Tf 1.4819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals at ‘tactical’ operational level. for these)Tj ET EMC /P <>BDC BT 10 0 0 10 538.097 500.1899 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 486.2099 Tm [(purposes, they cr)18.1(eate speci)]TJ /TT5 1 Tf 12.3729 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ic bodies, )Tj /TT5 1 Tf 4.612 0 TD (f)Tj /TT4 1 Tf .296 0 TD (unctions or)Tj ET EMC /P <>BDC BT 10 0 0 10 529.417 486.2099 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 472.2299 Tm [(pr)18.1(o)]TJ /TT5 1 Tf 1.4819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals to support the social, medico-social)Tj ET EMC /P <>BDC BT 10 0 0 10 526.077 472.2299 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 458.2499 Tm [(and health pr)18.1(o)]TJ /TT5 1 Tf 6.4469 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(essionals in their coor)18.1(dination tasks.)]TJ ET EMC /P <>BDC BT 10 0 0 10 533.3164 458.2499 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 444.1799 Tm (On the other hand, they also )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 433.3177 444.1799 Tm [(c)20(learly di)]TJ ET EMC /P <>BDC BT 10 0 0 10 469.5575 444.1799 Tm (f)Tj ET EMC /P <>BDC BT 10 0 0 10 472.5175 444.1799 Tm (fer)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 483.4376 444.1799 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 486.2176 444.1799 Tm (in terms o)Tj /TT5 1 Tf 4.446 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 533.6376 444.1799 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 430.0859 Tm [(each scheme’)74.2(s tar)28.1(get population, )]TJ /TT5 1 Tf 15.1057 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ocus \(whether on)Tj ET EMC /P <>BDC BT 10 0 0 10 534.6946 430.0859 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 416.106 Tm [(pr)18.1(evention, car)18.1(e or cur)18.1(e\), or the degr)18.1(ee to which)]TJ ET EMC /P <>BDC BT 10 0 0 10 518.115 416.106 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 402.126 Tm [(they encompass the thr)18.1(ee intervention sectors)]TJ ET EMC /P <>BDC BT 10 0 0 10 510.3571 402.126 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 388.146 Tm [(concer)-17.8(ned – i.e. health, social and medico-social)]TJ ET EMC /P <>BDC BT 10 0 0 10 522.0059 388.146 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 374.166 Tm (sectors.)Tj ET EMC /P <>BDC BT 10 0 0 10 339.3778 374.166 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /F1 1 Tf 11 0 0 11 303.6378 347.6788 Tm .533 .114 .024 0 k (1.3)Tj ET EMC /P <>BDC BT 11 0 0 11 319.6365 347.6788 Tm (Why is it relevant? )Tj ET EMC /P <>BDC BT 11 0 0 11 396.9556 347.6788 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT5 1 Tf 10 0 0 10 303.6378 327.1436 Tm 0 0 0 1 k (t)Tj /TT4 1 Tf .574 0 TD [(he existing evaluation r)18.1(eports which analyse the)]TJ ET EMC /P <>BDC BT 10 0 0 10 522.917 327.1436 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 313.1635 Tm (di)Tj /TT5 1 Tf .815 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent schemes separately – )]TJ /TT5 1 Tf 12.5029 0 TD (cnsa)Tj /TT4 1 Tf 2.74 0 TD ( \(2017\) )Tj /TT5 1 Tf 3.298 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or)Tj ET EMC /P <>BDC BT 10 0 0 10 514.9665 313.1635 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 299.1836 Tm (M)Tj /TT5 1 Tf .871 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD ( and )Tj /TT5 1 Tf 2.242 0 TD (anap)Tj /TT4 1 Tf 2.666 0 TD ( \(2016\) and )Tj /TT5 1 Tf 5.262 0 TD (drees)Tj /TT4 1 Tf 3.259 0 TD ( \(Gand et al.,)Tj ET EMC /P <>BDC BT 10 0 0 10 519.2376 299.1836 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 285.2036 Tm (2017\) )Tj /TT5 1 Tf 2.761 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or )Tj /TT5 1 Tf 1.185 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( – put the emphasis on their )Tj /TT5 1 Tf 12.709 0 TD (f)Tj /TT4 1 Tf .296 0 TD (irst)Tj ET EMC /P <>BDC BT 10 0 0 10 527.2033 285.2036 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 271.2236 Tm (positive impact in terms o)Tj /TT5 1 Tf 11.522 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( continuity o)Tj /TT5 1 Tf 5.483 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( health and)Tj ET EMC /P <>BDC BT 10 0 0 10 529.2578 271.2236 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 257.2436 Tm [(social car)18.1(e interventions on the territories, as well )]TJ ET EMC /P <>BDC BT 10 0 0 10 526.417 257.2436 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 243.2636 Tm [(as on their complementarity with other pr)18.1(e-existing)]TJ ET EMC /P <>BDC BT 10 0 0 10 530.897 243.2636 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 229.2837 Tm [(and r)18.1(ecently cr)18.1(eated schemes. )]TJ /TT5 1 Tf 13.9859 0 TD (t)Tj /TT4 1 Tf .574 0 TD (hey also underline)Tj ET EMC /P <>BDC BT 10 0 0 10 530.1764 229.2837 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 215.3036 Tm (the necessity not to superpose their interventions. )Tj ET EMC /P <>BDC BT 10 0 0 10 529.4278 215.3036 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 201.3237 Tm (a)Tj /TT4 1 Tf .648 0 TD ( better understanding o)Tj /TT5 1 Tf 10.466 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the simultaneous)Tj ET EMC /P <>BDC BT 10 0 0 10 496.6577 201.3237 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 187.3437 Tm (implementation o)Tj /TT5 1 Tf 7.744 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( all thr)18.1(ee schemes is needed, )]TJ /TT5 1 Tf 13.2819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or)Tj ET EMC /P <>BDC BT 10 0 0 10 528.8871 187.3437 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 173.3636 Tm [(several r)18.1(easons. )]TJ ET EMC /P <>BDC BT 10 0 0 10 378.8271 173.3636 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 150.8799 Tm [(first, when analysed together)92(, the coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 512.7466 150.8799 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 136.8999 Tm [(schemes examined her)18.1(e may appear as clearly)]TJ ET EMC /P <>BDC BT 10 0 0 10 512.947 136.8999 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 122.9199 Tm (overlapping. )Tj /TT5 1 Tf 5.797 0 TD (s)Tj /TT4 1 Tf .648 0 TD [(everal mor)18.1(e compr)18.1(ehensive national)]TJ ET EMC /P <>BDC BT 10 0 0 10 529.2363 122.9199 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 108.9399 Tm [(r)18.1(eports – )]TJ /TT5 1 Tf 4.2229 0 TD (c)Tj /TT4 1 Tf .722 0 TD (our des comptes \(2016\), )Tj /TT5 1 Tf 11.134 0 TD (i)Tj /TT4 1 Tf .259 0 TD (G)Tj /TT5 1 Tf .759 0 TD (as)Tj /TT4 1 Tf 1.296 0 TD ( \(2014\) and)Tj ET EMC /P <>BDC BT 10 0 0 10 537.407 108.9399 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 94.9599 Tm (also )Tj /TT5 1 Tf 2.111 0 TD (drees)Tj /TT4 1 Tf 3.259 0 TD [( \(Gand et al., 2017\) – str)18.1(ess the lack o)]TJ /TT5 1 Tf 16.8199 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 528.4971 94.9599 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 80.98 Tm [(coher)18.1(ence in terms o)]TJ /TT5 1 Tf 9.4099 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( decision-making, institutional)Tj ET EMC /P <>BDC BT 10 0 0 10 534.067 80.98 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 67 Tm [(r)18.1(esponsibilities, )]TJ /TT5 1 Tf 7.1859 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inancing and implementation which)Tj ET EMC /P <>BDC BT 10 0 0 10 536.467 67 Tm ( )Tj ET EMC /Artifact <>BDC 0 0 0 1 K 0 J 0 j 1 w 10 M [] 0 d /GS4 gs q 1 0 0 1 56.693 90.453 cm 0 0 m 178.252 0 l S Q EMC /P <>BDC /GS1 gs BT 4.8 0 0 4.8 56.6929 76.4729 Tm (6)Tj ET EMC /P <>BDC BT 8 0 0 8 60.6962 73.8329 Tm ( )Tj ET EMC /P <>BDC BT /TT11 1 Tf 8 0 0 8 62.9202 73.8329 Tm (Personnes âgées en risque de perte d’autonomi)Tj ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 228.4482 73.8329 Tm (e.)Tj ET EMC /P <>BDC BT 4.8 0 0 4.8 56.6929 61.037 Tm (7)Tj ET EMC /P <>BDC BT 8 0 0 8 60.6962 58.3969 Tm ( )Tj ET EMC /P <>BDC BT /TT11 1 Tf 8 0 0 8 62.9202 58.3969 Tm (Plateformes territoriales d’appui)Tj ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 171.68 58.3969 Tm (.)Tj ET EMC Q endstream endobj 153 0 obj <>/ExtGState<>>> endobj 155 0 obj <> endobj 165 0 obj <> endobj 174 0 obj <> endobj 185 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 576.2063 802.4034 Tm (3)Tj ET EMC /P <>BDC /GS2 gs BT /TT4 1 Tf 10 0 0 10 56.6929 690.6375 Tm 0 0 0 1 k (characterizes the schemes’ )Tj /TT5 1 Tf 12.501 0 TD (f)Tj /TT4 1 Tf .296 0 TD (unctioning in silos.)Tj ET EMC /P <>BDC BT 10 0 0 10 267.6429 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 676.6575 Tm [(Locally)74.2(, ther)18.1(e is a lack o)]TJ /TT5 1 Tf 10.6497 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( clarity on the way the)Tj ET EMC /P <>BDC BT 10 0 0 10 264.12 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 662.6776 Tm (schemes interact and )Tj /TT5 1 Tf 9.892 0 TD (f)Tj /TT4 1 Tf .296 0 TD (unction. )Tj /TT5 1 Tf 3.872 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he situation)Tj ET EMC /P <>BDC BT 10 0 0 10 254.7128 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 648.6976 Tm [(generates tensions – between national, r)18.1(egional and)]TJ ET EMC /P <>BDC BT 10 0 0 10 288.7621 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 634.7176 Tm [(local administrations concer)-17.8(ned as well as the)]TJ ET EMC /P <>BDC BT 10 0 0 10 262.631 634.7176 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 620.7376 Tm [(health and social car)18.1(e or)28.1(ganizations under their)]TJ ET EMC /P <>BDC BT 10 0 0 10 267.5414 620.7376 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 606.7576 Tm [(r)18.1(esponsibility)74.2(, and also between pr)18.1(o)]TJ /TT5 1 Tf 16.0206 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals)Tj ET EMC /P <>BDC BT 10 0 0 10 261.3394 606.7576 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 592.7777 Tm [(involved – and is pr)18.1(oving very costly)74.2(. )]TJ /TT5 1 Tf 16.6137 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he overall)Tj ET EMC /P <>BDC BT 10 0 0 10 271.53 592.7777 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 578.7977 Tm (cost o)Tj /TT5 1 Tf 2.778 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( a range o)Tj /TT5 1 Tf 4.482 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( schemes with common)Tj ET EMC /P <>BDC BT 10 0 0 10 241.7329 578.7977 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 564.8177 Tm [(coor)18.1(dination objectives)]TJ ET EMC /Reference <>BDC BT 6 0 0 6 160.5922 568.1177 Tm (8)Tj ET EMC /P <>BDC BT 10 0 0 10 163.9282 564.8177 Tm ( was estimated at €)Tj ET EMC /P <>BDC BT 10 0 0 10 251.1682 564.8177 Tm (898)Tj ET EMC /P <>BDC BT 10 0 0 10 267.8482 564.8177 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 550.8377 Tm (million per year \()Tj /TT5 1 Tf 7.334 0 TD (i)Tj /TT4 1 Tf .259 0 TD (G)Tj /TT5 1 Tf .759 0 TD (as)Tj /TT4 1 Tf 1.296 0 TD (, 2014\). )Tj /TT5 1 Tf 3.595 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he actual amount is)Tj ET EMC /P <>BDC BT 10 0 0 10 282.3029 550.8377 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 536.8577 Tm [(likely to be higher as ther)18.1(e is a lack o)]TJ /TT5 1 Tf 16.4659 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( centralized)Tj ET EMC /P <>BDC BT 10 0 0 10 275.7822 536.8577 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 522.8777 Tm (in)Tj /TT5 1 Tf .778 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormation and evaluation on the schemes’)Tj ET EMC /P <>BDC BT 10 0 0 10 251.7529 522.8777 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 508.8978 Tm (f)Tj /TT4 1 Tf .296 0 TD (inancing and as the )Tj /TT5 1 Tf 9.003 0 TD [(pt)92(a)]TJ /TT4 1 Tf 1.7037 0 TD [(’)74.2(s)0( cost was not included in)]TJ ET EMC /P <>BDC BT 10 0 0 10 285.2581 508.8978 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 494.9178 Tm (the estimation. )Tj ET EMC /P <>BDC BT 10 0 0 10 125.4228 494.9178 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 472.4339 Tm (s)Tj /TT4 1 Tf .648 0 TD (econd, the necessity to go )Tj /TT5 1 Tf 12.114 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(urther in coor)18.1(dinating)]TJ ET EMC /P <>BDC BT 10 0 0 10 282.6622 472.4339 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 458.4539 Tm [(health and social car)18.1(e, including institutional and)]TJ ET EMC /P <>BDC BT 10 0 0 10 273.7823 458.4539 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 444.4739 Tm (f)Tj /TT4 1 Tf .296 0 TD (inancial integration at the national level, is high on)Tj ET EMC /P <>BDC BT 10 0 0 10 281.5428 444.4739 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 430.4939 Tm (the political agenda. )Tj /TT5 1 Tf 9.298 0 TD (i)Tj /TT4 1 Tf .259 0 TD (t was inscribed in both the)Tj ET EMC /P <>BDC BT 10 0 0 10 270.4328 430.4939 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 416.5139 Tm (national health strategy \(2018-2022\) and the)Tj ET EMC /P <>BDC BT 10 0 0 10 253.6128 416.5139 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 402.534 Tm (strategy )Tj /TT5 1 Tf 3.889 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or trans)Tj /TT5 1 Tf 3.426 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(orming the health car)18.1(e system)]TJ ET EMC /P <>BDC BT 10 0 0 10 270.6222 402.534 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 388.554 Tm (\(2018\). )Tj /TT5 1 Tf 3.298 0 TD (a)Tj /TT4 1 Tf .648 0 TD [( national working gr)18.1(oup including)]TJ ET EMC /P <>BDC BT 10 0 0 10 244.3222 388.554 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 374.574 Tm [(r)18.1(epr)18.1(esentatives )]TJ /TT5 1 Tf 7.0939 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om all ministries and )]TJ /TT5 1 Tf 9.7809 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inancing)Tj ET EMC /P <>BDC BT 10 0 0 10 268.9608 374.574 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 360.594 Tm (institutions has also been appointed. )Tj /TT5 1 Tf 16.69 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(he sear)18.1(ch )]TJ /TT5 1 Tf 4.6309 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or)Tj ET EMC /P <>BDC BT 10 0 0 10 287.6722 360.594 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 346.5241 Tm (more coherence and convergence)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 191.0431 346.5241 Tm ( o)Tj /TT5 1 Tf .852 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( existing dedicated)Tj ET EMC /P <>BDC BT 10 0 0 10 287.1629 346.5241 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 332.4301 Tm [(coor)18.1(dination and integration schemes at both)]TJ ET EMC /P <>BDC BT 10 0 0 10 259.7122 332.4301 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 318.4501 Tm [(national and local levels has ther)18.1(e)]TJ /TT5 1 Tf 15.0579 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or)18.1(e become)]TJ ET EMC /P <>BDC BT 10 0 0 10 263.5815 318.4501 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 304.4701 Tm [(pr)18.1(ominent in the )]TJ /TT5 1 Tf 7.5409 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ight against the )Tj /TT5 1 Tf 7.15 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ragmentation o)Tj /TT5 1 Tf 6.761 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 280.0922 304.4701 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 290.4901 Tm [(the health and social car)18.1(e systems and a main)]TJ ET EMC /P <>BDC BT 10 0 0 10 263.2421 290.4901 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 276.5102 Tm (objective o)Tj /TT5 1 Tf 4.889 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( national integration policies.)Tj ET EMC /P <>BDC BT 10 0 0 10 236.3329 276.5102 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 254.0262 Tm [(finally)74.2(, comparative r)18.1(esear)18.1(ch underlines that)]TJ ET EMC /P <>BDC BT 10 0 0 10 255.2493 254.0262 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 240.0462 Tm [(integration is mor)18.1(e likely to happen when national)]TJ ET EMC /P <>BDC BT 10 0 0 10 277.6621 240.0462 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 226.0663 Tm [(policies exist \(Leichsenring, 2004; Mur)55.2(-V)55.2(eeman, van)]TJ ET EMC /P <>BDC BT 10 0 0 10 288.2393 226.0663 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 212.0863 Tm (r)Tj /TT4 1 Tf .685 0 TD (aak and )Tj /TT5 1 Tf 3.835 0 TD (p)Tj /TT4 1 Tf .648 0 TD (aulus, 2008\), but also indicates that top-)Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 198.1063 Tm [(down national policies may r)18.1(epr)18.1(esent both)]TJ ET EMC /P <>BDC BT 10 0 0 10 245.9915 198.1063 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 184.1263 Tm (opportunities and constraints to the development o)Tj /TT5 1 Tf 22.877 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 288.4228 184.1263 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 170.1463 Tm (local integration dynamics, and can even be a)Tj ET EMC /P <>BDC BT 10 0 0 10 261.3728 170.1463 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 156.1664 Tm [(considerable sour)18.1(ce o)]TJ /TT5 1 Tf 9.8899 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( tension \(Goodwin et al.,)Tj ET EMC /P <>BDC BT 10 0 0 10 266.8922 156.1664 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 142.1864 Tm (2014; Williams and )Tj /TT5 1 Tf 8.726 0 TD (s)Tj /TT4 1 Tf .648 0 TD (ullivan, 2009\). )Tj /TT5 1 Tf 6.41 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he scope o)Tj /TT5 1 Tf 4.964 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 272.8729 142.1864 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 128.2064 Tm (integration policies is thus determined by the)Tj ET EMC /P <>BDC BT 10 0 0 10 257.1128 128.2064 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 690.6375 Tm (aptitude o)Tj /TT5 1 Tf 4.52 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( local actors to cope with the changing)Tj ET EMC /P <>BDC BT 10 0 0 10 525.1478 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 676.6575 Tm [(landscape. fr)18.1(om a public policy analysis)]TJ ET EMC /P <>BDC BT 10 0 0 10 484.417 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 662.6776 Tm (perspective, the integration policies mentioned)Tj ET EMC /P <>BDC BT 10 0 0 10 512.5676 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 648.6976 Tm (illustrate a speci)Tj /TT5 1 Tf 7.241 0 TD (f)Tj /TT4 1 Tf .296 0 TD (icity o)Tj /TT5 1 Tf 2.648 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the fr)18.1(ench con)]TJ /TT5 1 Tf 6.9839 0 TD (f)Tj /TT4 1 Tf .296 0 TD (iguration,)Tj ET EMC /P <>BDC BT 10 0 0 10 522.9171 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 634.7176 Tm [(wher)18.1(e new integration schemes ar)18.1(e o)]TJ /TT5 1 Tf 16.6679 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ten cr)18.1(eated)]TJ ET EMC /P <>BDC BT 10 0 0 10 523.8457 634.7176 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 620.7376 Tm [(without r)18.1(emoving the existing ones \(Le Bihan and)]TJ ET EMC /P <>BDC BT 10 0 0 10 523.4971 620.7376 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 606.7576 Tm (s)Tj /TT4 1 Tf .648 0 TD (opadzhiyan, 2017a\). )Tj /TT5 1 Tf 9.28 0 TD (a)Tj /TT4 1 Tf .648 0 TD [( concr)18.1(ete implication o)]TJ /TT5 1 Tf 10.1689 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( this)Tj ET EMC /P <>BDC BT 10 0 0 10 532.7571 606.7576 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 592.7777 Tm (is that di)Tj /TT5 1 Tf 3.816 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent generations o)]TJ /TT5 1 Tf 8.6309 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( schemes coexist at)Tj ET EMC /P <>BDC BT 10 0 0 10 525.8964 592.7777 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 578.7977 Tm [(the local level, thus cr)18.1(eating institutional and)]TJ ET EMC /P <>BDC BT 10 0 0 10 501.457 578.7977 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 564.8177 Tm [(or)28.1(ganizational complexity which runs counter to the)]TJ ET EMC /P <>BDC BT 10 0 0 10 533.9269 564.8177 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 550.8377 Tm (policies’ aim o)Tj /TT5 1 Tf 6.427 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( simpli)Tj /TT5 1 Tf 2.89 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ication. Building on)Tj ET EMC /P <>BDC BT 10 0 0 10 488.2978 550.8377 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 536.8577 Tm [(inter)-17.8(national evidence and the state o)]TJ /TT5 1 Tf 16.7808 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the art, we)Tj ET EMC /P <>BDC BT 10 0 0 10 524.4059 536.8577 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 522.8777 Tm [(make the assumption that concr)18.1(ete integration)]TJ ET EMC /P <>BDC BT 10 0 0 10 511.8571 522.8777 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 508.8978 Tm [(dynamics take place at the local level wher)18.1(e the)]TJ ET EMC /P <>BDC BT 10 0 0 10 517.007 508.8978 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 494.9178 Tm (institutional, )Tj /TT5 1 Tf 5.668 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(inancial, or)28.1(ganizational and)]TJ ET EMC /P <>BDC BT 10 0 0 10 484.4769 494.9178 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 480.9378 Tm [(pr)18.1(o)]TJ /TT5 1 Tf 1.4819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essional )Tj /TT5 1 Tf 3.926 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ragmentations ar)18.1(e made visible by)]TJ ET EMC /P <>BDC BT 10 0 0 10 516.8264 480.9378 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 466.8678 Tm (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(ontline pr)18.1(o)]TJ /TT5 1 Tf 5.0569 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals’ and )Tj ET EMC /P <>BDC BT 10 0 0 10 426.8066 466.8678 Tm (users’ experience. )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 511.2563 466.8678 Tm (The)Tj ET EMC /P <>BDC BT 10 0 0 10 525.6865 466.8678 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 452.6839 Tm [(aim of the F)20(rench in-depth stud)-9.8(y is to take a c)20(lose look at)]TJ ET EMC /P <>BDC BT 10 0 0 10 532.505 452.6839 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 438.4999 Tm (the local implementation of all three above-mentioned)Tj ET EMC /P <>BDC BT 10 0 0 10 519.1179 438.4999 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 424.3159 Tm (schemes and to analyse the factors facilitating and)Tj ET EMC /P <>BDC BT 10 0 0 10 506.9477 424.3159 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 410.1319 Tm [(impeding local integration processes.)37.1( Similarly)55.2(,)37.1( the)]TJ ET EMC /P <>BDC BT 10 0 0 10 506.3638 410.1319 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 395.948 Tm (conditions required to break away from the overlapping of)Tj ET EMC /P <>BDC BT 10 0 0 10 535.0479 395.948 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 381.764 Tm (schemes and to enhance convergence and coherence at)Tj ET EMC /P <>BDC BT 10 0 0 10 526.6378 381.764 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 367.58 Tm (the local level will investigated)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 426.2778 367.58 Tm [(. W)57.1(e)0( hypothesize that)]TJ ET EMC /P <>BDC BT 10 0 0 10 522.3865 367.58 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 353.486 Tm [(the coher)18.1(ence between the di)]TJ /TT5 1 Tf 13.2619 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent integration)]TJ ET EMC /P <>BDC BT 10 0 0 10 514.7856 353.486 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 339.506 Tm (schemes in a territory is shaped )Tj /TT5 1 Tf 14.503 0 TD (f)Tj /TT4 1 Tf .296 0 TD (irst and )Tj /TT5 1 Tf 3.612 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or)18.1(emost)]TJ ET EMC /P <>BDC BT 10 0 0 10 527.3871 339.506 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 325.526 Tm (by local actors. )Tj ET EMC /P <>BDC BT 10 0 0 10 377.3477 325.526 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /F1 1 Tf 11 0 0 11 303.6378 299.0389 Tm .533 .114 .024 0 k (1.4)Tj ET EMC /P <>BDC BT 11 0 0 11 319.6365 299.0389 Tm [(Da)-10(ta and methods)]TJ ET EMC /P <>BDC BT 11 0 0 11 394.0515 299.0389 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT5 1 Tf 10 0 0 10 303.6378 278.5036 Tm 0 0 0 1 k (t)Tj /TT4 1 Tf .574 0 TD [(his fr)18.1(ench in-depth study is based on r)18.1(eview o)]TJ /TT5 1 Tf 20.8568 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 520.9064 278.5036 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 264.5236 Tm (available evidence including national and local)Tj ET EMC /P <>BDC BT 10 0 0 10 510.1477 264.5236 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 250.5436 Tm (o)Tj /TT5 1 Tf .574 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(icial r)18.1(eports and r)18.1(esear)18.1(ch articles, as well as on)]TJ ET EMC /P <>BDC BT 10 0 0 10 525.8652 250.5436 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 236.5636 Tm [(qualitative semi-dir)18.1(ective interviews per)]TJ /TT5 1 Tf 17.6119 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormed in)Tj ET EMC /P <>BDC BT 10 0 0 10 522.1771 236.5636 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 222.5837 Tm [(r)18.1(esear)18.1(ch pr)18.1(ogrammes)]TJ ET EMC /Reference <>BDC BT 6 0 0 6 401.4458 225.8837 Tm (9)Tj ET EMC /P <>BDC BT 10 0 0 10 404.7818 222.5837 Tm ( conducted by the authors)Tj ET EMC /P <>BDC BT 10 0 0 10 522.6017 222.5837 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 208.6037 Tm (between 2015 and 2016 \(n=30\). )Tj /TT5 1 Tf 14.421 0 TD (a)Tj /TT4 1 Tf .648 0 TD (dditional)Tj ET EMC /P <>BDC BT 10 0 0 10 492.6677 208.6037 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 194.6237 Tm [(qualitative r)18.1(esear)18.1(ch on local integration dynamics)]TJ ET EMC /P <>BDC BT 10 0 0 10 524.0464 194.6237 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 180.6437 Tm [(was carried out in 2018 by a gr)18.1(oup o)]TJ /TT5 1 Tf 16.3739 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj /TT5 1 Tf .278 0 TD (ehesp)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 505.5171 180.6437 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 166.6637 Tm (students as part o)Tj /TT5 1 Tf 8.095 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( their academic curricula and)Tj ET EMC /P <>BDC BT 10 0 0 10 517.0178 166.6637 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 152.6837 Tm [(dir)18.1(ected by the authors \(n= 12\). )]TJ ET EMC /P <>BDC BT 10 0 0 10 446.167 152.6837 Tm ( )Tj ET EMC /Artifact <>BDC 0 0 0 1 K 0 J 0 j 1 w 10 M [] 0 d /GS4 gs q 1 0 0 1 56.693 104.615 cm 0 0 m 178.252 0 l S Q EMC /P <>BDC /GS1 gs BT 4.8 0 0 4.8 56.6929 90.6344 Tm (8)Tj ET EMC /P <>BDC BT 8 0 0 8 60.6962 87.9944 Tm ( )Tj /TT5 1 Tf .278 0 TD (h)Tj /TT4 1 Tf .722 0 TD (ealth networks, )Tj /TT5 1 Tf 7.093 0 TD (c)Tj /TT4 1 Tf .722 0 TD (L)Tj /TT5 1 Tf .556 0 TD (ic)Tj /TT4 1 Tf .981 0 TD (s, M)Tj /TT5 1 Tf 1.927 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD (s, )Tj /TT5 1 Tf 1.056 0 TD [(p)44.4(aerp)44.4(a)]TJ /TT4 1 Tf 3.7993 0 TD [(, the coor)10.8(dination)]TJ ET EMC /P <>BDC BT 8 0 0 8 272.8041 87.9944 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 76.8105 Tm (mission o)Tj /TT5 1 Tf 4.279 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the health centr)10.8(es, or the di)]TJ /TT5 1 Tf 12.5112 0 TD -.0108 Tc (ff)Tj /TT4 1 Tf .5812 0 TD 0 Tc [(er)10.8(ent coor)10.8(dination)]TJ ET EMC /P <>BDC BT 8 0 0 8 263.0514 76.8105 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 65.6265 Tm [(payments to the health pr)10.8(o)]TJ /TT5 1 Tf 12.0122 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(essionals or gr)10.8(oups o)]TJ /TT5 1 Tf 9.5822 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( pr)10.8(o)]TJ /TT5 1 Tf 1.7672 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals.)Tj ET EMC /Artifact <>BDC /GS4 gs q 1 0 0 1 303.638 126.982 cm 0 0 m 178.252 0 l S Q EMC /P <>BDC /GS1 gs BT 4.8 0 0 4.8 303.6378 113.0024 Tm (9)Tj ET EMC /P <>BDC BT 8 0 0 8 307.641 110.3622 Tm ( )Tj /TT5 1 Tf .278 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he )Tj /TT5 1 Tf 1.371 0 TD (p)Tj /TT4 1 Tf .648 0 TD (OL)Tj /TT5 1 Tf 1.316 0 TD (ia)Tj /TT4 1 Tf .907 0 TD ( )Tj /TT5 1 Tf .278 0 TD (in)Tj /TT4 1 Tf .981 0 TD (LOV)Tj /TT5 1 Tf 1.927 0 TD (e)Tj /TT4 1 Tf .611 0 TD [( pr)10.8(oject, )]TJ /TT5 1 Tf 3.9342 0 TD (f)Tj /TT4 1 Tf .296 0 TD (unded by the )Tj /TT5 1 Tf 6.17 0 TD (e)Tj /TT4 1 Tf .611 0 TD (xcellence )Tj /TT5 1 Tf 4.481 0 TD (i)Tj /TT4 1 Tf .259 0 TD (nitiative)Tj ET EMC /P <>BDC BT 8 0 0 8 532.1867 110.3622 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 8 0 0 8 303.6378 99.1784 Tm (p)Tj /TT4 1 Tf .648 0 TD [(r)10.8(oject )]TJ /TT5 1 Tf 2.7852 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or )Tj /TT5 1 Tf 1.185 0 TD (i)Tj /TT4 1 Tf .259 0 TD [(nvestment in the futur)10.8(e \()]TJ /TT5 1 Tf 11.0862 0 TD (ide)Tj /TT4 1 Tf 1.574 0 TD (X\) o)Tj /TT5 1 Tf 1.722 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the )Tj /TT5 1 Tf 1.964 0 TD (u)Tj /TT4 1 Tf .722 0 TD (niversity o)Tj /TT5 1 Tf 4.537 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 522.601 99.1784 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 8 0 0 8 303.6378 87.9944 Tm (s)Tj /TT4 1 Tf .648 0 TD (orbonne )Tj /TT5 1 Tf 4.001 0 TD (p)Tj /TT4 1 Tf .648 0 TD (aris )Tj /TT5 1 Tf 1.87 0 TD (c)Tj /TT4 1 Tf .722 0 TD (ité \()Tj /TT5 1 Tf 1.611 0 TD (uspc)Tj /TT4 1 Tf 2.74 0 TD (\) in 2013 and the )Tj /TT5 1 Tf 7.745 0 TD [(dy)44.4(ana)]TJ /TT4 1 Tf 3.3256 0 TD ( )Tj /TT5 1 Tf .278 0 TD (p)Tj /TT4 1 Tf .648 0 TD [(r)10.8(oject)]TJ ET EMC /P <>BDC BT 8 0 0 8 517.5887 87.9944 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 8 0 0 8 303.6378 76.8105 Tm (f)Tj /TT4 1 Tf .296 0 TD (unded by the foundation )Tj /TT5 1 Tf 11.505 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or scienti)Tj /TT5 1 Tf 4.074 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ic cooperation \(f)Tj /TT5 1 Tf 7.5 0 TD (cs)Tj /TT4 1 Tf 1.37 0 TD (\) in)Tj ET EMC /P <>BDC BT 8 0 0 8 516.8538 76.8105 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 303.6378 65.6265 Tm (2015.)Tj ET EMC Q endstream endobj 186 0 obj <>/ExtGState<>>> endobj 188 0 obj <> endobj 211 0 obj <> endobj 209 0 obj <> endobj 218 0 obj <> endobj 219 0 obj <> endobj 225 0 obj <> endobj 231 0 obj <> endobj 216 0 obj <> endobj 233 0 obj <> endobj 238 0 obj <> endobj 243 0 obj <> endobj 248 0 obj <> endobj 253 0 obj <> endobj 258 0 obj <> endobj 263 0 obj <> endobj 232 0 obj <> endobj 269 0 obj <> endobj 274 0 obj <> endobj 279 0 obj <> endobj 284 0 obj <> endobj 289 0 obj <> endobj 294 0 obj <> endobj 299 0 obj <> endobj 304 0 obj <> endobj 268 0 obj <> endobj 310 0 obj <> endobj 315 0 obj <> endobj 320 0 obj <> endobj 325 0 obj <> endobj 330 0 obj <> endobj 335 0 obj <> endobj 340 0 obj <> endobj 345 0 obj <> endobj 309 0 obj <> endobj 352 0 obj <> endobj 350 0 obj <> endobj 358 0 obj <> endobj 363 0 obj <> endobj 368 0 obj <> endobj 373 0 obj <> endobj 378 0 obj <> endobj 383 0 obj <> endobj 388 0 obj <> endobj 393 0 obj <> endobj 357 0 obj <> endobj 399 0 obj <> endobj 404 0 obj <> endobj 409 0 obj <> endobj 414 0 obj <> endobj 419 0 obj <> endobj 424 0 obj <> endobj 429 0 obj <> endobj 434 0 obj <> endobj 398 0 obj <> endobj 440 0 obj <> endobj 445 0 obj <> endobj 450 0 obj <> endobj 455 0 obj <> endobj 460 0 obj <> endobj 465 0 obj <> endobj 470 0 obj <> endobj 475 0 obj <> endobj 439 0 obj <> endobj 482 0 obj <> endobj 480 0 obj <> endobj 488 0 obj <> endobj 493 0 obj <> endobj 498 0 obj <> endobj 503 0 obj <> endobj 508 0 obj <> endobj 513 0 obj <> endobj 518 0 obj <> endobj 523 0 obj <> endobj 487 0 obj <> endobj 529 0 obj <> endobj 534 0 obj <> endobj 539 0 obj <> endobj 544 0 obj <> endobj 549 0 obj <> endobj 554 0 obj <> endobj 559 0 obj <> endobj 564 0 obj <> endobj 528 0 obj <> endobj 570 0 obj <> endobj 575 0 obj <> endobj 580 0 obj <> endobj 585 0 obj <> endobj 590 0 obj <> endobj 595 0 obj <> endobj 600 0 obj <> endobj 605 0 obj <> endobj 569 0 obj <> endobj 208 0 obj <> endobj 610 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 576.2063 802.4034 Tm (4)Tj ET EMC /P <>BDC BT 14 0 0 14 56.6929 690.1615 Tm .533 .114 .024 0 k (2)Tj ET EMC /P <>BDC BT 14 0 0 14 72.6929 690.1615 Tm (Local context)Tj ET EMC /P <>BDC BT 14 0 0 14 141.3351 690.1615 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT5 1 Tf 10 0 0 10 56.6929 665.3336 Tm 0 0 0 1 k (t)Tj /TT4 1 Tf .574 0 TD [(his in-depth study explor)18.1(es the local integration)]TJ ET EMC /P <>BDC BT 10 0 0 10 274.5121 665.3336 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 651.3536 Tm [(dynamics in a territory wher)18.1(e all thr)18.1(ee schemes wer)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 290.7908 651.3536 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 637.3737 Tm (implemented )Tj /TT5 1 Tf 6.096 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ollowing di)Tj /TT5 1 Tf 4.795 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent dynamics and)]TJ ET EMC /P <>BDC BT 10 0 0 10 262.3015 637.3737 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 623.3937 Tm (timescales. While the territory chosen )Tj /TT5 1 Tf 17.021 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or the case)Tj ET EMC /P <>BDC BT 10 0 0 10 279.6829 623.3937 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 609.4137 Tm [(study is not r)18.1(epr)18.1(esentative o)]TJ /TT5 1 Tf 12.6329 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the way these thr)18.1(ee)]TJ ET EMC /P <>BDC BT 10 0 0 10 276.1808 609.4137 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 595.4337 Tm [(schemes have been implemented locally)74.2(, the study)]TJ ET EMC /P <>BDC BT 10 0 0 10 284.1806 595.4337 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 581.4537 Tm (nevertheless shows how implementation o)Tj /TT5 1 Tf 18.984 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 249.4929 581.4537 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 567.4738 Tm [(integration pr)18.1(ocesses takes place in france.)]TJ ET EMC /P <>BDC BT 10 0 0 10 253.5721 567.4738 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /F1 1 Tf 11 0 0 11 56.6929 540.9865 Tm .533 .114 .024 0 k (2.1)Tj ET EMC /P <>BDC BT 11 0 0 11 72.6916 540.9865 Tm [(Characteristics of the territor)-18(y covered)]TJ ET EMC /P <>BDC BT 11 0 0 11 228.5837 540.9865 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT5 1 Tf 10 0 0 10 56.6929 520.4513 Tm 0 0 0 1 k (t)Tj /TT4 1 Tf .574 0 TD [(he territory cover)18.1(ed by the in-depth study is a part)]TJ ET EMC /P <>BDC BT 10 0 0 10 286.5621 520.4513 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 506.4713 Tm (o)Tj /TT5 1 Tf .574 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( a département in the north-west o)Tj /TT5 1 Tf 15.504 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( france and)Tj ET EMC /P <>BDC BT 10 0 0 10 276.5529 506.4713 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 492.4913 Tm (includes the capital city o)Tj /TT5 1 Tf 11.354 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( both the département)Tj ET EMC /P <>BDC BT 10 0 0 10 273.0528 492.4913 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 478.5113 Tm [(and the r)18.1(egion. )]TJ /TT5 1 Tf 6.9839 0 TD (i)Tj /TT4 1 Tf .259 0 TD [(t corr)18.1(esponds to the territory)]TJ ET EMC /P <>BDC BT 10 0 0 10 257.1015 478.5113 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 464.5313 Tm [(cover)18.1(ed by the )]TJ /TT5 1 Tf 6.9279 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( pilot and encompasses)Tj ET EMC /P <>BDC BT 10 0 0 10 270.0677 464.5313 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 450.5514 Tm [(territories cover)18.1(ed by the two other schemes. )]TJ /TT5 1 Tf 20.5209 0 TD (i)Tj /TT4 1 Tf .259 0 TD (t is)Tj ET EMC /P <>BDC BT 10 0 0 10 277.6421 450.5514 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 436.5714 Tm (composed o)Tj /TT5 1 Tf 5.613 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( thr)18.1(ee sub-territories – )]TJ /TT5 1 Tf 10.1309 0 TD (a)Tj /TT4 1 Tf .648 0 TD (, B and )Tj /TT5 1 Tf 3.483 0 TD (c)Tj /TT4 1 Tf .722 0 TD ( –)Tj ET EMC /P <>BDC BT 10 0 0 10 273.4022 436.5714 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 422.5914 Tm [(each pr)18.1(esenting di)]TJ /TT5 1 Tf 8.2429 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent characteristic \(see details)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.5708 422.5914 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 408.6114 Tm (in )Tj /TT5 1 Tf 1.056 0 TD (t)Tj /TT4 1 Tf .4629 0 TD (able 1\). )Tj /TT5 1 Tf 3.538 0 TD (t)Tj /TT4 1 Tf .4629 0 TD (erritory )Tj /TT5 1 Tf 3.425 0 TD (a)Tj /TT4 1 Tf .648 0 TD ( accounts )Tj /TT5 1 Tf 4.668 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or 80% o)Tj /TT5 1 Tf 4.149 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the)Tj ET EMC /P <>BDC BT 10 0 0 10 263.5712 408.6114 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 690.6375 Tm [(population living in the pilot territory)74.2(, wher)18.1(eas)]TJ ET EMC /P <>BDC BT 10 0 0 10 505.8748 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 676.6575 Tm (territories B and )Tj /TT5 1 Tf 7.426 0 TD (c)Tj /TT4 1 Tf .722 0 TD ( have much lower density o)Tj /TT5 1 Tf 12.243 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 510.5078 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 662.6776 Tm [(population compar)18.1(ed to the r)18.1(egional and national)]TJ ET EMC /P <>BDC BT 10 0 0 10 523.5164 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 648.6976 Tm (averages. )Tj /TT5 1 Tf 4.611 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(he pr)18.1(oportion o)]TJ /TT5 1 Tf 6.8719 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( elderly people in local)Tj ET EMC /P <>BDC BT 10 0 0 10 526.9871 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 634.7176 Tm (population in the territory is also lower than the)Tj ET EMC /P <>BDC BT 10 0 0 10 513.2878 634.7176 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 620.7376 Tm [(r)18.1(egional and national averages and ther)18.1(e ar)18.1(e lar)28.1(ge)]TJ ET EMC /P <>BDC BT 10 0 0 10 526.1649 620.7376 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 606.7576 Tm (disparities in their distribution within each o)Tj /TT5 1 Tf 19.354 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the)Tj ET EMC /P <>BDC BT 10 0 0 10 516.9977 606.7576 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 592.7777 Tm (sub-territories. )Tj /TT5 1 Tf 6.815 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(he pr)18.1(oportion is expected to gr)18.1(ow)]TJ ET EMC /P <>BDC BT 10 0 0 10 528.8364 592.7777 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 578.7977 Tm (over the coming years. )Tj ET EMC /P <>BDC BT 10 0 0 10 413.8477 578.7977 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 556.3138 Tm (h)Tj /TT4 1 Tf .722 0 TD [(ealth car)18.1(e coverage in the territory is uneven:)]TJ ET EMC /P <>BDC BT 10 0 0 10 511.437 556.3138 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 542.3338 Tm [(primary car)18.1(e services ar)18.1(e well distributed in territory)]TJ ET EMC /P <>BDC BT 10 0 0 10 534.1964 542.3338 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 528.3538 Tm (a)Tj /TT4 1 Tf .648 0 TD [(, wher)18.1(eas territories B and )]TJ /TT5 1 Tf 11.9999 0 TD (c)Tj /TT4 1 Tf .722 0 TD [( ar)18.1(e under cover)18.1(ed)]TJ ET EMC /P <>BDC BT 10 0 0 10 521.2457 528.3538 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 514.3738 Tm [(\(especially r)18.1(egar)18.1(ding G)]TJ /TT5 1 Tf 10.2039 0 TD (p)Tj /TT4 1 Tf .648 0 TD [(s\) and inversely)74.2(, ther)18.1(e is)]TJ ET EMC /P <>BDC BT 10 0 0 10 518.6536 514.3738 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 500.3938 Tm (higher density o)Tj /TT5 1 Tf 7.131 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( nurses in territories B and )Tj /TT5 1 Tf 12.02 0 TD (c)Tj /TT4 1 Tf .722 0 TD ( and)Tj ET EMC /P <>BDC BT 10 0 0 10 524.9678 500.3938 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 486.4139 Tm (lower density in territory )Tj /TT5 1 Tf 10.999 0 TD (a)Tj /TT4 1 Tf .648 0 TD [( compar)18.1(ed to that o)]TJ /TT5 1 Tf 8.8369 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the)Tj ET EMC /P <>BDC BT 10 0 0 10 528.2971 486.4139 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 472.4339 Tm (département. )Tj /TT5 1 Tf 6.262 0 TD (i)Tj /TT4 1 Tf .259 0 TD (n territories B and )Tj /TT5 1 Tf 8.26 0 TD (c)Tj /TT4 1 Tf .722 0 TD (, 32% to 38% )Tj ET EMC /P <>BDC BT 10 0 0 10 523.6978 472.4339 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 458.4539 Tm (o)Tj /TT5 1 Tf .574 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the ar)18.1(ea is mor)18.1(e than 30 minutes drive )]TJ /TT5 1 Tf 17.6369 0 TD (f)Tj /TT4 1 Tf .296 0 TD -.0181 Tc [(ro)-18.1(m)]TJ ET EMC /P <>BDC BT 10 0 0 10 509.0857 458.4539 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 444.4739 Tm [(emer)28.1(gency car)18.1(e services, wher)18.1(eas territory )]TJ /TT5 1 Tf 19.3978 0 TD (a)Tj /TT4 1 Tf .648 0 TD ( is )Tj ET EMC /P <>BDC BT 10 0 0 10 516.8756 444.4739 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 430.4939 Tm [(well cover)18.1(ed by specialized hospital car)18.1(e as the)]TJ ET EMC /P <>BDC BT 10 0 0 10 516.0464 430.4939 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 416.5139 Tm [(university hospital \(and the corr)18.1(esponding )]TJ ET EMC /P <>BDC BT 10 0 0 10 493.3069 416.5139 Tm ( )Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 56.6929 356.1028 Tm [(T)74(able 1:)37( )37(T)74(erritor)-18(y covered by the stud)-10(y … main characteristics)]TJ ET EMC /Artifact <>BDC .533 .114 .024 0 k /GS1 gs 56.693 301.881 65.309 45.354 re f EMC /Artifact <>BDC 123.002 325.058 58.44 22.177 re f EMC /P <>BDC BT 10 0 0 10 136.9617 334.0064 Tm 0 0 0 0 k [(T)74(erritor)-18(y)]TJ ET EMC /Artifact <>BDC .533 .114 .024 0 k 182.442 325.058 174.82 22.177 re f EMC /P <>BDC BT 10 0 0 10 242.5468 334.0064 Tm 0 0 0 0 k [(Sub-T)74(erritories)]TJ ET EMC /Artifact <>BDC .533 .114 .024 0 k 363.262 325.058 175.321 22.177 re f EMC /Artifact <>BDC 123.002 301.881 58.44 22.177 re f EMC /P <>BDC BT 10 0 0 10 137.8717 310.8293 Tm 0 0 0 0 k [(P)37(AERP)37(A )]TJ ET EMC /Artifact <>BDC .533 .114 .024 0 k 182.442 301.881 58.94 22.177 re f EMC /P <>BDC BT 10 0 0 10 209.4119 310.8293 Tm 0 0 0 0 k (A)Tj ET EMC /Artifact <>BDC .533 .114 .024 0 k 241.382 301.881 59.44 22.177 re f EMC /P <>BDC BT 10 0 0 10 268.507 310.8293 Tm 0 0 0 0 k (B)Tj ET EMC /Artifact <>BDC .533 .114 .024 0 k 300.822 301.881 56.44 22.177 re f EMC /P <>BDC BT 10 0 0 10 326.4471 310.8293 Tm 0 0 0 0 k (C)Tj ET EMC /Artifact <>BDC .533 .114 .024 0 k 363.262 301.881 56.44 22.177 re f EMC /P <>BDC BT 10 0 0 10 369.7322 310.8293 Tm 0 0 0 0 k (Department)Tj ET EMC /Artifact <>BDC .533 .114 .024 0 k 419.702 301.881 59.44 22.177 re f EMC /P <>BDC BT 10 0 0 10 436.7374 310.8293 Tm 0 0 0 0 k (Region)Tj ET EMC /Artifact <>BDC .533 .114 .024 0 k 479.142 301.881 59.441 22.177 re f EMC /P <>BDC BT 10 0 0 10 496.3776 310.8293 Tm 0 0 0 0 k [(F)20(rance)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k 56.693 276.869 65.309 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 61.6929 287.2347 Tm 0 0 0 1 k (Inhabitants)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.002 276.869 58.44 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 142.2419 287.2347 Tm 0 0 0 1 k (646 266)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 182.442 276.869 58.94 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 202.1819 287.2347 Tm 0 0 0 1 k (508 761)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 241.382 276.869 59.44 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 266.4221 287.2347 Tm 0 0 0 1 k (67 757)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 300.822 276.869 56.44 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 322.8622 287.2347 Tm 0 0 0 1 k (69 748)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 363.262 276.869 56.44 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 373.3024 287.2347 Tm 0 0 0 1 k (1019 923)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 419.702 276.869 59.44 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 432.7425 287.2347 Tm 0 0 0 1 k (3258 707)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 479.142 276.869 59.441 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 487.3827 287.2347 Tm 0 0 0 1 k (65564 756)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 251.357 65.309 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 61.6929 261.4729 Tm 0 0 0 1 k (Area \(km)Tj ET EMC /P <>BDC BT 6 0 0 6 95.0029 264.7729 Tm (2)Tj ET EMC /P <>BDC BT 10 0 0 10 97.8829 261.4729 Tm (\))Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.002 251.357 58.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 151.8418 261.4729 Tm 0 0 0 1 k (3 141)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 182.442 251.357 58.94 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 211.7819 261.4729 Tm 0 0 0 1 k (1 385)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 241.382 251.357 59.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 278.4221 261.4729 Tm 0 0 0 1 k (840)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 300.822 251.357 56.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 334.8622 261.4729 Tm 0 0 0 1 k (916)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 363.262 251.357 56.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 390.1024 261.4729 Tm 0 0 0 1 k (6 775)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 419.702 251.357 59.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 444.7425 261.4729 Tm 0 0 0 1 k (27 208)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 479.142 251.357 59.441 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 499.3827 261.4729 Tm 0 0 0 1 k (643 801)Tj ET EMC /P <>BDC BT 10 0 0 10 61.6929 235.9237 Tm [(Elderly people as proportion of total popula)-10(tion \(%\))]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 204.552 65.309 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 61.6929 214.6679 Tm 0 0 0 1 k (65)Tj ET EMC /P <>BDC BT 10 0 0 10 71.2929 214.6679 Tm (…)Tj ET EMC /P <>BDC BT 10 0 0 10 76.2929 214.6679 Tm (74 years)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.002 204.552 58.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 161.4418 214.6679 Tm 0 0 0 1 k (6.7)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 182.442 204.552 58.94 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 221.3819 214.6679 Tm 0 0 0 1 k (6.7)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 241.382 204.552 59.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 280.8221 214.6679 Tm 0 0 0 1 k (6.8)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 300.822 204.552 56.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 337.2622 214.6679 Tm 0 0 0 1 k (6.4)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 363.262 204.552 56.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 399.7023 214.6679 Tm 0 0 0 1 k (7.6)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 419.702 204.552 59.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 459.1425 214.6679 Tm 0 0 0 1 k (9.3)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 479.142 204.552 59.441 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 518.5826 214.6679 Tm 0 0 0 1 k (8.6)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 179.04 65.309 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 61.6929 189.156 Tm 0 0 0 1 k (75)Tj ET EMC /P <>BDC BT 10 0 0 10 71.2929 189.156 Tm (…)Tj ET EMC /P <>BDC BT 10 0 0 10 76.2929 189.156 Tm (84 years)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.002 179.04 58.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 161.4418 189.156 Tm 0 0 0 1 k (4.9)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 182.442 179.04 58.94 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 221.3819 189.156 Tm 0 0 0 1 k (4.8)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 241.382 179.04 59.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 280.8221 189.156 Tm 0 0 0 1 k (5.6)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 300.822 179.04 56.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 337.2622 189.156 Tm 0 0 0 1 k (5.1)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 363.262 179.04 56.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 399.7023 189.156 Tm 0 0 0 1 k (5.9)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 419.702 179.04 59.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 459.1425 189.156 Tm 0 0 0 1 k (7.2)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 479.142 179.04 59.441 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 518.5826 189.156 Tm 0 0 0 1 k (6.3)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 153.529 65.309 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 61.6929 163.6443 Tm 0 0 0 1 k (85+ years)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.002 153.529 58.44 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 161.4418 163.6443 Tm 0 0 0 1 k (2.2)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 182.442 153.529 58.94 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 221.3819 163.6443 Tm 0 0 0 1 k (2.1)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 241.382 153.529 59.44 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 280.8221 163.6443 Tm 0 0 0 1 k (2.6)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 300.822 153.529 56.44 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 337.2622 163.6443 Tm 0 0 0 1 k (2.1)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 363.262 153.529 56.44 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 399.7023 163.6443 Tm 0 0 0 1 k (2.6)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 419.702 153.529 59.44 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 459.1425 163.6443 Tm 0 0 0 1 k (3.2)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 479.142 153.529 59.441 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 518.5826 163.6443 Tm 0 0 0 1 k (2.8)Tj ET EMC /P <>BDC BT 10 0 0 10 61.6929 138.0951 Tm [(Elderly people)55(s \(a)-10(ged 75+\) place of living \(%\))]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 106.723 65.309 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 61.6929 116.8391 Tm 0 0 0 1 k (Home)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.002 106.723 58.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 163.8418 116.8391 Tm 0 0 0 1 k (51)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 182.442 106.723 58.94 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 223.7819 116.8391 Tm 0 0 0 1 k (52)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 241.382 106.723 59.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 283.222 116.8391 Tm 0 0 0 1 k (49)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 300.822 106.723 56.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 339.6622 116.8391 Tm 0 0 0 1 k (48)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 363.262 106.723 56.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 402.1024 116.8391 Tm 0 0 0 1 k (50)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 419.702 106.723 59.44 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 461.5425 116.8391 Tm 0 0 0 1 k (49)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 479.142 106.723 59.441 24.512 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 520.9827 116.8391 Tm 0 0 0 1 k (52)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 81.212 65.309 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 61.6929 91.3274 Tm 0 0 0 1 k [(Home \(isola)-10(ted\))]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.002 81.212 58.44 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 163.8418 91.3274 Tm 0 0 0 1 k (36)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 182.442 81.212 58.94 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 223.7819 91.3274 Tm 0 0 0 1 k (36)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 241.382 81.212 59.44 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 283.222 91.3274 Tm 0 0 0 1 k (35)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 300.822 81.212 56.44 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 339.6622 91.3274 Tm 0 0 0 1 k (38)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 363.262 81.212 56.44 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 402.1024 91.3274 Tm 0 0 0 1 k (37)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 419.702 81.212 59.44 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 461.5425 91.3274 Tm 0 0 0 1 k (39)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 479.142 81.212 59.441 24.511 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 520.9827 91.3274 Tm 0 0 0 1 k (39)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 55.2 65.309 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 61.6929 65.5656 Tm 0 0 0 1 k (Institution)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.002 55.2 58.44 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 163.8418 65.5656 Tm 0 0 0 1 k (12)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 182.442 55.2 58.94 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 223.7819 65.5656 Tm 0 0 0 1 k (12)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 241.382 55.2 59.44 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 283.222 65.5656 Tm 0 0 0 1 k (16)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 300.822 55.2 56.44 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 339.6622 65.5656 Tm 0 0 0 1 k (14)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 363.262 55.2 56.44 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 402.1024 65.5656 Tm 0 0 0 1 k (12)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 419.702 55.2 59.44 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 461.5425 65.5656 Tm 0 0 0 1 k (12)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 479.142 55.2 59.441 25.012 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 520.9827 65.5656 Tm 0 0 0 1 k (10)Tj ET EMC /Artifact <>BDC 0 0 0 0 K 0 J 0 j 1 w 10 M [] 0 d /GS1 gs q 1 0 0 1 122.502 251.357 cm 0 0 m 0 95.878 l S Q EMC /Artifact <>BDC q 1 0 0 1 122.502 153.529 cm 0 0 m 0 75.535 l S Q EMC /Artifact <>BDC q 1 0 0 1 122.502 55.2 cm 0 0 m 0 76.035 l S Q EMC /Artifact <>BDC q 1 0 0 1 181.942 251.357 cm 0 0 m 0 95.878 l S Q EMC /Artifact <>BDC q 1 0 0 1 181.942 153.529 cm 0 0 m 0 75.535 l S Q EMC /Artifact <>BDC q 1 0 0 1 181.942 55.2 cm 0 0 m 0 76.035 l S Q EMC /Artifact <>BDC 6 w q 1 0 0 1 360.262 251.357 cm 0 0 m 0 95.878 l S Q EMC /Artifact <>BDC q 1 0 0 1 360.262 153.529 cm 0 0 m 0 75.535 l S Q EMC /Artifact <>BDC q 1 0 0 1 360.262 55.2 cm 0 0 m 0 76.035 l S Q EMC /Artifact <>BDC 1 w q 1 0 0 1 56.693 250.857 cm 0 0 m 481.39 0 l 481.39 -21.293 l 0 -21.293 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 153.029 cm 0 0 m 481.39 0 l 481.39 -21.294 l 0 -21.294 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 363.743 cm 0 0 m 481.89 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 123.002 324.558 cm 0 0 m 58.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 182.442 324.558 cm 0 0 m 174.82 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 363.262 324.558 cm 0 0 m 175.321 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 276.369 cm 0 0 m 65.309 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 123.002 276.369 cm 0 0 m 58.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 182.442 276.369 cm 0 0 m 58.94 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 241.382 276.369 cm 0 0 m 59.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 300.822 276.369 cm 0 0 m 56.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 363.262 276.369 cm 0 0 m 56.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 419.702 276.369 cm 0 0 m 59.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 479.142 276.369 cm 0 0 m 59.441 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 204.052 cm 0 0 m 65.309 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 123.002 204.052 cm 0 0 m 58.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 182.442 204.052 cm 0 0 m 58.94 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 241.382 204.052 cm 0 0 m 59.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 300.822 204.052 cm 0 0 m 56.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 363.262 204.052 cm 0 0 m 56.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 419.702 204.052 cm 0 0 m 59.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 479.142 204.052 cm 0 0 m 59.441 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 178.54 cm 0 0 m 65.309 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 123.002 178.54 cm 0 0 m 58.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 182.442 178.54 cm 0 0 m 58.94 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 241.382 178.54 cm 0 0 m 59.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 300.822 178.54 cm 0 0 m 56.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 363.262 178.54 cm 0 0 m 56.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 419.702 178.54 cm 0 0 m 59.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 479.142 178.54 cm 0 0 m 59.441 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 106.223 cm 0 0 m 65.309 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 123.002 106.223 cm 0 0 m 58.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 182.442 106.223 cm 0 0 m 58.94 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 241.382 106.223 cm 0 0 m 59.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 300.822 106.223 cm 0 0 m 56.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 363.262 106.223 cm 0 0 m 56.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 419.702 106.223 cm 0 0 m 59.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 479.142 106.223 cm 0 0 m 59.441 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 80.712 cm 0 0 m 65.309 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 123.002 80.712 cm 0 0 m 58.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 182.442 80.712 cm 0 0 m 58.94 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 241.382 80.712 cm 0 0 m 59.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 300.822 80.712 cm 0 0 m 56.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 363.262 80.712 cm 0 0 m 56.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 419.702 80.712 cm 0 0 m 59.44 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 479.142 80.712 cm 0 0 m 59.441 0 l S Q EMC Q endstream endobj 611 0 obj <>/ExtGState<>>> endobj 613 0 obj <> endobj 623 0 obj <> endobj 630 0 obj <> endobj 643 0 obj <> endobj 642 0 obj <> endobj 649 0 obj <> endobj 650 0 obj <> endobj 651 0 obj <> endobj 657 0 obj <> endobj 648 0 obj <> endobj 663 0 obj <> endobj 668 0 obj <> endobj 673 0 obj <> endobj 678 0 obj <> endobj 683 0 obj <> endobj 688 0 obj <> endobj 662 0 obj <> endobj 695 0 obj <> endobj 700 0 obj <> endobj 705 0 obj <> endobj 710 0 obj <> endobj 715 0 obj <> endobj 720 0 obj <> endobj 693 0 obj <> endobj 726 0 obj <> endobj 731 0 obj <> endobj 736 0 obj <> endobj 741 0 obj <> endobj 746 0 obj <> endobj 725 0 obj <> endobj 752 0 obj <> endobj 757 0 obj <> endobj 762 0 obj <> endobj 767 0 obj <> endobj 772 0 obj <> endobj 751 0 obj <> endobj 779 0 obj <> endobj 784 0 obj <> endobj 789 0 obj <> endobj 794 0 obj <> endobj 799 0 obj <> endobj 804 0 obj <> endobj 777 0 obj <> endobj 810 0 obj <> endobj 815 0 obj <> endobj 820 0 obj <> endobj 825 0 obj <> endobj 830 0 obj <> endobj 809 0 obj <> endobj 836 0 obj <> endobj 841 0 obj <> endobj 846 0 obj <> endobj 851 0 obj <> endobj 856 0 obj <> endobj 835 0 obj <> endobj 862 0 obj <> endobj 867 0 obj <> endobj 872 0 obj <> endobj 877 0 obj <> endobj 882 0 obj <> endobj 861 0 obj <> endobj 641 0 obj <> endobj 887 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 576.2063 802.4034 Tm (5)Tj ET EMC /P <>BDC /GS2 gs BT /TT4 1 Tf 10 0 0 10 56.6929 690.6375 Tm 0 0 0 1 k (intra-hospitals)Tj ET EMC /Reference <>BDC BT 6 0 0 6 120.4029 693.9375 Tm (10)Tj ET EMC /P <>BDC BT 10 0 0 10 127.0749 690.6375 Tm [( geriatric car)18.1(e services\) is situated in)]TJ ET EMC /P <>BDC BT 10 0 0 10 289.1142 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 676.6575 Tm (it. )Tj /TT5 1 Tf 1.093 0 TD (s)Tj /TT4 1 Tf .648 0 TD [(ocial car)18.1(e service coverage is high acr)18.1(oss the)]TJ ET EMC /P <>BDC BT 10 0 0 10 276.7015 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 662.6776 Tm [(whole territory compar)18.1(ed to departmental and)]TJ ET EMC /P <>BDC BT 10 0 0 10 262.1022 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 648.6976 Tm [(r)18.1(egional rates, especially r)18.1(esidential nursing car)18.1(e as)]TJ ET EMC /P <>BDC BT 10 0 0 10 285.9709 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 634.7176 Tm [(well as home nursing car)18.1(e equipment rates.)]TJ ET EMC /P <>BDC BT 10 0 0 10 251.1822 634.7176 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 620.7376 Tm (h)Tj /TT4 1 Tf .722 0 TD [(owever)92(, 86% o)]TJ /TT5 1 Tf 6.667 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( home car)18.1(e services ar)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 239.6711 620.7376 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 606.7576 Tm (concentrated on territory )Tj /TT5 1 Tf 11.353 0 TD (a)Tj /TT4 1 Tf .648 0 TD [(, wher)18.1(e ther)18.1(e ar)18.1(e also)]TJ ET EMC /P <>BDC BT 10 0 0 10 272.4508 606.7576 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 592.7777 Tm [(two pr)18.1(oviders o)]TJ /TT5 1 Tf 6.9439 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(ering both car)18.1(e and nursing car)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 276.7202 592.7777 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 578.7977 Tm (services \()Tj /TT5 1 Tf 4.203 0 TD [(sp)74.2(asad)]TJ /TT4 1 Tf 3.8698 0 TD (\).)Tj ET EMC /P <>BDC BT 10 0 0 10 142.7906 578.7977 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /F1 1 Tf 11 0 0 11 56.6929 552.3105 Tm .533 .114 .024 0 k (2.2)Tj ET EMC /P <>BDC BT 11 0 0 11 72.6916 552.3105 Tm [(Dedica)-10(ted coordina)-10(tion/integra)-10(tion schemes )]TJ ET EMC /P <>BDC BT 11 0 0 11 254.6427 552.3105 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT5 1 Tf 10 0 0 10 56.6929 531.7752 Tm 0 0 0 1 k (s)Tj /TT4 1 Tf .648 0 TD [(ince the 2000s, all thr)18.1(ee sub-territories studied)]TJ ET EMC /P <>BDC BT 10 0 0 10 270.6321 531.7752 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 517.7952 Tm [(have been pr)18.1(ogr)18.1(essively cover)18.1(ed by coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 275.6201 517.7952 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 503.8152 Tm (and in)Tj /TT5 1 Tf 2.742 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ormation centr)18.1(es \()]TJ /TT5 1 Tf 8.0759 0 TD (c)Tj /TT4 1 Tf .722 0 TD (L)Tj /TT5 1 Tf .556 0 TD (ic)Tj /TT4 1 Tf .981 0 TD [(s\). Locally)74.2(, the )]TJ /TT5 1 Tf 6.6308 0 TD (c)Tj /TT4 1 Tf .722 0 TD (L)Tj /TT5 1 Tf .556 0 TD (ic)Tj /TT4 1 Tf .981 0 TD (s)Tj ET EMC /P <>BDC BT 10 0 0 10 284.32 503.8152 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 489.8352 Tm [(work with the département’)74.2(s multidisciplinary car)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 280.4299 489.8352 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 475.8553 Tm (teams. )Tj /TT5 1 Tf 3.298 0 TD (i)Tj /TT4 1 Tf .259 0 TD [(ntr)18.1(oduced in the mid-1990s, these)]TJ ET EMC /P <>BDC BT 10 0 0 10 246.0421 475.8553 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 461.8753 Tm [(r)18.1(epr)18.1(esenting the )]TJ /TT5 1 Tf 7.5209 0 TD (f)Tj /TT4 1 Tf .296 0 TD (irst level o)Tj /TT5 1 Tf 4.518 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( case management )Tj /TT5 1 Tf 8.8 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or)Tj ET EMC /P <>BDC BT 10 0 0 10 283.0315 461.8753 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 447.8953 Tm (the assessment and )Tj /TT5 1 Tf 9.263 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ollow-up o)Tj /TT5 1 Tf 4.74 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( elderly people’)74.2(s)]TJ ET EMC /P <>BDC BT 10 0 0 10 275.2407 447.8953 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 433.9153 Tm [(car)18.1(e needs and situation.)]TJ ET EMC /P <>BDC BT 10 0 0 10 169.1322 433.9153 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 411.4314 Tm (t)Tj /TT4 1 Tf .574 0 TD (he coverage o)Tj /TT5 1 Tf 6.352 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( r)18.1(ecent coor)18.1(dination schemes)]TJ ET EMC /P <>BDC BT 10 0 0 10 261.1715 411.4314 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 690.6375 Tm [(pr)18.1(esents a rather di)]TJ /TT5 1 Tf 8.6499 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent pictur)18.1(e \(see )]TJ /TT5 1 Tf 8.0019 0 TD (t)Tj /TT4 1 Tf .4629 0 TD (able 2\). )Tj /TT5 1 Tf 3.538 0 TD (i)Tj /TT4 1 Tf .259 0 TD (n)Tj ET EMC /P <>BDC BT 10 0 0 10 524.0541 690.6375 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 303.6378 676.5675 Tm -.0371 Tw [(territor)-17.8(y A)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 343.5851 676.5675 Tm 0 Tw (, a M)Tj /TT5 1 Tf 2.242 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD [( scheme \(r)18.1(e)]TJ /TT5 1 Tf 5.1869 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(err)18.1(ed to below as)]TJ ET EMC /P <>BDC BT 10 0 0 10 513.9736 676.5675 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 662.4736 Tm (M)Tj /TT5 1 Tf .871 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD ( )Tj /TT5 1 Tf .278 0 TD (a)Tj /TT4 1 Tf .648 0 TD [(\) was cr)18.1(eated in 2012 by the )]TJ /TT5 1 Tf 12.8739 0 TD (f)Tj /TT4 1 Tf .296 0 TD (our local)Tj ET EMC /P <>BDC BT 10 0 0 10 507.187 662.4736 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 648.4936 Tm (in)Tj /TT5 1 Tf .778 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ormation and coor)18.1(dination centr)18.1(es \()]TJ /TT5 1 Tf 15.8929 0 TD (c)Tj /TT4 1 Tf .722 0 TD (L)Tj /TT5 1 Tf .556 0 TD (ic)Tj /TT4 1 Tf .981 0 TD (s\) in the)Tj ET EMC /P <>BDC BT 10 0 0 10 530.9064 648.4936 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 634.4236 Tm [(territory)74.2(. )]TJ ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 343.0756 634.4236 Tm [(T)74.2(erritor)-17.8(y B)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 384.4916 634.4236 Tm ( is characterized by the diversity)Tj ET EMC /P <>BDC BT 10 0 0 10 528.3817 634.4236 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 620.3296 Tm (o)Tj /TT5 1 Tf .574 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( available dedicated coor)18.1(dination schemes: one)]TJ ET EMC /P <>BDC BT 10 0 0 10 525.347 620.3296 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 606.3496 Tm (c)Tj /TT4 1 Tf .722 0 TD (L)Tj /TT5 1 Tf .556 0 TD (ic)Tj /TT4 1 Tf .981 0 TD [( covers the entir)18.1(e territory and a small part o)]TJ /TT5 1 Tf 19.7439 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 526.6271 606.3496 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 592.3697 Tm [(the territory is also cover)18.1(ed by an implementation o)]TJ /TT5 1 Tf 22.8939 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 535.5371 592.3697 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 578.3897 Tm (article 70 o)Tj /TT5 1 Tf 4.945 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the )Tj /TT5 1 Tf 1.964 0 TD (s)Tj /TT4 1 Tf .648 0 TD (ocial security )Tj /TT5 1 Tf 6.148 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inancial law )Tj /TT5 1 Tf 5.462 0 TD (f)Tj /TT4 1 Tf .296 0 TD -.0181 Tc [(ro)-18.1(m)]TJ ET EMC /P <>BDC BT 10 0 0 10 521.6071 578.3897 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 564.4097 Tm [(2012 \(her)18.1(ea)]TJ /TT5 1 Tf 5.2429 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ter article 70 as the scheme has no)Tj ET EMC /P <>BDC BT 10 0 0 10 515.3671 564.4097 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 550.4297 Tm (speci)Tj /TT5 1 Tf 2.389 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ic name\).)Tj ET EMC /Reference <>BDC BT 6 0 0 6 371.0577 553.7297 Tm (11)Tj ET EMC /P <>BDC BT 10 0 0 10 377.7298 550.4297 Tm ( )Tj /TT5 1 Tf .278 0 TD (i)Tj /TT4 1 Tf .259 0 TD (n 2016, a M)Tj /TT5 1 Tf 5.3 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD [( was also cr)18.1(eated)]TJ ET EMC /P <>BDC BT 10 0 0 10 529.9791 550.4297 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 536.4497 Tm [(\(her)18.1(ea)]TJ /TT5 1 Tf 2.7409 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ter M)Tj /TT5 1 Tf 2.334 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD [( B\), but its gover)-17.8(nance and)]TJ ET EMC /P <>BDC BT 10 0 0 10 493.4752 536.4497 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 522.4698 Tm (f)Tj /TT4 1 Tf .296 0 TD (unctioning is quite di)Tj /TT5 1 Tf 9.262 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent )]TJ /TT5 1 Tf 2.5379 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om M)]TJ /TT5 1 Tf 2.8909 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD ( )Tj /TT5 1 Tf .278 0 TD (a)Tj /TT4 1 Tf .648 0 TD (. )Tj /TT5 1 Tf .556 0 TD (u)Tj /TT4 1 Tf .722 0 TD (nlike)Tj ET EMC /P <>BDC BT 10 0 0 10 520.3557 522.4698 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 508.4898 Tm (M)Tj /TT5 1 Tf .871 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD ( )Tj /TT5 1 Tf .278 0 TD (a)Tj /TT4 1 Tf .648 0 TD (, M)Tj /TT5 1 Tf 1.427 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD ( B was initiated by the département)Tj ET EMC /P <>BDC BT 10 0 0 10 525.7177 508.4898 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 494.5098 Tm [(and it tar)28.1(gets not only elderly people aged 60+ in)]TJ ET EMC /P <>BDC BT 10 0 0 10 521.9969 494.5098 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 480.5298 Tm [(complex health and social car)18.1(e situations, but also)]TJ ET EMC /P <>BDC BT 10 0 0 10 529.4269 480.5298 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 466.5498 Tm [(disabled people. finally)74.2(, ther)18.1(e is only one )]TJ /TT5 1 Tf 18.6147 0 TD (c)Tj /TT4 1 Tf .722 0 TD (L)Tj /TT5 1 Tf .556 0 TD (ic)Tj /TT4 1 Tf .981 0 TD ( in)Tj ET EMC /P <>BDC BT 10 0 0 10 522.9348 466.5498 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 303.6378 452.4799 Tm [(territor)-17.8(y C)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 343.766 452.4799 Tm ( which is also the most rural one. )Tj /TT5 1 Tf 14.984 0 TD (h)Tj /TT4 1 Tf .722 0 TD [(owever)92(,)]TJ ET EMC /P <>BDC BT 10 0 0 10 535.0755 452.4799 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 438.3859 Tm [(some coor)18.1(dination dynamics o)]TJ /TT5 1 Tf 13.7449 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( behal)Tj /TT5 1 Tf 2.723 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( o)Tj /TT5 1 Tf .852 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( outpatient)Tj ET EMC /P <>BDC BT 10 0 0 10 533.697 438.3859 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 424.4059 Tm [(pr)18.1(o)]TJ /TT5 1 Tf 1.4819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals do exist in sub-territory )Tj /TT5 1 Tf 15.075 0 TD (c)Tj /TT4 1 Tf .722 0 TD (. )Tj ET EMC /P <>BDC BT 10 0 0 10 484.947 424.4059 Tm ( )Tj ET EMC /Artifact <>BDC 0 0 0 1 K 0 J 0 j 1 w 10 M [] 0 d /GS4 gs q 1 0 0 1 56.693 391.638 cm 0 0 m 178.252 0 l S Q EMC /P <>BDC /GS1 gs BT 4.8 0 0 4.8 56.6929 377.6578 Tm (10)Tj ET EMC /P <>BDC BT 8 0 0 8 63.365 375.0178 Tm ( )Tj /TT5 1 Tf .278 0 TD (h)Tj /TT4 1 Tf .722 0 TD [(ospitals with geriatric services that ar)10.8(e linked into a single)]TJ ET EMC /P <>BDC BT 8 0 0 8 276.7667 375.0178 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 363.8338 Tm [(geriatric car)10.8(e pathway covering the territory)44.4(.)]TJ ET EMC /Artifact <>BDC /GS4 gs q 1 0 0 1 303.638 402.822 cm 0 0 m 178.252 0 l S Q EMC /P <>BDC /GS1 gs BT 4.8 0 0 4.8 303.6378 388.8418 Tm (11)Tj ET EMC /P <>BDC BT 8 0 0 8 310.3098 386.2018 Tm ( )Tj /TT5 1 Tf .278 0 TD (i)Tj /TT4 1 Tf .259 0 TD [(t puts the emphasis on hospital dischar)16.8(ges and r)10.8(eadmissions)]TJ ET EMC /P <>BDC BT 8 0 0 8 533.2653 386.2018 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 303.6378 375.0178 Tm [(and pr)10.8(e)]TJ /TT5 1 Tf 3.4162 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(igur)10.8(ed in a way the experimentation o)]TJ /TT5 1 Tf 16.7692 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the )Tj /TT5 1 Tf 1.964 0 TD [(p)44.4(aerp)44.4(a)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 8 0 0 8 515.9634 375.0178 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 303.6378 363.8338 Tm [(scheme, cr)10.8(eated by the )]TJ /TT5 1 Tf 10.7892 0 TD (s)Tj /TT4 1 Tf .648 0 TD (ocial security law )Tj /TT5 1 Tf 7.943 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)10.8(om the next year)55(.)]TJ ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 10 0 0 10 56.4521 321.192 Tm [(T)74(able 2:)37( Dedica)-10(ted coordina)-10(tion schemes in the stud)-10(y territor)-18(y)]TJ ET EMC /Artifact <>BDC .533 .114 .024 0 k /GS1 gs 56.452 290.147 66.871 22.177 re f EMC /Artifact <>BDC 123.323 290.147 169.177 22.177 re f EMC /Artifact <>BDC 293.5 290.147 80.173 22.177 re f EMC /P <>BDC BT 10 0 0 10 318.3268 299.0955 Tm 0 0 0 0 k [(T)74(erritor)-18(y)]TJ ET EMC /Artifact <>BDC .533 .114 .024 0 k 374.673 290.147 161.075 22.177 re f EMC /P <>BDC BT 10 0 0 10 427.9055 299.0955 Tm 0 0 0 0 k [(Sub-T)74(erritories)]TJ ET EMC /Artifact <>BDC .533 .114 .024 0 k 56.452 266.97 66.871 22.177 re f EMC /P <>BDC BT 10 0 0 10 61.4521 275.9183 Tm 0 0 0 0 k [(Chronolog)-10(y)]TJ ET EMC /Artifact <>BDC .533 .114 .024 0 k 123.323 266.97 169.177 22.177 re f EMC /P <>BDC BT 10 0 0 10 128.3226 275.9183 Tm 0 0 0 0 k [(Coordina)-10(tion scheme)]TJ ET EMC /Artifact <>BDC .533 .114 .024 0 k 293.5 266.97 80.173 22.177 re f EMC /P <>BDC BT 10 0 0 10 319.2367 275.9183 Tm 0 0 0 0 k [(P)37(AERP)37(A )]TJ ET EMC /Artifact <>BDC .533 .114 .024 0 k 374.673 266.97 53.358 22.177 re f EMC /P <>BDC BT 10 0 0 10 398.8523 275.9183 Tm 0 0 0 0 k (A)Tj ET EMC /Artifact <>BDC .533 .114 .024 0 k 428.031 266.97 53.859 22.177 re f EMC /P <>BDC BT 10 0 0 10 452.3655 275.9183 Tm 0 0 0 0 k (B)Tj ET EMC /Artifact <>BDC .533 .114 .024 0 k 481.89 266.97 53.858 22.177 re f EMC /P <>BDC BT 10 0 0 10 506.2237 275.9183 Tm 0 0 0 0 k (C)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k 56.452 184.931 66.871 82.039 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 61.4521 241.81 Tm 0 0 0 1 k [(Introduced a)-10(t)]TJ ET EMC /P <>BDC BT 10 0 0 10 110.2322 241.81 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 61.4521 229.81 Tm [(the na)-10(tional)]TJ ET EMC /P <>BDC BT 10 0 0 10 104.8621 229.81 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 61.4521 217.8101 Tm (level in the)Tj ET EMC /P <>BDC BT 10 0 0 10 101.6021 217.8101 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 61.4521 205.8101 Tm (1990s)Tj ET EMC /P <>BDC BT 10 0 0 10 84.7222 205.8101 Tm (…)Tj ET EMC /P <>BDC BT 10 0 0 10 89.7222 205.8101 Tm (2000s)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.323 239.123 169.177 27.847 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 128.3226 250.9065 Tm 0 0 0 1 k [(Department)55(s multidisciplinar)-18(y care teams )]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 293.5 239.123 80.173 27.847 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 324.0732 250.9065 Tm 0 0 0 1 k (15)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 374.673 239.123 53.358 27.847 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 397.4314 250.9065 Tm 0 0 0 1 k (11)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 428.031 239.123 53.859 27.847 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 456.0896 250.9065 Tm 0 0 0 1 k (1)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 481.89 239.123 53.858 27.847 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 509.9479 250.9065 Tm 0 0 0 1 k (3)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.323 210.777 169.177 27.346 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 128.3226 222.3101 Tm 0 0 0 1 k (CLIC)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 293.5 210.777 80.173 27.346 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 296.8531 228.31 Tm 0 0 0 1 k (7 \(5 entirely within)Tj ET EMC /P <>BDC BT 10 0 0 10 365.6732 228.31 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 302.5831 216.3101 Tm [(scheme territor)-18(y\) )]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 374.673 210.777 53.358 27.346 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 402.2314 222.3101 Tm 0 0 0 1 k (4)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 428.031 210.777 53.859 27.346 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 456.0896 222.3101 Tm 0 0 0 1 k (1)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 481.89 210.777 53.858 27.346 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 509.9479 222.3101 Tm 0 0 0 1 k (2)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.323 184.931 169.177 24.846 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 128.3226 195.2136 Tm 0 0 0 1 k (Gerontological health networks)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 293.5 184.931 80.173 24.846 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 328.8733 195.2136 Tm 0 0 0 1 k (0)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 374.673 184.931 53.358 24.846 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 402.2314 195.2136 Tm 0 0 0 1 k (0)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 428.031 184.931 53.859 24.846 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 456.0896 195.2136 Tm 0 0 0 1 k (0)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 481.89 184.931 53.858 24.846 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 509.9479 195.2136 Tm 0 0 0 1 k (0)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.452 68.545 66.871 110.386 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 61.4521 139.5974 Tm 0 0 0 1 k [(Introduced a)-10(t)]TJ ET EMC /P <>BDC BT 10 0 0 10 110.2322 139.5974 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 61.4521 127.5974 Tm [(the na)-10(tional)]TJ ET EMC /P <>BDC BT 10 0 0 10 104.8621 127.5974 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 61.4521 115.5975 Tm (level since )Tj ET EMC /P <>BDC BT 10 0 0 10 102.7121 115.5975 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 61.4521 103.5975 Tm (2010)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.323 154.084 169.177 24.847 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 128.3226 164.3672 Tm 0 0 0 1 k -.037 Tw [(Pilot Art.)37( )-37(70)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 293.5 154.084 80.173 24.847 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 328.8733 164.3672 Tm 0 0 0 1 k 0 Tw (1)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 374.673 154.084 53.358 24.847 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 402.2314 164.3672 Tm 0 0 0 1 k (0)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 428.031 154.084 53.859 24.847 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 456.0896 164.3672 Tm 0 0 0 1 k (1)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 481.89 154.084 53.858 24.847 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 509.9479 164.3672 Tm 0 0 0 1 k (0)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.323 125.738 169.177 27.346 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 128.3226 137.2707 Tm 0 0 0 1 k (MAIA)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 293.5 125.738 80.173 27.346 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 328.8733 137.2707 Tm 0 0 0 1 k (2)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 374.673 125.738 53.358 27.346 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 402.2314 137.2707 Tm 0 0 0 1 k (1)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 428.031 125.738 53.859 27.346 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 456.0896 137.2707 Tm 0 0 0 1 k (1)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 481.89 125.738 53.858 27.346 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 509.9479 137.2707 Tm 0 0 0 1 k (0)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.323 97.391 169.177 27.347 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 128.3226 108.9242 Tm 0 0 0 1 k [(P)37(AERP)37(A)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 293.5 97.391 80.173 27.347 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 328.8733 108.9242 Tm 0 0 0 1 k (1)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 374.673 97.391 53.358 27.347 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 402.0314 108.9242 Tm 0 0 0 1 k (…)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 428.031 97.391 53.859 27.347 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 455.8897 108.9242 Tm 0 0 0 1 k (…)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 481.89 97.391 53.858 27.347 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 509.7479 108.9242 Tm 0 0 0 1 k (…)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 123.323 68.545 169.177 27.846 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 128.3226 80.3278 Tm 0 0 0 1 k [(PT)55(A)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 293.5 68.545 80.173 27.846 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 328.6732 80.3278 Tm 0 0 0 1 k (…)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 374.673 68.545 53.358 27.846 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 402.2314 80.3278 Tm 0 0 0 1 k (1)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 428.031 68.545 53.859 27.846 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 456.0896 80.3278 Tm 0 0 0 1 k (1)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 481.89 68.545 53.858 27.846 re f EMC /P <>BDC /GS2 gs BT 10 0 0 10 509.7479 80.3278 Tm 0 0 0 1 k (…)Tj ET EMC /Artifact <>BDC 0 0 0 0 K /GS1 gs q 1 0 0 1 293 68.545 cm 0 0 m 0 243.779 l S Q EMC /Artifact <>BDC q 1 0 0 1 374.173 68.545 cm 0 0 m 0 243.779 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.452 328.832 cm 0 0 m 478.796 0 l 478.796 -16.508 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.452 289.647 cm 0 0 m 66.871 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 123.323 289.647 cm 0 0 m 169.177 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 293.5 289.647 cm 0 0 m 80.173 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 374.673 289.647 cm 0 0 m 161.075 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 123.323 238.623 cm 0 0 m 169.177 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 293.5 238.623 cm 0 0 m 80.173 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 374.673 238.623 cm 0 0 m 53.358 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 428.031 238.623 cm 0 0 m 53.859 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 481.89 238.623 cm 0 0 m 53.858 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 123.323 210.277 cm 0 0 m 169.177 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 293.5 210.277 cm 0 0 m 80.173 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 374.673 210.277 cm 0 0 m 53.358 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 428.031 210.277 cm 0 0 m 53.859 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 481.89 210.277 cm 0 0 m 53.858 0 l S Q EMC /Artifact <>BDC 6 w q 1 0 0 1 56.452 181.931 cm 0 0 m 66.871 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 123.323 181.931 cm 0 0 m 169.177 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 293.5 181.931 cm 0 0 m 80.173 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 374.673 181.931 cm 0 0 m 53.358 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 428.031 181.931 cm 0 0 m 53.859 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 481.89 181.931 cm 0 0 m 53.858 0 l S Q EMC /Artifact <>BDC 1 w q 1 0 0 1 123.323 153.584 cm 0 0 m 169.177 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 293.5 153.584 cm 0 0 m 80.173 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 374.673 153.584 cm 0 0 m 53.358 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 428.031 153.584 cm 0 0 m 53.859 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 481.89 153.584 cm 0 0 m 53.858 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 123.323 125.238 cm 0 0 m 169.177 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 293.5 125.238 cm 0 0 m 80.173 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 374.673 125.238 cm 0 0 m 53.358 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 428.031 125.238 cm 0 0 m 53.859 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 481.89 125.238 cm 0 0 m 53.858 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 123.323 96.891 cm 0 0 m 169.177 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 293.5 96.891 cm 0 0 m 80.173 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 374.673 96.891 cm 0 0 m 53.358 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 428.031 96.891 cm 0 0 m 53.859 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 481.89 96.891 cm 0 0 m 53.858 0 l S Q EMC Q endstream endobj 888 0 obj <>/ExtGState<>>> endobj 890 0 obj <> endobj 902 0 obj <> endobj 905 0 obj <> endobj 932 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 576.2063 802.4034 Tm (6)Tj ET EMC /P <>BDC /GS2 gs BT /TT5 1 Tf 10 0 0 10 56.6929 690.6375 Tm 0 0 0 1 k (af)Tj /TT4 1 Tf .944 0 TD (ter the )Tj /TT5 1 Tf 3.149 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( scheme was extended nation-)Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 676.6575 Tm (wide in 2016 with the objective o)Tj /TT5 1 Tf 14.65 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( implementing at)Tj ET EMC /P <>BDC BT 10 0 0 10 280.6328 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 662.6776 Tm [(least one scheme in each r)18.1(egion)]TJ ET EMC /Reference <>BDC BT 6 0 0 6 200.8022 665.9776 Tm (12)Tj ET EMC /P <>BDC BT 10 0 0 10 207.4742 662.6776 Tm (, a decision to)Tj ET EMC /P <>BDC BT 10 0 0 10 270.2642 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 648.6976 Tm [(cr)18.1(eate a )]TJ /TT5 1 Tf 3.8709 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD [( scheme in all thr)18.1(ee territories )]TJ /TT5 1 Tf 13.4279 0 TD (a)Tj /TT4 1 Tf .648 0 TD (, B)Tj ET EMC /P <>BDC BT 10 0 0 10 285.9671 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 634.7176 Tm (and )Tj /TT5 1 Tf 1.964 0 TD (c)Tj /TT4 1 Tf .722 0 TD ( was taken. )Tj /TT5 1 Tf 5.371 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he territory delimitated )Tj /TT5 1 Tf 10.335 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or the)Tj ET EMC /P <>BDC BT 10 0 0 10 275.2428 634.7176 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 620.7376 Tm (local experimentation o)Tj /TT5 1 Tf 10.427 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the )Tj /TT5 1 Tf 1.964 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( scheme is thus)Tj ET EMC /P <>BDC BT 10 0 0 10 290.9885 620.7376 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 606.7576 Tm [(also cover)18.1(ed by the various coor)18.1(dination schemes)]TJ ET EMC /P <>BDC BT 10 0 0 10 280.8115 606.7576 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 592.7777 Tm (described above. )Tj ET EMC /P <>BDC BT 10 0 0 10 136.8929 592.7777 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 570.2937 Tm [(finally)74.2(, the cr)18.1(eation o)]TJ /TT5 1 Tf 9.4457 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the )Tj /TT5 1 Tf 1.964 0 TD [(pt)92(a)]TJ /TT4 1 Tf 1.778 0 TD ( scheme by the 2016)Tj ET EMC /P <>BDC BT 10 0 0 10 285.0995 570.2937 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 556.3138 Tm (h)Tj /TT4 1 Tf .722 0 TD [(ealth law and its implementation decr)18.1(ee)]TJ ET EMC /Reference <>BDC BT 6 0 0 6 241.3622 559.6138 Tm (13)Tj ET EMC /P <>BDC BT 10 0 0 10 248.0341 556.3138 Tm ( also led)Tj ET EMC /P <>BDC BT 10 0 0 10 285.4442 556.3138 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 542.3338 Tm [(to the intr)18.1(oduction o)]TJ /TT5 1 Tf 9.0399 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( two )Tj /TT5 1 Tf 2.203 0 TD [(pt)92(a)]TJ /TT4 1 Tf 1.778 0 TD ( schemes in territories)Tj ET EMC /P <>BDC BT 10 0 0 10 288.3918 542.3338 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 528.3538 Tm (a)Tj /TT4 1 Tf .648 0 TD ( and B: the )Tj /TT5 1 Tf 5.169 0 TD (f)Tj /TT4 1 Tf .296 0 TD (irst initiated by a local health network)Tj ET EMC /P <>BDC BT 10 0 0 10 283.7628 528.3538 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 514.3738 Tm (on diabetes and the second by the team which had)Tj ET EMC /P <>BDC BT 10 0 0 10 285.8428 514.3738 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 500.3938 Tm (been leading the implementation o)Tj /TT5 1 Tf 15.45 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( article 70 since)Tj ET EMC /P <>BDC BT 10 0 0 10 284.1628 500.3938 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 486.4139 Tm (2013. )Tj /TT5 1 Tf 2.78 0 TD (i)Tj /TT4 1 Tf .259 0 TD (n territory )Tj /TT5 1 Tf 4.574 0 TD (c)Tj /TT4 1 Tf .722 0 TD [(, ther)18.1(e is a pr)18.1(oject to cr)18.1(eate a)]TJ ET EMC /P <>BDC BT 10 0 0 10 270.4408 486.4139 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 472.4339 Tm (territorial community o)Tj /TT5 1 Tf 10.039 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( health pr)18.1(o)]TJ /TT5 1 Tf 4.7609 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals \()Tj /TT5 1 Tf 4.685 0 TD (cpts)Tj /TT4 1 Tf 2.592 0 TD (\))Tj ET EMC /P <>BDC BT 10 0 0 10 285.9722 472.4339 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 458.4539 Tm (–)Tj ET EMC /P <>BDC BT 10 0 0 10 61.6929 458.4539 Tm ( another )Tj /TT5 1 Tf 3.964 0 TD (f)Tj /TT4 1 Tf .296 0 TD (orm o)Tj /TT5 1 Tf 2.612 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( coor)18.1(dination initiative enhanced)]TJ ET EMC /P <>BDC BT 10 0 0 10 278.0322 458.4539 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 444.4739 Tm (by the 2016 )Tj /TT5 1 Tf 5.559 0 TD (h)Tj /TT4 1 Tf .722 0 TD (ealth law and )Tj /TT5 1 Tf 6.204 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ocusing on community-)Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 430.4939 Tm [(based collaborations between primary car)18.1(e )]TJ /TT5 1 Tf 19.5759 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(ontline)]TJ ET EMC /P <>BDC BT 10 0 0 10 288.3815 430.4939 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 416.5139 Tm [(pr)18.1(o)]TJ /TT5 1 Tf 1.4819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals.)Tj ET EMC /P <>BDC BT 10 0 0 10 118.7322 416.5139 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /F1 1 Tf 14 0 0 14 56.6929 379.3808 Tm .533 .114 .024 0 k (3)Tj ET EMC /P <>BDC BT 14 0 0 14 72.6929 379.3808 Tm [(Results:)37( building coherence a)-10(t)0( the local)]TJ ET EMC /P <>BDC BT 14 0 0 14 275.469 379.3808 Tm ( )Tj ET EMC /P <>BDC BT 14 0 0 14 72.6929 362.5807 Tm (level )Tj ET EMC /P <>BDC BT 14 0 0 14 99.8809 362.5807 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT5 1 Tf 10 0 0 10 56.6929 337.753 Tm 0 0 0 1 k (t)Tj /TT4 1 Tf .574 0 TD [(he r)18.1(esults o)]TJ /TT5 1 Tf 5.1679 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( our in-depth study ar)18.1(e summarised)]TJ ET EMC /P <>BDC BT 10 0 0 10 276.5815 337.753 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 323.773 Tm (below: section )Tj /TT5 1 Tf 6.759 0 TD (a)Tj /TT4 1 Tf .648 0 TD [( pr)18.1(esents r)18.1(esults )]TJ /TT5 1 Tf 7.6319 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om secondary)]TJ ET EMC /P <>BDC BT 10 0 0 10 276.9109 323.773 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 309.793 Tm (analysis o)Tj /TT5 1 Tf 4.426 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( literatur)18.1(e, including local r)18.1(eports and)]TJ ET EMC /P <>BDC BT 10 0 0 10 269.3116 309.793 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 295.813 Tm [(inter)-17.8(nal documents and section B pr)18.1(esents the main)]TJ ET EMC /P <>BDC BT 10 0 0 10 289.7303 295.813 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 281.833 Tm [(r)18.1(esults )]TJ /TT5 1 Tf 3.2229 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om our empirical survey)74.2(. )]TJ ET EMC /P <>BDC BT 10 0 0 10 209.6894 281.833 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /F1 1 Tf 11 0 0 11 56.6929 255.3458 Tm .533 .114 .024 0 k (3.1)Tj ET EMC /P <>BDC BT 11 0 0 11 72.6916 255.3458 Tm [(Institutional will to prevent organiza)-10(tional complexity)]TJ ET EMC /P <>BDC BT 11 0 0 11 285.7397 255.3458 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT5 1 Tf 10 0 0 10 56.6929 234.8106 Tm 0 0 0 1 k (t)Tj /TT4 1 Tf .574 0 TD [(he territory studied her)18.1(e is located in a)]TJ ET EMC /P <>BDC BT 10 0 0 10 233.5721 234.8106 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 220.8306 Tm [(département with a str)18.1(ong intervention tradition in)]TJ ET EMC /P <>BDC BT 10 0 0 10 279.3321 220.8306 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 206.8506 Tm [(the elderly car)18.1(e sector)92(. )]TJ /TT5 1 Tf 10.3719 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he necessity to bring)Tj ET EMC /P <>BDC BT 10 0 0 10 259.1317 206.8506 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 192.8706 Tm (together the various )Tj /TT5 1 Tf 9.205 0 TD (f)Tj /TT4 1 Tf .296 0 TD (orms o)Tj /TT5 1 Tf 3.112 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( coor)18.1(dination in the)]TJ ET EMC /P <>BDC BT 10 0 0 10 271.7322 192.8706 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 178.8907 Tm (territory has been voiced since the late 1990s and)Tj ET EMC /P <>BDC BT 10 0 0 10 279.1528 178.8907 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 164.9107 Tm [(r)18.1(esulted in a speci)]TJ /TT5 1 Tf 8.1129 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ic cooperation between the )Tj /TT5 1 Tf 12.464 0 TD (c)Tj /TT4 1 Tf .722 0 TD (L)Tj /TT5 1 Tf .556 0 TD (ic)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 288.0121 164.9107 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 150.9307 Tm (and the )Tj /TT5 1 Tf 3.65 0 TD [(ap)74.2(a)]TJ /TT4 1 Tf 1.8698 0 TD ( schemes. )Tj /TT5 1 Tf 4.854 0 TD (u)Tj /TT4 1 Tf .722 0 TD (nlike most ‘level 3’ )Tj /TT5 1 Tf 8.54 0 TD (c)Tj /TT4 1 Tf .722 0 TD (L)Tj /TT5 1 Tf .556 0 TD (ic)Tj /TT4 1 Tf .981 0 TD (s,)Tj ET EMC /P <>BDC BT 10 0 0 10 283.4207 150.9307 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 136.9507 Tm (the )Tj /TT5 1 Tf 1.686 0 TD (c)Tj /TT4 1 Tf .722 0 TD (L)Tj /TT5 1 Tf .556 0 TD (ic)Tj /TT4 1 Tf .981 0 TD (s within this département do not o)Tj /TT5 1 Tf 15.282 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (er home)Tj ET EMC /P <>BDC BT 10 0 0 10 291.3822 136.9507 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 690.6375 Tm [(visits as these ar)18.1(e carried out by the )]TJ /TT5 1 Tf 16.3919 0 TD [(ap)74.2(a)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 486.2549 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 676.6575 Tm (multidisciplinary teams so as not to overlap their)Tj ET EMC /P <>BDC BT 10 0 0 10 519.6077 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 662.6776 Tm (interventions. )Tj /TT5 1 Tf 6.279 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he same département was a pilot )Tj /TT5 1 Tf 15.152 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or)Tj ET EMC /P <>BDC BT 10 0 0 10 535.7177 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 648.6976 Tm (both the )Tj /TT5 1 Tf 4.002 0 TD (c)Tj /TT4 1 Tf .722 0 TD (L)Tj /TT5 1 Tf .556 0 TD (ic)Tj /TT4 1 Tf .981 0 TD ( and )Tj /TT5 1 Tf 2.242 0 TD [(ap)74.2(a)]TJ /TT4 1 Tf 1.8698 0 TD ( schemes be)Tj /TT5 1 Tf 5.706 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or)18.1(e their wider)]TJ ET EMC /P <>BDC BT 10 0 0 10 531.265 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 634.7176 Tm [(r)18.1(oll-out in the 2000s.)]TJ ET EMC /P <>BDC BT 10 0 0 10 395.5271 634.7176 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 612.2337 Tm [(With the cr)18.1(eation o)]TJ /TT5 1 Tf 8.4279 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the r)18.1(egional health agencies in)]TJ ET EMC /P <>BDC BT 10 0 0 10 529.2363 612.2337 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 598.2537 Tm (2010, the local institutional context changed: the)Tj ET EMC /P <>BDC BT 10 0 0 10 520.7376 598.2537 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 584.2737 Tm (competences o)Tj /TT5 1 Tf 6.928 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( these agencies included the)Tj ET EMC /P <>BDC BT 10 0 0 10 503.6878 584.2737 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 570.2937 Tm [(medico-social sector traditionally gover)-17.8(ned by the)]TJ ET EMC /P <>BDC BT 10 0 0 10 527.1759 570.2937 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 556.3138 Tm (département. )Tj /TT5 1 Tf 6.262 0 TD (a)Tj /TT4 1 Tf .648 0 TD [( dir)18.1(ect consequence is that the)]TJ ET EMC /P <>BDC BT 10 0 0 10 510.5569 556.3138 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 542.3338 Tm [(r)18.1(egional health agencies ar)18.1(e involved in the)]TJ ET EMC /P <>BDC BT 10 0 0 10 495.7064 542.3338 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 528.3538 Tm (implementation o)Tj /TT5 1 Tf 7.744 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( national social policies at the)Tj ET EMC /P <>BDC BT 10 0 0 10 515.7178 528.3538 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 514.3738 Tm (local level, which implies an articulation with policy)Tj ET EMC /P <>BDC BT 10 0 0 10 529.9378 514.3738 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 500.3938 Tm [(measur)18.1(es implemented by the département. )]TJ ET EMC /P <>BDC BT 10 0 0 10 503.917 500.3938 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 477.9099 Tm (further political and )Tj /TT5 1 Tf 9.168 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inancial issues induced by the)Tj ET EMC /P <>BDC BT 10 0 0 10 532.3877 477.9099 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 463.9299 Tm [(new local institutional pictur)18.1(e \(see Le Bihan and)]TJ ET EMC /P <>BDC BT 10 0 0 10 516.0771 463.9299 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 449.95 Tm (s)Tj /TT4 1 Tf .648 0 TD (opadzhiyan, 2017b on that speci)Tj /TT5 1 Tf 14.597 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ic point\), the)Tj ET EMC /P <>BDC BT 10 0 0 10 514.2477 449.95 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 435.97 Tm [(département and the r)18.1(egional health agency seem)]TJ ET EMC /P <>BDC BT 10 0 0 10 527.597 435.97 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 421.99 Tm [(to have r)18.1(eached an agr)18.1(eement to take into account)]TJ ET EMC /P <>BDC BT 10 0 0 10 531.4863 421.99 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 408.01 Tm [(local pr)18.1(e-existing coor)18.1(dination policies when)]TJ ET EMC /P <>BDC BT 10 0 0 10 502.3464 408.01 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 394.03 Tm [(implementing new dedicated coor)18.1(dination schemes.)]TJ ET EMC /P <>BDC BT 10 0 0 10 537.037 394.03 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 380.0501 Tm (t)Tj /TT4 1 Tf .574 0 TD (his is particularly visible in the way the)Tj ET EMC /P <>BDC BT 10 0 0 10 479.7578 380.0501 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 366.0701 Tm (implementation o)Tj /TT5 1 Tf 7.744 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the local )Tj /TT5 1 Tf 4.334 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( pilot was)Tj ET EMC /P <>BDC BT 10 0 0 10 507.5434 366.0701 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 352.0901 Tm (decided. )Tj ET EMC /P <>BDC BT 10 0 0 10 345.3177 352.0901 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 303.6378 325.0995 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 312.0113 325.0995 Tm 0 0 0 1 k [( )37(The involvement of the département in the governance)]TJ ET EMC /P <>BDC BT 11 0 0 11 536.4993 325.0995 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 303.6378 311.8995 Tm [(of the P)37(AERP)37(A scheme )]TJ ET EMC /P <>BDC BT 11 0 0 11 398.2927 311.8995 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 291.3642 Tm (t)Tj /TT4 1 Tf .574 0 TD (he national speci)Tj /TT5 1 Tf 7.557 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ications )Tj /TT5 1 Tf 3.741 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or the )Tj /TT5 1 Tf 2.871 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( scheme)Tj ET EMC /P <>BDC BT 10 0 0 10 532.3633 291.3642 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 277.3843 Tm (speci)Tj /TT5 1 Tf 2.389 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(y that its gover)-17.8(nance is overseen by the)]TJ ET EMC /P <>BDC BT 10 0 0 10 508.106 277.3843 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 263.4043 Tm [(r)18.1(egional health agencies which negotiate its)]TJ ET EMC /P <>BDC BT 10 0 0 10 498.4671 263.4043 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 249.4243 Tm (implementation plan with di)Tj /TT5 1 Tf 12.3 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent local actors – o)]TJ /TT5 1 Tf 9.3339 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 528.6764 249.4243 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 235.4443 Tm (which the département is one. Given its historical)Tj ET EMC /P <>BDC BT 10 0 0 10 523.4877 235.4443 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 221.4643 Tm [(investment in local coor)18.1(dination policies in the)]TJ ET EMC /P <>BDC BT 10 0 0 10 509.6071 221.4643 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 207.4843 Tm [(elderly car)18.1(e )]TJ /TT5 1 Tf 5.4259 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ield, the département was actively)Tj ET EMC /P <>BDC BT 10 0 0 10 513.287 207.4843 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 193.5044 Tm [(involved in the cr)18.1(eation o)]TJ /TT5 1 Tf 11.1689 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the new )Tj /TT5 1 Tf 4.093 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( scheme.)Tj ET EMC /P <>BDC BT 10 0 0 10 537.3727 193.5044 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 179.5244 Tm (a)Tj /TT4 1 Tf .648 0 TD ( letter o)Tj /TT5 1 Tf 3.389 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( engagement was signed in 2016 between)Tj ET EMC /P <>BDC BT 10 0 0 10 535.5277 179.5244 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 165.5444 Tm [(the r)18.1(egional health agency)74.2(, the département, and)]TJ ET EMC /P <>BDC BT 10 0 0 10 522.2249 165.5444 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 151.5644 Tm [(the r)18.1(epr)18.1(esentatives o)]TJ /TT5 1 Tf 9.3539 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the main r)18.1(etir)18.1(ement )]TJ /TT5 1 Tf 9.1899 0 TD (f)Tj /TT4 1 Tf .296 0 TD (unds and)Tj ET EMC /P <>BDC BT 10 0 0 10 536.6851 151.5644 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 137.5844 Tm [(r)18.1(egional or)28.1(ganizations o)]TJ /TT5 1 Tf 10.6188 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj /TT5 1 Tf .278 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(ontline pr)18.1(o)]TJ /TT5 1 Tf 5.0569 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals. )Tj /TT5 1 Tf 4.704 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he)Tj ET EMC /P <>BDC BT 10 0 0 10 535.765 137.5844 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 123.6045 Tm [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( pilot steering committee – which)Tj ET EMC /P <>BDC BT 10 0 0 10 488.6533 123.6045 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 109.6245 Tm [(corr)18.1(esponds to the ‘strategic’ decision-making and)]TJ ET EMC /P <>BDC BT 10 0 0 10 531.657 109.6245 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 95.6445 Tm (evaluation component o)Tj /TT5 1 Tf 10.781 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the )Tj /TT5 1 Tf 1.964 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( scheme \(see)Tj ET EMC /P <>BDC BT 10 0 0 10 530.5333 95.6445 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 81.6645 Tm (a)Tj /TT4 1 Tf .648 0 TD [(ppendix\) – was installed in Mar)18.1(ch 2017. )]TJ /TT5 1 Tf 17.9119 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he latter)Tj ET EMC /P <>BDC BT 10 0 0 10 531.277 81.6645 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 67.6845 Tm [(is chair)18.1(ed by the r)18.1(egional health agency and )]TJ ET EMC /P <>BDC BT 10 0 0 10 502.9465 67.6845 Tm ( )Tj ET EMC /Artifact <>BDC 0 0 0 1 K 0 J 0 j 1 w 10 M [] 0 d /GS4 gs q 1 0 0 1 56.693 112.821 cm 0 0 m 178.252 0 l S Q EMC /P <>BDC /GS1 gs BT 4.8 0 0 4.8 56.6929 98.8408 Tm (12)Tj ET EMC /P <>BDC BT 8 0 0 8 63.365 96.2008 Tm ( )Tj /TT5 1 Tf .278 0 TD (s)Tj /TT4 1 Tf .648 0 TD [(ee national r)10.8(eport \(Le Bihan and )]TJ /TT5 1 Tf 14.5292 0 TD (s)Tj /TT4 1 Tf .648 0 TD (opadzhiyan, 2017b\). )Tj ET EMC /P <>BDC BT 4.8 0 0 4.8 56.6929 83.4048 Tm (13)Tj ET EMC /P <>BDC BT 8 0 0 8 63.365 80.7649 Tm ( )Tj /TT5 1 Tf .278 0 TD (d)Tj /TT4 1 Tf .704 0 TD [(écr)10.8(et n° 2016-919 du 4 juillet 2016 r)10.8(elati)]TJ /TT5 1 Tf 17.8114 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( aux )Tj /TT5 1 Tf 2.167 0 TD (f)Tj /TT4 1 Tf .296 0 TD (onctions)Tj ET EMC /P <>BDC BT 8 0 0 8 266.4562 80.7649 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 69.5809 Tm [(d’appui aux pr)10.8(o)]TJ /TT5 1 Tf 7.0282 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(essionnels pour la coor)10.8(dination des par)10.8(cours de)]TJ ET EMC /P <>BDC BT 8 0 0 8 287.1378 69.5809 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 58.3969 Tm (santé complexes.)Tj ET EMC Q endstream endobj 933 0 obj <>/ExtGState<>>> endobj 935 0 obj <> endobj 945 0 obj <> endobj 977 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 576.2063 802.4034 Tm (7)Tj ET EMC /P <>BDC /GS2 gs BT /TT4 1 Tf 10 0 0 10 56.6929 690.6375 Tm 0 0 0 1 k [(co-chair)18.1(ed by the département, which goes beyond)]TJ ET EMC /P <>BDC BT 10 0 0 10 287.8622 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 676.6575 Tm [(the r)18.1(equir)18.1(ements described in the national)]TJ ET EMC /P <>BDC BT 10 0 0 10 244.5315 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 662.6776 Tm (speci)Tj /TT5 1 Tf 2.389 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ications. finally)74.2(, the published version o)]TJ /TT5 1 Tf 17.7438 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the)Tj ET EMC /P <>BDC BT 10 0 0 10 280.8007 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 648.6976 Tm (local )Tj /TT5 1 Tf 2.37 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD [( pr)18.1(oject speci)]TJ /TT5 1 Tf 6.0379 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ies the main institutional)Tj ET EMC /P <>BDC BT 10 0 0 10 288.9378 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 634.7176 Tm [(actors’ will to implement it in coher)18.1(ence with all the)]TJ ET EMC /P <>BDC BT 10 0 0 10 284.8722 634.7176 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 620.7376 Tm [(pr)18.1(e-existing, r)18.1(ecent or )]TJ /TT5 1 Tf 10.0939 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(utur)18.1(e dedicated coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 289.3301 620.7376 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 606.7576 Tm [(schemes in or)18.1(der to avoid their overlapping \()]TJ /TT5 1 Tf 19.8739 0 TD (ars)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 275.2422 606.7576 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 592.7777 Tm (anonymised, 2017\))Tj ET EMC /Reference <>BDC BT 6 0 0 6 141.3629 596.0777 Tm (14)Tj ET EMC /P <>BDC BT 10 0 0 10 148.0349 592.7777 Tm (. )Tj /TT5 1 Tf .556 0 TD (t)Tj /TT4 1 Tf .574 0 TD (his local institutional will is)Tj ET EMC /P <>BDC BT 10 0 0 10 276.7349 592.7777 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 578.7977 Tm (visible in the way the )Tj /TT5 1 Tf 9.575 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD [( pilot’)74.2(s territory was)]TJ ET EMC /P <>BDC BT 10 0 0 10 277.0463 578.7977 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 564.8177 Tm (de)Tj /TT5 1 Tf 1.13 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ined and in the way its speci)Tj /TT5 1 Tf 12.669 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ic components ar)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.5923 564.8177 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 550.8377 Tm (articulated.)Tj ET EMC /P <>BDC BT 10 0 0 10 106.5129 550.8377 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 56.6929 523.8471 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 65.0666 523.8471 Tm 0 0 0 1 k [( Dening the P)37(AERP)37(A pilot)55(s territor)-18(y )]TJ ET EMC /P <>BDC BT 11 0 0 11 217.5265 523.8471 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 503.3118 Tm (a)Tj /TT4 1 Tf .648 0 TD ( major speci)Tj /TT5 1 Tf 5.464 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ic )Tj /TT5 1 Tf 1.037 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(eatur)18.1(e o)]TJ /TT5 1 Tf 3.6489 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the local )Tj /TT5 1 Tf 4.334 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( pilot)Tj ET EMC /P <>BDC BT 10 0 0 10 276.3279 503.3118 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 489.3318 Tm [(studied her)18.1(e is its territory being composed o)]TJ /TT5 1 Tf 20.2449 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( thr)18.1(ee)]TJ ET EMC /P <>BDC BT 10 0 0 10 287.4815 489.3318 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 475.3518 Tm (sub-territories, each having di)Tj /TT5 1 Tf 13.298 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent characteristics)]TJ ET EMC /P <>BDC BT 10 0 0 10 285.9715 475.3518 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 461.3719 Tm (and dynamics. )Tj ET EMC /P <>BDC BT 10 0 0 10 124.8729 461.3719 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 438.888 Tm (t)Tj /TT4 1 Tf .574 0 TD (he delimitation o)Tj /TT5 1 Tf 7.391 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the pilot’)74.2(s territory was subject to)]TJ ET EMC /P <>BDC BT 10 0 0 10 290.4207 438.888 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 424.908 Tm [(prior negotiations: the pilot’)74.2(s site was pr)18.1(e-selected)]TJ ET EMC /P <>BDC BT 10 0 0 10 281.7101 424.908 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 410.928 Tm (by the national administration because o)Tj /TT5 1 Tf 18.116 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the)Tj ET EMC /P <>BDC BT 10 0 0 10 257.6728 410.928 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 396.948 Tm (ongoing implementation o)Tj /TT5 1 Tf 11.652 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( article 70 within territory)Tj ET EMC /P <>BDC BT 10 0 0 10 286.3529 396.948 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 382.9681 Tm [(B, in a bid to extend the pilot to all its territory)74.2(.)]TJ ET EMC /P <>BDC BT 10 0 0 10 262.6506 382.9681 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 368.9881 Tm (t)Tj /TT4 1 Tf .4629 0 TD (erritory B on its own was too small )Tj /TT5 1 Tf 15.703 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or the)Tj ET EMC /P <>BDC BT 10 0 0 10 247.2421 368.9881 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 355.0081 Tm (purposes o)Tj /TT5 1 Tf 5.038 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the )Tj /TT5 1 Tf 1.964 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( pilot, so it was combined)Tj ET EMC /P <>BDC BT 10 0 0 10 281.7185 355.0081 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 341.0281 Tm (with territory )Tj /TT5 1 Tf 5.869 0 TD (a)Tj /TT4 1 Tf .648 0 TD (, which includes the administrative)Tj ET EMC /P <>BDC BT 10 0 0 10 275.7827 341.0281 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 327.0481 Tm [(centr)18.1(e )]TJ /TT5 1 Tf 3.0749 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or both the département and the r)18.1(egion.)]TJ ET EMC /P <>BDC BT 10 0 0 10 269.1715 327.0481 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 313.0681 Tm [(finally)74.2(, territory )]TJ /TT5 1 Tf 7.0548 0 TD (c)Tj /TT4 1 Tf .722 0 TD [( was included in or)18.1(der to extend)]TJ ET EMC /P <>BDC BT 10 0 0 10 278 313.0681 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 299.0882 Tm [(local integration dynamics to this rural ar)18.1(ea wher)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 278.3815 299.0882 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 285.1082 Tm [(ther)18.1(e wer)18.1(e pr)18.1(eviously )]TJ /TT5 1 Tf 9.7598 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ew coor)18.1(dination schemes.)]TJ ET EMC /P <>BDC BT 10 0 0 10 274.4902 285.1082 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 271.1282 Tm (a)Tj /TT4 1 Tf .648 0 TD (nother rationale in play was to make the )Tj /TT5 1 Tf 18.096 0 TD [(p)74.2(aerp)74.2(a)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 281.5284 271.1282 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 257.1482 Tm [(pilot’)74.2(s territory corr)18.1(espond to the territory cover)18.1(ed)]TJ ET EMC /P <>BDC BT 10 0 0 10 278.9294 257.1482 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 243.1682 Tm [(by the local intra-hospitals geriatric car)18.1(e services. )]TJ ET EMC /P <>BDC BT 10 0 0 10 280.5923 243.1682 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 56.6929 216.1776 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 65.0666 216.1776 Tm 0 0 0 1 k [( )37(Articula)-10(ting pre-existing and new dedica)-10(ted)]TJ ET EMC /P <>BDC BT 11 0 0 11 244.4545 216.1776 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 56.6929 202.9776 Tm [(coordina)-10(tion schemes)]TJ ET EMC /P <>BDC BT 11 0 0 11 145.98 202.9776 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 182.4424 Tm (t)Tj /TT4 1 Tf .4629 0 TD [(aking into consideration the pr)18.1(e-existing)]TJ ET EMC /P <>BDC BT 10 0 0 10 240.6113 182.4424 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 168.4623 Tm [(coor)18.1(dination dynamics within each sub-territory has)]TJ ET EMC /P <>BDC BT 10 0 0 10 288.2122 168.4623 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 154.4824 Tm [(dir)18.1(ect implications on the way the local operational –)]TJ ET EMC /P <>BDC BT 10 0 0 10 290.9822 154.4824 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 140.5024 Tm (or ‘tactical’ \(see )Tj /TT5 1 Tf 7.352 0 TD (a)Tj /TT4 1 Tf .648 0 TD (ppendix\) – components o)Tj /TT5 1 Tf 11.374 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the)Tj ET EMC /P <>BDC BT 10 0 0 10 270.2528 140.5024 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 126.5224 Tm [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD [( pilot ar)18.1(e intended to articulate with other)]TJ ET EMC /P <>BDC BT 10 0 0 10 277.4477 126.5224 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 112.5425 Tm [(pr)18.1(e-existing dedicated coor)18.1(dination components.)]TJ ET EMC /P <>BDC BT 10 0 0 10 276.9315 112.5425 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 98.5625 Tm [(for this purpose, thr)18.1(ee distinct operating)]TJ ET EMC /P <>BDC BT 10 0 0 10 238.5821 98.5625 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 690.6375 Tm [(committees wer)18.1(e cr)18.1(eated within each sub-territory)74.2(.)]TJ ET EMC /P <>BDC BT 10 0 0 10 530.1442 690.6375 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 676.6575 Tm (t)Tj /TT4 1 Tf .574 0 TD (he )Tj /TT5 1 Tf 1.371 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( operating committees )Tj /TT5 1 Tf 10.318 0 TD (a)Tj /TT4 1 Tf .648 0 TD [( and B wer)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 523.6627 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 662.6776 Tm (articulated with M)Tj /TT5 1 Tf 7.982 0 TD (aia)Tj /TT4 1 Tf 1.4808 0 TD -.0742 Tc [(’s)-74.2( )]TJ /TT5 1 Tf .9818 0 TD 0 Tc (a)Tj /TT4 1 Tf .648 0 TD ( and B ‘tactical’ operational)Tj ET EMC /P <>BDC BT 10 0 0 10 537.1733 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 648.6976 Tm (meetings to avoid duplicating meetings with similar)Tj ET EMC /P <>BDC BT 10 0 0 10 532.0178 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 634.7176 Tm (subjects. )Tj /TT5 1 Tf 4.316 0 TD (t)Tj /TT4 1 Tf .574 0 TD (hese do not have exactly the same)Tj ET EMC /P <>BDC BT 10 0 0 10 507.9477 634.7176 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 620.7376 Tm (f)Tj /TT4 1 Tf .296 0 TD [(unctions as a dir)18.1(ect consequence o)]TJ /TT5 1 Tf 15.8929 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( M)Tj /TT5 1 Tf 1.149 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD (s )Tj /TT5 1 Tf .778 0 TD (a)Tj /TT4 1 Tf .648 0 TD ( and)Tj ET EMC /P <>BDC BT 10 0 0 10 529.4269 620.7376 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 606.7576 Tm (B having di)Tj /TT5 1 Tf 5.001 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent initiators and tar)28.1(get populations)]TJ ET EMC /P <>BDC BT 10 0 0 10 526.1757 606.7576 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 592.7777 Tm (and mobilizing di)Tj /TT5 1 Tf 7.575 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent health and social car)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 508.1157 592.7777 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 578.7977 Tm [(pr)18.1(oviders. )]TJ /TT5 1 Tf 4.7229 0 TD (a)Tj /TT4 1 Tf .648 0 TD (s )Tj /TT5 1 Tf .778 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ar as territory )Tj /TT5 1 Tf 6.203 0 TD (c)Tj /TT4 1 Tf .722 0 TD [( is concer)-17.8(ned, a)]TJ ET EMC /P <>BDC BT 10 0 0 10 508.8253 578.7977 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 564.8177 Tm [(decision was taken to cr)18.1(eate a M)]TJ /TT5 1 Tf 14.7429 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD ( scheme in)Tj ET EMC /P <>BDC BT 10 0 0 10 515.157 564.8177 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 550.8377 Tm [(or)18.1(der to make the )]TJ /TT5 1 Tf 8.2069 0 TD (f)Tj /TT4 1 Tf .296 0 TD (unctioning o)Tj /TT5 1 Tf 5.52 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj /TT5 1 Tf .278 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( operating)Tj ET EMC /P <>BDC BT 10 0 0 10 532.1927 550.8377 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 536.8577 Tm (committee )Tj /TT5 1 Tf 5.021 0 TD (c)Tj /TT4 1 Tf .722 0 TD [( mor)18.1(e similar to territories )]TJ /TT5 1 Tf 11.6679 0 TD (a)Tj /TT4 1 Tf .648 0 TD ( and B. )Tj ET EMC /P <>BDC BT 10 0 0 10 519.0571 536.8577 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 303.6378 509.8671 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 312.0113 509.8671 Tm 0 0 0 1 k ( Common local priorities)Tj ET EMC /P <>BDC BT 11 0 0 11 410.7585 509.8671 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 489.3318 Tm [(finally)74.2(, common local priorities )]TJ /TT5 1 Tf 14.0388 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or the )Tj /TT5 1 Tf 2.871 0 TD [(p)74.2(aerp)74.2(a)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 513.0911 489.3318 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 475.3518 Tm [(scheme encompassing all thr)18.1(ee territories wer)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 514.2165 475.3518 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 461.3719 Tm [(agr)18.1(eed on: )]TJ ET EMC /P <>BDC BT 10 0 0 10 354.2071 461.3719 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 438.888 Tm (•)Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 317.811 438.888 Tm (d)Tj /TT4 1 Tf .704 0 TD (etection o)Tj /TT5 1 Tf 4.445 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( risk )Tj /TT5 1 Tf 2.13 0 TD (f)Tj /TT4 1 Tf .296 0 TD (actors )Tj /TT5 1 Tf 3.074 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or loss o)Tj /TT5 1 Tf 3.833 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( autonomy and)Tj ET EMC /P <>BDC BT 10 0 0 10 538.5811 438.888 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 317.811 424.908 Tm (signs o)Tj /TT5 1 Tf 3.204 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj /TT5 1 Tf .278 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ragility at home; )Tj ET EMC /P <>BDC BT 10 0 0 10 432.641 424.908 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 402.424 Tm (•)Tj ET EMC /P <>BDC BT 10 0 0 10 317.811 402.424 Tm [(Or)28.1(ganization o)]TJ /TT5 1 Tf 6.4899 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( hospital dischar)28.1(ges to elderly)]TJ ET EMC /P <>BDC BT 10 0 0 10 518.9194 402.424 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 317.811 388.4441 Tm [(people’)74.2(s living place \(home or institution\) /)]TJ ET EMC /P <>BDC BT 10 0 0 10 505.6188 388.4441 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 317.811 374.4641 Tm [(pr)18.1(eventing r)18.1(e-hospitalizations, )]TJ ET EMC /P <>BDC BT 10 0 0 10 454.8596 374.4641 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 351.9802 Tm (•)Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 317.811 351.9802 Tm (s)Tj /TT4 1 Tf .648 0 TD [(ocial car)18.1(e and links between health and social)]TJ ET EMC /P <>BDC BT 10 0 0 10 529.3203 351.9802 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 317.811 338.0002 Tm [(car)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 337.0703 338.0002 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 315.5163 Tm (a)Tj /TT4 1 Tf .648 0 TD (ll these elements bring us to underline the visible)Tj ET EMC /P <>BDC BT 10 0 0 10 527.2076 315.5163 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 301.5363 Tm (signs o)Tj /TT5 1 Tf 3.204 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the existence o)Tj /TT5 1 Tf 7.075 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( joint work at the)Tj ET EMC /P <>BDC BT 10 0 0 10 486.7978 301.5363 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 287.5563 Tm [(institutional level – in line with local coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 517.7271 287.5563 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 273.5763 Tm [(traditions in the elderly car)18.1(e )]TJ /TT5 1 Tf 12.6129 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ield and national)Tj ET EMC /P <>BDC BT 10 0 0 10 506.077 273.5763 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 259.5963 Tm [(priorities to build coher)18.1(ence and conver)28.1(gence in)]TJ ET EMC /P <>BDC BT 10 0 0 10 518.5764 259.5963 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 245.6164 Tm [(or)18.1(der to pr)18.1(event overlapping o)]TJ /TT5 1 Tf 13.5209 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( schemes and)Tj ET EMC /P <>BDC BT 10 0 0 10 504.4264 245.6164 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 231.6364 Tm (policies. )Tj /TT5 1 Tf 3.963 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(he next section explor)18.1(es the per)18.1(ceptions)]TJ ET EMC /P <>BDC BT 10 0 0 10 530.3363 231.6364 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 217.6564 Tm [(and concr)18.1(ete experience o)]TJ /TT5 1 Tf 11.9089 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( local stakeholders –)Tj ET EMC /P <>BDC BT 10 0 0 10 517.177 217.6564 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 203.6764 Tm [(both institutions and or)28.1(ganizations – o)]TJ /TT5 1 Tf 16.9929 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( local)Tj ET EMC /P <>BDC BT 10 0 0 10 500.227 203.6764 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 189.6964 Tm [(integration pr)18.1(ocesses br)18.1(ought about by the)]TJ ET EMC /P <>BDC BT 10 0 0 10 496.4664 189.6964 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 175.7165 Tm (implementation o)Tj /TT5 1 Tf 7.744 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( all thr)18.1(ee schemes. )]TJ ET EMC /P <>BDC BT 10 0 0 10 470.5471 175.7165 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /F1 1 Tf 11 0 0 11 303.6378 149.2293 Tm .533 .114 .024 0 k (3.2)Tj ET EMC /P <>BDC BT 11 0 0 11 319.6365 149.2293 Tm [(The slo)-10(w manufacturing of local integra)-10(tion d)-10(ynamics)]TJ ET EMC /P <>BDC BT 11 0 0 11 537.6016 149.2293 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT4 1 Tf 10 0 0 10 303.6378 128.694 Tm 0 0 0 1 k [(When asked about their concr)18.1(ete experience )]TJ /TT5 1 Tf 20.2819 0 TD (f)Tj /TT4 1 Tf .296 0 TD -.0181 Tc [(ro)-18.1(m)]TJ ET EMC /P <>BDC BT 10 0 0 10 526.8363 128.694 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 114.714 Tm (the implementation o)Tj /TT5 1 Tf 9.43 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the thr)18.1(ee schemes studied)]TJ ET EMC /P <>BDC BT 10 0 0 10 522.057 114.714 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 100.7339 Tm [(her)18.1(e, both institutional and pr)18.1(o)]TJ /TT5 1 Tf 13.6529 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essional actors )Tj /TT5 1 Tf 7 0 TD (f)Tj /TT4 1 Tf .296 0 TD -.0181 Tc [(ro)-18.1(m)]TJ ET EMC /P <>BDC BT 10 0 0 10 533.5058 100.7339 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 86.7541 Tm [(the territory agr)18.1(ee in saying that it has enhanced)]TJ ET EMC /P <>BDC BT 10 0 0 10 518.8671 86.7541 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 72.774 Tm (some integration dynamics \(a\). )Tj /TT5 1 Tf 13.948 0 TD (t)Tj /TT4 1 Tf .574 0 TD (hose achievements)Tj ET EMC /P <>BDC BT 10 0 0 10 535.1777 72.774 Tm ( )Tj ET EMC /Artifact <>BDC 0 0 0 1 K 0 J 0 j 1 w 10 M [] 0 d /GS4 gs q 1 0 0 1 56.693 86.201 cm 0 0 m 178.252 0 l S Q EMC /P <>BDC /GS1 gs BT 4.8 0 0 4.8 56.6929 72.2209 Tm (14)Tj ET EMC /P <>BDC BT 8 0 0 8 63.365 69.5809 Tm ( )Tj /TT5 1 Tf .278 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he exact author name and title o)Tj /TT5 1 Tf 14.43 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the r)10.8(eport ar)10.8(e not r)10.8(evealed)]TJ ET EMC /P <>BDC BT 8 0 0 8 284.7779 69.5809 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 58.3969 Tm [(in or)10.8(der to pr)10.8(eserve anonymity in the pr)10.8(esentation o)]TJ /TT5 1 Tf 23.0466 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( our r)10.8(esults. )]TJ ET EMC Q endstream endobj 978 0 obj <>/ExtGState<>>> endobj 980 0 obj <> endobj 996 0 obj <> endobj 1022 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 576.2063 802.4034 Tm (8)Tj ET EMC /Artifact <>BDC .08 .017 .004 0 k 303.638 231.381 234.945 250.152 re f EMC /Artifact <>BDC 303.638 130.049 234.945 81.672 re f EMC /P <>BDC /GS2 gs BT /TT4 1 Tf 10 0 0 10 56.6929 690.6375 Tm 0 0 0 1 k (need to be put against the persistent di)Tj /TT5 1 Tf 17.524 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (iculties)Tj ET EMC /P <>BDC BT 10 0 0 10 268.7821 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 676.6575 Tm [(accompanying the local integration pr)18.1(ocess \(b\).)]TJ ET EMC /P <>BDC BT 10 0 0 10 268.2122 676.6575 Tm ( )Tj ET EMC /P <>BDC BT /F1 1 Tf 11 0 0 11 56.6929 650.1703 Tm [(\(a\) )37(Achievements:)37( local reorganiza)-10(tion )]TJ ET EMC /P <>BDC BT 11 0 0 11 215.786 650.1703 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 629.6351 Tm (p)Tj /TT4 1 Tf .648 0 TD [(r)18.1(evious r)18.1(esear)18.1(ch on the implementation o)]TJ /TT5 1 Tf 18.4318 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( M)Tj /TT5 1 Tf 1.149 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD ( )Tj /TT5 1 Tf .278 0 TD (a)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 286.7509 629.6351 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 615.6551 Tm (in territory )Tj /TT5 1 Tf 4.796 0 TD (a)Tj /TT4 1 Tf .648 0 TD ( \(Le Bihan and )Tj /TT5 1 Tf 6.706 0 TD (s)Tj /TT4 1 Tf .648 0 TD (opadzhiyan, 2017b\) led)Tj ET EMC /P <>BDC BT 10 0 0 10 288.7728 615.6551 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 601.6751 Tm [(us to acknowledge that local integration pr)18.1(ocesses)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.7522 601.6751 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 587.6951 Tm [(ar)18.1(e shaped by opportunities and constraints)]TJ ET EMC /P <>BDC BT 10 0 0 10 253.7822 587.6951 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 573.7151 Tm [(r)18.1(epr)18.1(esented by the implementation o)]TJ /TT5 1 Tf 16.4139 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( both national)Tj ET EMC /P <>BDC BT 10 0 0 10 284.9215 573.7151 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 559.7351 Tm [(\(top-down\) policies and pr)18.1(e-existing local integration)]TJ ET EMC /P <>BDC BT 10 0 0 10 291.3321 559.7351 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 545.7552 Tm (initiatives. )Tj /TT5 1 Tf 4.704 0 TD (i)Tj /TT4 1 Tf .259 0 TD (n this perspective, initial institutional,)Tj ET EMC /P <>BDC BT 10 0 0 10 270.6128 545.7552 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 531.7752 Tm [(or)28.1(ganizational or pr)18.1(o)]TJ /TT5 1 Tf 9.1558 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(essional r)18.1(esistance to the)]TJ ET EMC /P <>BDC BT 10 0 0 10 264.5608 531.7752 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 517.7952 Tm (import o)Tj /TT5 1 Tf 3.742 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the new policies and schemes and the)Tj ET EMC /P <>BDC BT 10 0 0 10 271.1928 517.7952 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 503.8152 Tm [(concer)-17.8(ns about their overlapping with pr)18.1(e-existing)]TJ ET EMC /P <>BDC BT 10 0 0 10 281.1504 503.8152 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 489.8352 Tm (ones constituted a starting point to their local)Tj ET EMC /P <>BDC BT 10 0 0 10 258.9528 489.8352 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 475.8553 Tm (acceptance. )Tj /TT5 1 Tf 5.779 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(hr)18.1(ee )]TJ /TT5 1 Tf 2.2229 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(actors appear)18.1(ed to be central )]TJ ET EMC /P <>BDC BT 10 0 0 10 280.2515 475.8553 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 461.8753 Tm [(to this pr)18.1(ocess: )]TJ ET EMC /P <>BDC BT 10 0 0 10 128.1923 461.8753 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 439.3014 Tm (•)Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 70.8661 439.3014 Tm (regular meetings between both institutional and)Tj ET EMC /P <>BDC BT 10 0 0 10 261.9962 439.3014 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 70.8661 425.1174 Tm (professional actors)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 147.2462 425.1174 Tm ( which helped to clari)Tj /TT5 1 Tf 9.519 0 TD (f)Tj /TT4 1 Tf .296 0 TD (y their)Tj ET EMC /P <>BDC BT 10 0 0 10 272.8061 425.1174 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 70.8661 411.0234 Tm (positions;)Tj ET EMC /Reference <>BDC BT 6 0 0 6 114.2062 414.3235 Tm (15)Tj ET EMC /P <>BDC BT 10 0 0 10 120.8782 411.0234 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 123.6582 411.0234 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 388.4495 Tm (•)Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 70.8661 388.4495 Tm (flexibility)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 107.4761 388.4495 Tm ( – and to a certain extent the ambiguity –)Tj ET EMC /P <>BDC BT 10 0 0 10 289.566 388.4495 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 70.8661 374.3555 Tm (o)Tj /TT5 1 Tf .574 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the way national schemes wer)18.1(e meant to be)]TJ ET EMC /P <>BDC BT 10 0 0 10 278.8654 374.3555 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 70.8661 360.3755 Tm (implemented locally; and )Tj ET EMC /P <>BDC BT 10 0 0 10 185.1661 360.3755 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 337.8018 Tm (•)Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 70.8661 337.8018 Tm (time)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 88.4362 337.8018 Tm ( necessary )Tj /TT5 1 Tf 5.093 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or local negotiations and)Tj ET EMC /P <>BDC BT 10 0 0 10 252.3361 337.8018 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 70.8661 323.7077 Tm [(r)18.1(estructuring to take place. )]TJ ET EMC /P <>BDC BT 10 0 0 10 193.4854 323.7077 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 301.2237 Tm (t)Tj /TT4 1 Tf .574 0 TD [(hese pr)18.1(evious r)18.1(esults appear to be validated by)]TJ ET EMC /P <>BDC BT 10 0 0 10 273.5915 301.2237 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 287.2437 Tm (evidence )Tj /TT5 1 Tf 4.297 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om the analysis o)]TJ /TT5 1 Tf 8.1319 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the implementation o)Tj /TT5 1 Tf 9.708 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 286.9422 287.2437 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 273.2639 Tm [(thr)18.1(ee di)]TJ /TT5 1 Tf 3.3529 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent coor)18.1(dination schemes on a lar)28.1(ger)]TJ ET EMC /P <>BDC BT 10 0 0 10 270.1595 273.2639 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 259.2838 Tm [(territory)74.2(. )]TJ /TT5 1 Tf 3.9438 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(he empirical r)18.1(esults )]TJ /TT5 1 Tf 8.9279 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om this study )]TJ /TT5 1 Tf 6.6329 0 TD (f)Tj /TT4 1 Tf .296 0 TD (urther)Tj ET EMC /P <>BDC BT 10 0 0 10 289.6993 259.2838 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 245.3038 Tm (point to several achievements due to the successive)Tj ET EMC /P <>BDC BT 10 0 0 10 290.2628 245.3038 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 231.3238 Tm (implementation o)Tj /TT5 1 Tf 7.744 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( various coor)18.1(dination schemes:)]TJ ET EMC /P <>BDC BT 10 0 0 10 276.3822 231.3238 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 217.3438 Tm [(the r)18.1(egular meetings between local health and social)]TJ ET EMC /P <>BDC BT 10 0 0 10 291.1721 217.3438 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 203.3639 Tm [(car)18.1(e pr)18.1(o)]TJ /TT5 1 Tf 3.6859 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals which )Tj /TT5 1 Tf 7.333 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(avour)18.1(ed local actors’)]TJ ET EMC /P <>BDC BT 10 0 0 10 266.1409 203.3639 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 189.3839 Tm (better knowledge o)Tj /TT5 1 Tf 8.63 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( one another and )Tj /TT5 1 Tf 7.873 0 TD (f)Tj /TT4 1 Tf .296 0 TD (acilitated their)Tj ET EMC /P <>BDC BT 10 0 0 10 290.4228 189.3839 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 175.4039 Tm (involvement in )Tj /TT5 1 Tf 6.706 0 TD (f)Tj /TT4 1 Tf .296 0 TD (urther local integration dynamics. )Tj ET EMC /P <>BDC BT 10 0 0 10 278.2228 175.4039 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 303.6378 691.8 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 312.0113 691.8 Tm 0 0 0 1 k [( Better mutual kno)-10(wledge)]TJ ET EMC /P <>BDC BT 11 0 0 11 416.7643 691.8 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 671.2648 Tm (t)Tj /TT4 1 Tf .574 0 TD (he )Tj /TT5 1 Tf 1.371 0 TD (f)Tj /TT4 1 Tf .296 0 TD (irst e)Tj /TT5 1 Tf 2.185 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (ect o)Tj /TT5 1 Tf 2.241 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the implementation o)Tj /TT5 1 Tf 9.708 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( r)18.1(ecent)]TJ ET EMC /P <>BDC BT 10 0 0 10 509.7964 671.2648 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 657.2849 Tm [(dedicated coor)18.1(dination schemes is local actors’)]TJ ET EMC /P <>BDC BT 10 0 0 10 517.0071 657.2849 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 643.3049 Tm (better mutual knowledge. )Tj /TT5 1 Tf 11.651 0 TD (t)Tj /TT4 1 Tf .574 0 TD (his is due to the )Tj /TT5 1 Tf 7.373 0 TD (f)Tj /TT4 1 Tf .296 0 TD (act that)Tj ET EMC /P <>BDC BT 10 0 0 10 536.4777 643.3049 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 629.325 Tm [(all thr)18.1(ee coor)18.1(dination schemes speci)]TJ /TT5 1 Tf 16.3369 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ically cr)18.1(eated)]TJ ET EMC /P <>BDC BT 10 0 0 10 528.8557 629.325 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 615.3449 Tm (dedicated spaces )Tj /TT5 1 Tf 8.224 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or both institutional and)Tj ET EMC /P <>BDC BT 10 0 0 10 494.6076 615.3449 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 601.3649 Tm [(or)28.1(ganizational actors to meet. )]TJ /TT5 1 Tf 13.5279 0 TD (t)Tj /TT4 1 Tf .4629 0 TD (wo di)Tj /TT5 1 Tf 2.425 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent levels)]TJ ET EMC /P <>BDC BT 10 0 0 10 524.0948 601.3649 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 587.385 Tm (co-exist: the strategic institutional and decision-)Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 573.405 Tm (making level with the M)Tj /TT5 1 Tf 10.521 0 TD (aia)Tj /TT4 1 Tf 1.4808 0 TD [(’)74.2(s)0( strategic meetings )]TJ ET EMC /P <>BDC BT 10 0 0 10 518.6733 573.405 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 559.425 Tm (and )Tj /TT5 1 Tf 1.964 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.6653 0 TD [(’)74.2(s)0( strategic committee; and the)]TJ ET EMC /P <>BDC BT 10 0 0 10 497.9389 559.425 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 545.445 Tm [(or)28.1(ganizational level, with the M)]TJ /TT5 1 Tf 13.7489 0 TD (aia)Tj /TT4 1 Tf 1.4808 0 TD [(’)74.2(s)0( tactical)]TJ ET EMC /P <>BDC BT 10 0 0 10 497.9725 545.445 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 531.465 Tm (meetings and )Tj /TT5 1 Tf 6.336 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.6653 0 TD [(’)74.2(s)0( operating committees.)]TJ ET EMC /P <>BDC BT 10 0 0 10 513.8689 531.465 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 508.9811 Tm (s)Tj /TT4 1 Tf .648 0 TD (takeholders )Tj /TT5 1 Tf 5.501 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om both levels underline the bene)]TJ /TT5 1 Tf 15.4309 0 TD (f)Tj /TT4 1 Tf .296 0 TD (its)Tj ET EMC /P <>BDC BT 10 0 0 10 535.7271 508.9811 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 495.0011 Tm (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om these r)18.1(egular meetings:)]TJ ET EMC /P <>BDC BT 10 0 0 10 431.2665 495.0011 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 309.3071 463.9233 Tm [(Regional health agenc)20(y)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 401.8169 463.9233 Tm [(: ‘[T)111.1(alking about P)74.2(AERP)74.2(A])]TJ ET EMC /P <>BDC BT 10 0 0 10 514.6116 463.9233 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 449.7793 Tm [(Indicators ar)18.1(e not enough to appr)18.1(eciate all the)]TJ ET EMC /P <>BDC BT 10 0 0 10 513.8157 449.7793 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 435.7393 Tm [(work done in all those meetings. W)57.1(e’ve been)]TJ ET EMC /P <>BDC BT 10 0 0 10 507.6458 435.7393 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 421.6993 Tm [(working har)18.1(d, we cr)18.1(eated a base, it was long and)]TJ ET EMC /P <>BDC BT 10 0 0 10 526.5858 421.6993 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 407.6594 Tm [(unfortunately not very valued because ther)18.1(e ar)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 519.9056 407.6594 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 393.6194 Tm (no indicators for this… But it has to be taken into)Tj ET EMC /P <>BDC BT 10 0 0 10 527.1271 393.6194 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 379.5794 Tm [(account because it’)74.2(s pr)18.1(obably P)74.2(AER)]TJ 16.1145 0 TD -.0742 Tc [(PA’s)-74.2( )]TJ 2.1293 0 TD 0 Tc (biggest)Tj ET EMC /P <>BDC BT 10 0 0 10 524.7054 379.5794 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 365.5395 Tm (achievement: to have managed to gather all the)Tj ET EMC /P <>BDC BT 10 0 0 10 520.297 365.5395 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 351.4995 Tm (actors in the pilot territories, to make them)Tj ET EMC /P <>BDC BT 10 0 0 10 497.657 351.4995 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 337.4595 Tm [(cooperate. Every time, ther)18.1(e ar)18.1(e 30 people who)]TJ ET EMC /P <>BDC BT 10 0 0 10 520.0857 337.4595 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 323.4195 Tm [(get to know each other and build a r)18.1(elationship.)]TJ ET EMC /P <>BDC BT 10 0 0 10 520.6664 323.4195 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 309.3796 Tm (Local integration is about this: we managed to )Tj ET EMC /P <>BDC BT 10 0 0 10 517.327 309.3796 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 295.3395 Tm [(get to know actors fr)18.1(om all thr)18.1(ee fields on a)]TJ ET EMC /P <>BDC BT 10 0 0 10 501.3657 295.3395 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 281.2996 Tm [(cir)18.1(cumscribed territory)74.2(, including actors fr)18.1(om the)]TJ ET EMC /P <>BDC BT 10 0 0 10 525.2435 281.2996 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 267.2596 Tm (medico-social sector with the département.)Tj ET EMC /P <>BDC BT 10 0 0 10 503.037 267.2596 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 253.2196 Tm [(Without P)74.2(AERP)74.2(A they would pr)18.1(obably never have)]TJ ET EMC /P <>BDC BT 10 0 0 10 528.6019 253.2196 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 239.1796 Tm (met’.)Tj ET EMC /P <>BDC BT 10 0 0 10 331.9071 239.1796 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 216.6857 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 309.3071 194.1118 Tm (Département:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 362.9771 194.1118 Tm ( ‘It is early to talk about the impact.)Tj ET EMC /P <>BDC BT 10 0 0 10 518.757 194.1118 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 179.9678 Tm (The good thing about it is that with all these)Tj ET EMC /P <>BDC BT 10 0 0 10 503.8069 179.9678 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 165.9278 Tm (schemes and meetings, people meet again and)Tj ET EMC /P <>BDC BT 10 0 0 10 519.547 165.9278 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 151.8879 Tm (again, we know each other which, it is true, could)Tj ET EMC /P <>BDC BT 10 0 0 10 528.797 151.8879 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 137.8479 Tm [(make it easier to work together)92(.’)]TJ ET EMC /P <>BDC BT 10 0 0 10 451.1667 137.8479 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 115.354 Tm ( )Tj ET EMC /Artifact <>BDC 0 0 0 1 K 0 J 0 j 1 w 10 M [] 0 d /GS4 gs q 1 0 0 1 56.693 149.716 cm 0 0 m 178.252 0 l S Q EMC /P <>BDC /GS1 gs BT 4.8 0 0 4.8 56.6929 135.7358 Tm (15)Tj ET EMC /P <>BDC BT 8 0 0 8 63.365 133.0957 Tm ( )Tj /TT5 1 Tf .278 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(he département’)44.4(s positioning vis-à-vis the r)10.8(egional health)]TJ ET EMC /P <>BDC BT 8 0 0 8 274.5238 133.0957 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 121.9118 Tm [(agency r)10.8(egar)10.8(ding the national r)10.8(ollout o)]TJ /TT5 1 Tf 17.1546 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the M)Tj /TT5 1 Tf 2.835 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD ( scheme and the)Tj ET EMC /P <>BDC BT 8 0 0 8 291.0018 121.9118 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 110.7278 Tm [(traditional pr)10.8(o)]TJ /TT5 1 Tf 6.1932 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(essionals’ positioning r)10.8(egar)10.8(ding new coor)10.8(dination)]TJ ET EMC /P <>BDC BT 8 0 0 8 285.5394 110.7278 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 99.5439 Tm [(pr)10.8(o)]TJ /TT5 1 Tf 1.4892 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(essionals intr)10.8(oduced by the M)]TJ /TT5 1 Tf 13.4372 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD ( scheme.)Tj ET EMC Q endstream endobj 1023 0 obj <>/ExtGState<>>> endobj 1025 0 obj <> endobj 1063 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 576.2063 802.4034 Tm (9)Tj ET EMC /Artifact <>BDC .08 .017 .004 0 k 56.693 486.085 234.945 219.742 re f EMC /Artifact <>BDC 56.693 370.713 234.945 95.712 re f EMC /Artifact <>BDC 56.693 59.716 234.945 165.912 re f EMC /Artifact <>BDC 303.638 612.589 234.945 87.569 re f EMC /Artifact <>BDC 303.638 418.957 234.945 95.568 re f EMC /Artifact <>BDC 303.638 155.426 234.945 95.568 re f EMC /P <>BDC /GS2 gs BT /TT2 1 Tf 10 0 0 10 62.3622 690.5475 Tm 0 0 0 1 k (Regional palliative care organization:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 209.7822 690.5475 Tm [( ‘MAIA or)28.1(ganizes)]TJ ET EMC /P <>BDC BT 10 0 0 10 284.8714 690.5475 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 676.4035 Tm [(meetings wher)18.1(e dif)18.1(fer)18.1(ent pr)18.1(ofessionals go and)]TJ ET EMC /P <>BDC BT 10 0 0 10 267.1995 676.4035 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 662.3636 Tm [(explain their functioning. And then you know)55.2(, OK,)]TJ ET EMC /P <>BDC BT 10 0 0 10 282.0504 662.3636 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 648.3236 Tm (they work like this… it is important to get familiar)Tj ET EMC /P <>BDC BT 10 0 0 10 278.2922 648.3236 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 634.2836 Tm [(with one another’)74.2(s functioning. Over the past five)]TJ ET EMC /P <>BDC BT 10 0 0 10 279.7999 634.2836 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 620.2436 Tm [(years, we’ve been doing a gr)18.1(eat job with all the)]TJ ET EMC /P <>BDC BT 10 0 0 10 270.9215 620.2436 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 606.2036 Tm [(other palliative car)18.1(e structur)18.1(es to develop)]TJ ET EMC /P <>BDC BT 10 0 0 10 245.5308 606.2036 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 592.1637 Tm [(palliative cultur)18.1(e outside of the institutions. So, we)]TJ ET EMC /P <>BDC BT 10 0 0 10 285.1714 592.1637 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 578.1237 Tm [(invite ourselves to these meetings r)18.1(egularly)74.2(. W)57.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 271.968 578.1237 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 564.0837 Tm [(knew about the pr)18.1(evention pr)18.1(oject for elderly)]TJ ET EMC /P <>BDC BT 10 0 0 10 261.0909 564.0837 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 550.0437 Tm [(people 75+ and P)74.2(AERP)74.2(A thanks to the MAIA.)]TJ ET EMC /P <>BDC BT 10 0 0 10 263.4177 550.0437 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 536.0038 Tm [(Each time I go to a P)74.2(AERP)74.2(A meeting, the MAIA)]TJ ET EMC /P <>BDC BT 10 0 0 10 272.2178 536.0038 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 521.9638 Tm [(and the PT)92(A ar)18.1(e also ther)18.1(e. Everyone participates)]TJ ET EMC /P <>BDC BT 10 0 0 10 280.5604 521.9638 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 507.9238 Tm (and everyone gets to know all these new schemes)Tj ET EMC /P <>BDC BT 10 0 0 10 285.5221 507.9238 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 493.8838 Tm (and to find their place in them.’ )Tj ET EMC /P <>BDC BT 10 0 0 10 206.4922 493.8838 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 471.3899 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 62.3622 448.816 Tm [(PT)55.2(A:)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 79.7604 448.816 Tm [( ‘The last time I went to the working gr)18.1(oup,)]TJ ET EMC /P <>BDC BT 10 0 0 10 269.9797 448.816 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 434.672 Tm [(ther)18.1(e wer)18.1(e also two social workers. This is a gr)18.1(eat)]TJ ET EMC /P <>BDC BT 10 0 0 10 282.3603 434.672 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 420.6321 Tm (contribution! The notion of pathway [central to)Tj ET EMC /P <>BDC BT 10 0 0 10 267.5922 420.6321 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 406.5921 Tm [(both P)74.2(AERP)74.2(A and PT)92(A schemes] is new and it is)]TJ ET EMC /P <>BDC BT 10 0 0 10 277.2173 406.5921 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 392.5521 Tm [(important as it contributes to cr)18.1(eate new links)]TJ ET EMC /P <>BDC BT 10 0 0 10 264.8014 392.5521 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 378.5121 Tm [(between the patients and the pr)18.1(ofessionals’ )]TJ ET EMC /P <>BDC BT 10 0 0 10 258.8915 378.5121 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 56.6929 343.5115 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 65.0666 343.5115 Tm 0 0 0 1 k [( F)20(acilita)-10(ting future integra)-10(tion d)-10(ynamics)]TJ ET EMC /P <>BDC BT 11 0 0 11 226.2165 343.5115 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 322.9763 Tm (p)Tj /TT4 1 Tf .648 0 TD [(r)18.1(oactive integration policies at the national level)]TJ ET EMC /P <>BDC BT 10 0 0 10 274.6722 322.9763 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 308.9962 Tm (and their implementation brings )Tj /TT5 1 Tf 14.431 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(equently change)]TJ ET EMC /P <>BDC BT 10 0 0 10 281.0222 308.9962 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 295.0163 Tm (to the local context. )Tj /TT5 1 Tf 9.131 0 TD (t)Tj /TT4 1 Tf .574 0 TD (his brings local stakeholders)Tj ET EMC /P <>BDC BT 10 0 0 10 280.7928 295.0163 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 281.0363 Tm [(involved in coor)18.1(dination to position themselves in)]TJ ET EMC /P <>BDC BT 10 0 0 10 276.7422 281.0363 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 267.0563 Tm [(or)18.1(der to capitalize on their experience. )]TJ /TT5 1 Tf 17.3889 0 TD (e)Tj /TT4 1 Tf .611 0 TD (vidence)Tj ET EMC /P <>BDC BT 10 0 0 10 271.5121 267.0563 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 253.0763 Tm (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om territory B is particularly signi)]TJ /TT5 1 Tf 14.9819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (icant in this)Tj ET EMC /P <>BDC BT 10 0 0 10 263.3722 253.0763 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 239.0963 Tm (sense: )Tj ET EMC /P <>BDC BT 10 0 0 10 88.5529 239.0963 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 62.3622 208.0185 Tm [(P)18.1(athway coordinator)74.2(,)37.1( territor)-17.8(y B:)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 191.0965 208.0185 Tm [( ‘W)57.1(e ar)18.1(e alr)18.1(eady)]TJ ET EMC /P <>BDC BT 10 0 0 10 261.8439 208.0185 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 193.8745 Tm [(used to working together)92(. Our aim, our vision is to)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.3018 193.8745 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 179.8345 Tm (expand our action, the article 70, to all territory B)Tj ET EMC /P <>BDC BT 10 0 0 10 279.4421 179.8345 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 165.7945 Tm [(and r)18.1(each fr)18.1(ontline pr)18.1(ofessionals who ar)18.1(e not)]TJ ET EMC /P <>BDC BT 10 0 0 10 261.8495 165.7945 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 151.7546 Tm (involved in this dynamic. As the experimentation)Tj ET EMC /P <>BDC BT 10 0 0 10 276.6521 151.7546 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 137.7146 Tm (of the article 70 stops in December 2018, we)Tj ET EMC /P <>BDC BT 10 0 0 10 261.8521 137.7146 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 123.6746 Tm [(thought that we could use P)74.2(AERP)74.2(A as a way to)]TJ ET EMC /P <>BDC BT 10 0 0 10 271.8578 123.6746 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 109.6346 Tm [(develop the cultur)18.1(e of tracing car)18.1(e plans. So we)]TJ ET EMC /P <>BDC BT 10 0 0 10 274.4408 109.6346 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 95.5946 Tm [(negotiated to have it included in the P)74.2(AERP)74.2(A)]TJ ET EMC /P <>BDC BT 10 0 0 10 262.2278 95.5946 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 81.5547 Tm [(pilot. And after that, we will become a PT)92(A. This)]TJ ET EMC /P <>BDC BT 10 0 0 10 275.1918 81.5547 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 67.5147 Tm [(was quite logical for us. With the dif)18.1(fer)18.1(ence that)]TJ ET EMC /P <>BDC BT 10 0 0 10 273.7008 67.5147 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 690.5875 Tm [(PT)92(A will be a permanent scheme and not a pilot.)]TJ ET EMC /P <>BDC BT 10 0 0 10 524.3766 690.5875 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 676.5475 Tm [(Let’)74.2(s hope that all this will come together in 2019.)]TJ ET EMC /P <>BDC BT 10 0 0 10 529.7348 676.5475 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 662.5076 Tm [(Being within a PERP)74.2(A pilot territory is a chance)]TJ ET EMC /P <>BDC BT 10 0 0 10 518.9548 662.5076 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 648.4676 Tm (for us to have extra means to extend the)Tj ET EMC /P <>BDC BT 10 0 0 10 488.227 648.4676 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 634.4276 Tm [(dynamics fr)18.1(om the article 70 to the entir)18.1(e territory)]TJ ET EMC /P <>BDC BT 10 0 0 10 528.5958 634.4276 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 620.3876 Tm (B. This is our logic, it seems very logical.’ )Tj ET EMC /P <>BDC BT 10 0 0 10 505.9671 620.3876 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 597.8937 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 583.9137 Tm (t)Tj /TT4 1 Tf .574 0 TD (his is also consistent with evidence )Tj /TT5 1 Tf 15.983 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om territory )]TJ /TT5 1 Tf 5.7599 0 TD (a)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 536.2471 583.9137 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 569.9337 Tm [(and the r)18.1(easons why the M)]TJ /TT5 1 Tf 12.0959 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD ( )Tj /TT5 1 Tf .278 0 TD (a)Tj /TT4 1 Tf .648 0 TD [( was cr)18.1(eated in)]TJ ET EMC /P <>BDC BT 10 0 0 10 517.1864 569.9337 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 555.9538 Tm (2012 by the )Tj /TT5 1 Tf 5.559 0 TD (f)Tj /TT4 1 Tf .296 0 TD (our local actors )Tj /TT5 1 Tf 7.185 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om the social car)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 522.0164 555.9538 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 541.9738 Tm (sector: the )Tj /TT5 1 Tf 5.038 0 TD (f)Tj /TT4 1 Tf .296 0 TD (our local in)Tj /TT5 1 Tf 4.889 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ormation and coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 526.6371 541.9738 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 527.9938 Tm [(centr)18.1(es \()]TJ /TT5 1 Tf 3.8339 0 TD (c)Tj /TT4 1 Tf .722 0 TD (L)Tj /TT5 1 Tf .556 0 TD (ic)Tj /TT4 1 Tf .981 0 TD (s\): )Tj ET EMC /P <>BDC BT 10 0 0 10 377.7171 527.9938 Tm ( )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 309.3071 496.956 Tm [(‘W)57.1(e wer)18.1(e awar)18.1(e that we wer)18.1(e working in the same)]TJ ET EMC /P <>BDC BT 10 0 0 10 531.3637 496.956 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 482.916 Tm [(dir)18.1(ection. And when we saw the national definition)]TJ ET EMC /P <>BDC BT 10 0 0 10 532.8864 482.916 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 468.876 Tm [(of the MAIAs, we thought that we wer)18.1(e legitimate)]TJ ET EMC /P <>BDC BT 10 0 0 10 528.6063 468.876 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 454.836 Tm [(to initiate the scheme. The coor)18.1(dination part was)]TJ ET EMC /P <>BDC BT 10 0 0 10 526.0264 454.836 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 440.7961 Tm [(alr)18.1(eady included in our work as CLICs, and the)]TJ ET EMC /P <>BDC BT 10 0 0 10 516.3864 440.7961 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 426.7561 Tm (MAIA scheme was a way to take it further’. )Tj ET EMC /P <>BDC BT 10 0 0 10 501.927 426.7561 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 404.2621 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 390.2822 Tm (t)Tj /TT4 1 Tf .574 0 TD (his shows both the signi)Tj /TT5 1 Tf 10.798 0 TD (f)Tj /TT4 1 Tf .296 0 TD (icance o)Tj /TT5 1 Tf 3.778 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( pr)18.1(e-existing)]TJ ET EMC /P <>BDC BT 10 0 0 10 516.6171 390.2822 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 376.3022 Tm (local dynamics )Tj /TT5 1 Tf 6.946 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or the implementation o)Tj /TT5 1 Tf 10.615 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( new)Tj ET EMC /P <>BDC BT 10 0 0 10 506.4578 376.3022 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 362.3222 Tm (integration schemes and the )Tj /TT5 1 Tf 12.967 0 TD (f)Tj /TT4 1 Tf .296 0 TD (act that the )Tj /TT5 1 Tf 5.354 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inancial)Tj ET EMC /P <>BDC BT 10 0 0 10 526.6577 362.3222 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 348.3422 Tm (support they o)Tj /TT5 1 Tf 6.502 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (er can constitute an opportunity to)Tj ET EMC /P <>BDC BT 10 0 0 10 528.697 348.3422 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 334.3622 Tm [(develop pr)18.1(e-existing coor)18.1(dination activities by)]TJ ET EMC /P <>BDC BT 10 0 0 10 508.8465 334.3622 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 320.3822 Tm (extending or )Tj /TT5 1 Tf 5.871 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormalizing them. )Tj /TT5 1 Tf 7.668 0 TD (a)Tj /TT4 1 Tf .648 0 TD (t the institutional)Tj ET EMC /P <>BDC BT 10 0 0 10 522.3777 320.3822 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 306.4023 Tm [(level, the r)18.1(egional health agency also underlines the)]TJ ET EMC /P <>BDC BT 10 0 0 10 533.677 306.4023 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 292.4223 Tm (existence o)Tj /TT5 1 Tf 5.111 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( an integration dynamic within the)Tj ET EMC /P <>BDC BT 10 0 0 10 508.2977 292.4223 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 278.4423 Tm [(territory)74.2(, )]TJ /TT5 1 Tf 3.9438 0 TD (f)Tj /TT4 1 Tf .296 0 TD (acilitated by the implementation o)Tj /TT5 1 Tf 15.116 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( r)18.1(ecent)]TJ ET EMC /P <>BDC BT 10 0 0 10 530.9048 278.4423 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 264.4623 Tm [(coor)18.1(dination schemes: )]TJ ET EMC /P <>BDC BT 10 0 0 10 407.9271 264.4623 Tm ( )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 309.3071 233.4245 Tm [(‘Having worked on all these pr)18.1(ojects makes the)]TJ ET EMC /P <>BDC BT 10 0 0 10 518.7664 233.4245 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 219.3845 Tm [(territory mor)18.1(e fertile to r)18.1(eceive other coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 527.0851 219.3845 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 205.3445 Tm [(pr)18.1(ojects. […] Now that ther)18.1(e is a P)74.2(AERP)74.2(A scheme)]TJ ET EMC /P <>BDC BT 10 0 0 10 530.4413 205.3445 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 191.3045 Tm [(in territory C, they also want to cr)18.1(eate a MAIA)]TJ ET EMC /P <>BDC BT 10 0 0 10 511.1864 191.3045 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 177.2646 Tm [(befor)18.1(e this summer)92(. I think that P)74.2(AERP)74.2(A facilitated)]TJ ET EMC /P <>BDC BT 10 0 0 10 532.6815 177.2646 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 163.2246 Tm [(this, as all the actors concer)-17.8(ned alr)18.1(eady met.’)]TJ ET EMC /P <>BDC BT 10 0 0 10 510.8246 163.2246 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 140.7307 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 126.7507 Tm (i)Tj /TT4 1 Tf .259 0 TD [(mpr)18.1(ovement o)]TJ /TT5 1 Tf 6.4849 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( mutual knowledge )Tj /TT5 1 Tf 8.743 0 TD (f)Tj /TT4 1 Tf .296 0 TD (acilitating local)Tj ET EMC /P <>BDC BT 10 0 0 10 530.7171 126.7507 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 112.7708 Tm [(integration pr)18.1(ocesses is underlined in national)]TJ ET EMC /P <>BDC BT 10 0 0 10 508.1171 112.7708 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 98.7907 Tm (qualitative evaluations and separately )Tj /TT5 1 Tf 17.021 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or each o)Tj /TT5 1 Tf 4.204 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 521.8078 98.7907 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 84.8108 Tm (the dedicated integration schemes investigated)Tj ET EMC /P <>BDC BT 10 0 0 10 515.1677 84.8108 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 70.8308 Tm [(her)18.1(e. )]TJ /TT5 1 Tf 2.5009 0 TD (i)Tj /TT4 1 Tf .259 0 TD (t could be seen as one o)Tj /TT5 1 Tf 11.003 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the major)Tj ET EMC /P <>BDC BT 10 0 0 10 489.057 70.8308 Tm ( )Tj ET EMC Q endstream endobj 1064 0 obj <>/ExtGState<>>> endobj 1066 0 obj <> endobj 1110 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 571.4064 802.4034 Tm (10)Tj ET EMC /Artifact <>BDC .08 .017 .004 0 k 56.693 436.815 234.945 137.688 re f EMC /Artifact <>BDC 303.638 441.477 234.945 137.832 re f EMC /Artifact <>BDC 303.638 340.145 234.945 81.673 re f EMC /Artifact <>BDC 303.638 238.813 234.945 81.673 re f EMC /Artifact <>BDC 303.638 123.442 234.945 95.712 re f EMC /P <>BDC /GS2 gs BT /TT4 1 Tf 10 0 0 10 56.6929 690.6375 Tm 0 0 0 1 k (achievements o)Tj /TT5 1 Tf 7.039 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the fr)18.1(ench strategies )]TJ /TT5 1 Tf 9.9649 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or enhancing)Tj ET EMC /P <>BDC BT 10 0 0 10 290.8122 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 676.6575 Tm (integration at the local level.)Tj ET EMC /P <>BDC BT 10 0 0 10 181.7029 676.6575 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 56.6929 649.6669 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 65.0666 649.6669 Tm 0 0 0 1 k [( Others:)37( revealing new local needs and better)]TJ ET EMC /P <>BDC BT 11 0 0 11 248.8655 649.6669 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 56.6929 636.4669 Tm [(coordina)-10(tion between ser)-18(vices)]TJ ET EMC /P <>BDC BT 11 0 0 11 180.564 636.4669 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 615.9317 Tm (One o)Tj /TT5 1 Tf 2.705 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the coor)18.1(dination stakeholders involved with)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.2122 615.9317 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 601.9517 Tm (the pilot o)Tj /TT5 1 Tf 4.464 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( article 70 on territory B identi)Tj /TT5 1 Tf 13.205 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ies another)Tj ET EMC /P <>BDC BT 10 0 0 10 288.753 601.9517 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 587.9717 Tm (e)Tj /TT5 1 Tf .537 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (ect on their territory: )Tj ET EMC /P <>BDC BT 10 0 0 10 161.1422 587.9717 Tm ( )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 62.3622 556.9339 Tm [(‘It was dif)18.1(ficult for us in the beginning. W)57.1(e)0( did a)]TJ ET EMC /P <>BDC BT 10 0 0 10 272.9502 556.9339 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 542.8939 Tm [(lot on tracking of cases that wer)18.1(e not known by)]TJ ET EMC /P <>BDC BT 10 0 0 10 272.3915 542.8939 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 528.8539 Tm [(home car)18.1(e services, elderly people who wer)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 262.3608 528.8539 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 514.8139 Tm (living in their homes with cognitive impairments.)Tj ET EMC /P <>BDC BT 10 0 0 10 275.5222 514.8139 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 500.774 Tm [(As a r)18.1(esult, the first year)92(, we generated a lot of)]TJ ET EMC /P <>BDC BT 10 0 0 10 267.951 500.774 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 486.734 Tm [(AP)74.2(A demands and the r)18.1(esponse was: we have)]TJ ET EMC /P <>BDC BT 10 0 0 10 267.9691 486.734 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 472.694 Tm [(much mor)18.1(e work! This is a risk, it’)74.2(s true, but these)]TJ ET EMC /P <>BDC BT 10 0 0 10 281.8192 472.694 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 458.654 Tm [(people existed and no one had hear)18.1(d about)]TJ ET EMC /P <>BDC BT 10 0 0 10 256.1415 458.654 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 444.614 Tm (them!’ )Tj ET EMC /P <>BDC BT 10 0 0 10 93.1122 444.614 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 422.1201 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 408.1401 Tm (t)Tj /TT4 1 Tf .574 0 TD [(his is consistent with inter)-17.8(national evidence)]TJ ET EMC /P <>BDC BT 10 0 0 10 256.1512 408.1401 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 394.1602 Tm (showing that di)Tj /TT5 1 Tf 6.834 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent )]TJ /TT5 1 Tf 2.5379 0 TD (f)Tj /TT4 1 Tf .296 0 TD (orms o)Tj /TT5 1 Tf 3.112 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( integrated car)18.1(e may)]TJ ET EMC /P <>BDC BT 10 0 0 10 284.8809 394.1602 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 380.1802 Tm [(lead to an incr)18.1(ease o)]TJ /TT5 1 Tf 9.2979 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the use o)Tj /TT5 1 Tf 4.409 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( car)18.1(e settings \(see)]TJ ET EMC /P <>BDC BT 10 0 0 10 280.8015 380.1802 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 366.2002 Tm (r)Tj /TT4 1 Tf .685 0 TD (obertson, 2011 and )Tj /TT5 1 Tf 9.004 0 TD (ce)Tj /TT4 1 Tf 1.333 0 TD (Q)Tj /TT5 1 Tf .76 0 TD (ua)Tj /TT4 1 Tf 1.37 0 TD ( )Tj /TT5 1 Tf .278 0 TD (t)Tj /TT4 1 Tf .574 0 TD (hematic )Tj /TT5 1 Tf 3.835 0 TD (r)Tj /TT4 1 Tf .685 0 TD (eport 5\).)Tj ET EMC /P <>BDC BT 10 0 0 10 279.1628 366.2002 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 352.2202 Tm (h)Tj /TT4 1 Tf .722 0 TD [(er)18.1(e, the dedicated coor)18.1(dination scheme enabled)]TJ ET EMC /P <>BDC BT 10 0 0 10 279.9015 352.2202 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 338.2403 Tm (the identi)Tj /TT5 1 Tf 4.131 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ication o)Tj /TT5 1 Tf 3.815 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( new home car)18.1(e needs which led)]TJ ET EMC /P <>BDC BT 10 0 0 10 288.7621 338.2403 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 324.2603 Tm [(to an incr)18.1(ease in the )]TJ /TT5 1 Tf 9.2989 0 TD [(ap)74.2(a)]TJ /TT4 1 Tf 1.8698 0 TD ( demands. )Tj /TT5 1 Tf 5.003 0 TD (e)Tj /TT4 1 Tf .611 0 TD (arly evidence)Tj ET EMC /P <>BDC BT 10 0 0 10 283.4099 324.2603 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 310.2803 Tm (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om )]TJ /TT5 1 Tf 2.0199 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.6653 0 TD [(’)74.2(s)0( health impact also suggests that the)]TJ ET EMC /P <>BDC BT 10 0 0 10 288.2234 310.2803 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 296.3003 Tm (f)Tj /TT4 1 Tf .296 0 TD (ormalization o)Tj /TT5 1 Tf 6.277 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( a personalized health plan \()Tj /TT5 1 Tf 12.501 0 TD (pps)Tj /TT4 1 Tf 1.944 0 TD (\))Tj ET EMC /P <>BDC BT 10 0 0 10 272.4228 296.3003 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 282.3203 Tm (allows the most )Tj /TT5 1 Tf 7.297 0 TD (f)Tj /TT4 1 Tf .296 0 TD (rail elderly people with unmet)Tj ET EMC /P <>BDC BT 10 0 0 10 263.5629 282.3203 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 268.3405 Tm [(health and social car)18.1(e needs in the territory to be)]TJ ET EMC /P <>BDC BT 10 0 0 10 274.8821 268.3405 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 254.3604 Tm (identi)Tj /TT5 1 Tf 2.445 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ied \(Or et al., 2018\).)Tj ET EMC /P <>BDC BT 10 0 0 10 171.5428 254.3604 Tm ( )Tj ET EMC /P <>BDC BT /F1 1 Tf 11 0 0 11 56.6929 227.8731 Tm [(\(b\) Challenges:)37( a convergence process pa)-10(ved with)]TJ ET EMC /P <>BDC BT 11 0 0 11 260.16 227.8731 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 56.6929 214.6732 Tm (difculties )Tj ET EMC /P <>BDC BT 11 0 0 11 101.0889 214.6732 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 194.1379 Tm (e)Tj /TT4 1 Tf .611 0 TD (mpirical evidence highlights the existence o)Tj /TT5 1 Tf 19.466 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 260.4228 194.1379 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 180.1579 Tm (institutional e)Tj /TT5 1 Tf 5.927 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (orts to avoid overlapping when)Tj ET EMC /P <>BDC BT 10 0 0 10 259.6722 180.1579 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 166.178 Tm [(implementing the r)18.1(ecent dedicated integration)]TJ ET EMC /P <>BDC BT 10 0 0 10 262.312 166.178 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 152.198 Tm (schemes, as well as some achievements visible on)Tj ET EMC /P <>BDC BT 10 0 0 10 283.0328 152.198 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 138.218 Tm (both institutional and operational levels.)Tj ET EMC /P <>BDC BT 10 0 0 10 234.1328 138.218 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 124.238 Tm (n)Tj /TT4 1 Tf .722 0 TD (evertheless, interviews with local stakeholders also)Tj ET EMC /P <>BDC BT 10 0 0 10 291.123 124.238 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 110.168 Tm [(r)18.1(eveal )]TJ ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 85.9523 110.168 Tm (persistent resistance)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 169.4123 110.168 Tm ( and )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 191.8323 110.168 Tm (unequal adherence)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 267.7323 110.168 Tm ( to)Tj ET EMC /P <>BDC BT 10 0 0 10 279.4023 110.168 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 96.0741 Tm (those schemes.)Tj ET EMC /P <>BDC BT 10 0 0 10 127.2729 96.0741 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 73.5901 Tm (a)Tj /TT4 1 Tf .648 0 TD [(ll local actors ar)18.1(e convinced by the idea that better)]TJ ET EMC /P <>BDC BT 10 0 0 10 288.9521 73.5901 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 59.6101 Tm [(coor)18.1(dination and integration between health and)]TJ ET EMC /P <>BDC BT 10 0 0 10 273.0323 59.6101 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 690.6375 Tm [(social car)18.1(e is needed, but not all o)]TJ /TT5 1 Tf 15.2809 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( them ar)18.1(e actively)]TJ ET EMC /P <>BDC BT 10 0 0 10 537.9463 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 676.6575 Tm [(involved in dedicated coor)18.1(dination schemes. On the)]TJ ET EMC /P <>BDC BT 10 0 0 10 535.7471 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 662.6776 Tm [(contrary)74.2(, some actors ar)18.1(e critical about the latter)92(.)]TJ ET EMC /P <>BDC BT 10 0 0 10 522.0044 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 648.6976 Tm (Both categories o)Tj /TT5 1 Tf 7.926 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( actors identi)Tj /TT5 1 Tf 5.797 0 TD (f)Tj /TT4 1 Tf .296 0 TD (y di)Tj /TT5 1 Tf 1.593 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (iculties that)Tj ET EMC /P <>BDC BT 10 0 0 10 519.577 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 634.7176 Tm [(challenge local integration pr)18.1(ocesses, one o)]TJ /TT5 1 Tf 19.6129 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the)Tj ET EMC /P <>BDC BT 10 0 0 10 519.5871 634.7176 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 620.7376 Tm (most signi)Tj /TT5 1 Tf 4.594 0 TD (f)Tj /TT4 1 Tf .296 0 TD (icant ones being the simultaneous)Tj ET EMC /P <>BDC BT 10 0 0 10 505.1777 620.7376 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 606.7576 Tm (implementation o)Tj /TT5 1 Tf 7.744 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( various dedicated coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 524.9871 606.7576 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 592.7777 Tm [(schemes on the same territory)74.2(. )]TJ ET EMC /P <>BDC BT 10 0 0 10 446.8256 592.7777 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 309.3071 561.6998 Tm (Département:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 362.9771 561.6998 Tm [( ‘Let me sum up. Ther)18.1(e have been)]TJ ET EMC /P <>BDC BT 10 0 0 10 514.6964 561.6998 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 547.5558 Tm [(plenty of coor)18.1(dination schemes – first the CLICs)]TJ ET EMC /P <>BDC BT 10 0 0 10 522.8364 547.5558 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 533.5158 Tm [(and the networks, then the MAIAs, the P)74.2(AERP)74.2(A,)]TJ ET EMC /P <>BDC BT 10 0 0 10 523.2425 533.5158 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 519.4759 Tm [(then the PT)92(A … They first fall within the hands of)]TJ ET EMC /P <>BDC BT 10 0 0 10 525.4666 519.4759 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 505.4359 Tm [(the r)18.1(egional agencies, and then in ours … They)]TJ ET EMC /P <>BDC BT 10 0 0 10 518.2463 505.4359 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 491.3959 Tm [(ar)18.1(e imposed on both of us and then we ar)18.1(e asked)]TJ ET EMC /P <>BDC BT 10 0 0 10 529.1857 491.3959 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 477.3559 Tm [(to make them conver)28.1(ge and not to multiply the)]TJ ET EMC /P <>BDC BT 10 0 0 10 516.6663 477.3559 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 463.316 Tm (meetings. But they all have the same)Tj ET EMC /P <>BDC BT 10 0 0 10 472.4871 463.316 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 449.276 Tm [(components… W)57.1(e)0( have to make them conver)28.1(ge.’ )]TJ ET EMC /P <>BDC BT 10 0 0 10 531.455 449.276 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 426.7821 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 309.3071 404.2082 Tm (Regional palliative care organization:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 456.727 404.2082 Tm ( ‘All this is not)Tj ET EMC /P <>BDC BT 10 0 0 10 518.9571 404.2082 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 390.0642 Tm [(very … visible. W)57.1(e)0( have the impr)18.1(ession of having)]TJ ET EMC /P <>BDC BT 10 0 0 10 525.4051 390.0642 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 376.0242 Tm (superposed a number of schemes in the past four)Tj ET EMC /P <>BDC BT 10 0 0 10 530.827 376.0242 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 361.9842 Tm [(to five years. Every year)92(, ther)18.1(e is a new one! And)]TJ ET EMC /P <>BDC BT 10 0 0 10 523.396 361.9842 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 347.9442 Tm [(the articulation between them r)18.1(emains … dif)18.1(ficult’. )]TJ ET EMC /P <>BDC BT 10 0 0 10 535.4757 347.9442 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 325.4504 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 309.3071 302.8763 Tm (MAIA B:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 340.7671 302.8763 Tm ( ‘Four schemes in a year [in territory B] …)Tj ET EMC /P <>BDC BT 10 0 0 10 524.657 302.8763 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 288.7325 Tm [(Normally)74.2(, they should be complementary)74.2(. In)]TJ ET EMC /P <>BDC BT 10 0 0 10 503.7727 288.7325 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 274.6924 Tm [(theory)74.2(, they ar)18.1(e complementary)74.2(. But I saw them)]TJ ET EMC /P <>BDC BT 10 0 0 10 520.822 274.6924 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 260.6525 Tm [(yester)18.1(day at the meeting. Actors ar)18.1(e all the same.)]TJ ET EMC /P <>BDC BT 10 0 0 10 528.4257 260.6525 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 246.6125 Tm (And they all want to keep their positions…’)Tj ET EMC /P <>BDC BT 10 0 0 10 499.897 246.6125 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 224.1186 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 309.3071 201.5447 Tm (Regional nurses’ organization:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 430.1171 201.5447 Tm ( ‘It is easy to get lost)Tj ET EMC /P <>BDC BT 10 0 0 10 521.597 201.5447 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 187.4007 Tm (with all these schemes … And in the end, the)Tj ET EMC /P <>BDC BT 10 0 0 10 510.287 187.4007 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 173.3607 Tm [(question is: ar)18.1(en’)18.1(t they all the same? […] It is)]TJ ET EMC /P <>BDC BT 10 0 0 10 507.4955 173.3607 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 159.3207 Tm (complicated for the GPs and specialists to have)Tj ET EMC /P <>BDC BT 10 0 0 10 521.3669 159.3207 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 145.2807 Tm [(50 dif)18.1(fer)18.1(ent corr)18.1(espondents. T)111.1(o)0( make it clear)92(, the)]TJ ET EMC /P <>BDC BT 10 0 0 10 526.0238 145.2807 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 131.2408 Tm (medical doctors do not know all these schemes!’ )Tj ET EMC /P <>BDC BT 10 0 0 10 529.327 131.2408 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 108.7469 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 94.7669 Tm (a)Tj /TT4 1 Tf .648 0 TD [( spontaneous r)18.1(esponse on behal)]TJ /TT5 1 Tf 14.5969 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( o)Tj /TT5 1 Tf .852 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( local actors to)Tj ET EMC /P <>BDC BT 10 0 0 10 536.637 94.7669 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 80.7869 Tm (the critics o)Tj /TT5 1 Tf 5.204 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the overlapping o)Tj /TT5 1 Tf 8.057 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( schemes is to ar)28.1(gue)]TJ ET EMC /P <>BDC BT 10 0 0 10 534.687 80.7869 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 66.8069 Tm (f)Tj /TT4 1 Tf .296 0 TD [(or their complementarity)74.2(. )]TJ /TT5 1 Tf 11.3918 0 TD (n)Tj /TT4 1 Tf .722 0 TD (evertheless, when)Tj ET EMC /P <>BDC BT 10 0 0 10 508.1055 66.8069 Tm ( )Tj ET EMC Q endstream endobj 1111 0 obj <>/ExtGState<>>> endobj 1115 0 obj <> endobj 1159 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 571.4064 802.4034 Tm (11)Tj ET EMC /Artifact <>BDC .08 .017 .004 0 k 56.693 469.293 234.945 123.792 re f EMC /Artifact <>BDC 56.693 339.881 234.945 109.753 re f EMC /Artifact <>BDC 56.693 238.549 234.945 81.673 re f EMC /Artifact <>BDC 56.693 100.67 234.945 53.592 re f EMC /Artifact <>BDC 303.638 612.445 234.945 93.382 re f EMC /Artifact <>BDC 303.638 95.988 234.945 193.992 re f EMC /P <>BDC /GS2 gs BT /TT4 1 Tf 10 0 0 10 56.6929 690.6375 Tm 0 0 0 1 k (questioned about the objective o)Tj /TT5 1 Tf 14.689 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( making their)Tj ET EMC /P <>BDC BT 10 0 0 10 264.3428 690.6375 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 676.6575 Tm (f)Tj /TT4 1 Tf .296 0 TD [(unctioning mor)18.1(e coher)18.1(ent in line with national)]TJ ET EMC /P <>BDC BT 10 0 0 10 261.9215 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 662.6776 Tm [(priorities, two inter)18.1(dependent visions emer)28.1(ge out )]TJ ET EMC /P <>BDC BT 10 0 0 10 277.3714 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 648.6976 Tm (o)Tj /TT5 1 Tf .574 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( their discourse. On the one hand is the idea o)Tj /TT5 1 Tf 20.599 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 274.3427 648.6976 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 634.6276 Tm (complementarity)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 123.843 634.6276 Tm [( between local coor)18.1(dination schemes)]TJ ET EMC /P <>BDC BT 10 0 0 10 290.1622 634.6276 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 620.5336 Tm (and health and social services which underpins the)Tj ET EMC /P <>BDC BT 10 0 0 10 284.5128 620.5336 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 606.5536 Tm (idea o)Tj /TT5 1 Tf 2.741 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( better mutual knowledge: )Tj ET EMC /P <>BDC BT 10 0 0 10 206.3528 606.5536 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 62.3622 575.4758 Tm [(Regional health agenc)20(y:)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 157.272 575.4758 Tm [( ‘It is not the same tar)28.1(get)]TJ ET EMC /P <>BDC BT 10 0 0 10 267.5713 575.4758 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 561.3318 Tm [(gr)18.1(oup and not the same work. MAIA applies to)]TJ ET EMC /P <>BDC BT 10 0 0 10 269.2615 561.3318 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 547.2918 Tm [(5% of the elderly population and P)74.2(AERP)74.2(A 15-)]TJ ET EMC /P <>BDC BT 10 0 0 10 62.3622 533.2519 Tm [(20%. Y)111.1(es, ther)18.1(e have been a lot of these schemes)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.3306 533.2519 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 519.2119 Tm [(lately)74.2(, but the components of P)74.2(AERP)74.2(A [CT)92(A] ar)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 275.3645 519.2119 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 505.1719 Tm [(being cr)18.1(eated together with the PT)92(A on T)111.1(erritory)]TJ ET EMC /P <>BDC BT 10 0 0 10 275.3602 505.1719 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 491.1319 Tm [(A. And the PT)92(A will be lar)28.1(ger than P)74.2(AER)]TJ 17.7177 0 TD -.0742 Tc (PA’s)Tj ET EMC /P <>BDC BT 10 0 0 10 258.0522 491.1319 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 477.092 Tm [(tar)28.1(get gr)18.1(oup.’ )]TJ ET EMC /P <>BDC BT 10 0 0 10 125.2508 477.092 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 454.598 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 62.3622 432.0241 Tm (Département:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 116.0322 432.0241 Tm [( ‘It is much mor)18.1(e than conver)28.1(gence. It)]TJ ET EMC /P <>BDC BT 10 0 0 10 284.1208 432.0241 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 417.8801 Tm (is about working in complementarity and)Tj ET EMC /P <>BDC BT 10 0 0 10 242.7622 417.8801 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 403.8402 Tm [(articulating our actions. W)57.1(orking in)]TJ ET EMC /P <>BDC BT 10 0 0 10 215.701 403.8402 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 389.8002 Tm (complementarity means being confident, it is)Tj ET EMC /P <>BDC BT 10 0 0 10 262.0222 389.8002 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 375.7602 Tm [(much mor)18.1(e than conver)28.1(gence. This is why it is)]TJ ET EMC /P <>BDC BT 10 0 0 10 267.6608 375.7602 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 361.7202 Tm (important to know what the others do and what)Tj ET EMC /P <>BDC BT 10 0 0 10 273.3522 361.7202 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 347.6802 Tm [(ar)18.1(e their limits.’)]TJ ET EMC /P <>BDC BT 10 0 0 10 129.9615 347.6802 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 325.1863 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 62.3622 302.6124 Tm [(Care coordinator)74.2(,)37.1( territor)-17.8(y B)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 172.7671 302.6124 Tm [(: ‘Conver)28.1(gence means)]TJ ET EMC /P <>BDC BT 10 0 0 10 272.4964 302.6124 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 288.4684 Tm [(everyone goes in the same dir)18.1(ection. I think it is)]TJ ET EMC /P <>BDC BT 10 0 0 10 272.9315 288.4684 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 274.4284 Tm [(much mor)18.1(e important to be complementary)74.2(, to)]TJ ET EMC /P <>BDC BT 10 0 0 10 269.8192 274.4284 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 260.3885 Tm (know exactly what the others do and what their)Tj ET EMC /P <>BDC BT 10 0 0 10 272.2221 260.3885 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 246.3485 Tm [(missions ar)18.1(e.’)]TJ ET EMC /P <>BDC BT 10 0 0 10 123.1016 246.3485 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 223.8546 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 209.8746 Tm (t)Tj /TT4 1 Tf .574 0 TD [(he r)18.1(elated vision, on the other hand, is the concept)]TJ ET EMC /P <>BDC BT 10 0 0 10 288.9822 209.8746 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 195.8046 Tm (o)Tj /TT5 1 Tf .574 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 68.1729 195.8046 Tm (rationalization)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 125.3129 195.8046 Tm (, which underpins the need to)Tj ET EMC /P <>BDC BT 10 0 0 10 257.9429 195.8046 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 181.7107 Tm [(r)18.1(emove structur)18.1(es and schemes that do similar)]TJ ET EMC /P <>BDC BT 10 0 0 10 266.0215 181.7107 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 167.7307 Tm (work: )Tj ET EMC /P <>BDC BT 10 0 0 10 84.0929 167.7307 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 62.3622 136.6528 Tm (ANAP:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 86.8122 136.6528 Tm [( ‘Conver)28.1(gence means simply identifying who)]TJ ET EMC /P <>BDC BT 10 0 0 10 285.2414 136.6528 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 122.5088 Tm [(makes what in a territory… It’)74.2(s not implying)]TJ ET EMC /P <>BDC BT 10 0 0 10 253.67 122.5088 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 108.4688 Tm [(mer)28.1(gers between CLICs, networks, MAIAs….’)]TJ ET EMC /P <>BDC BT 10 0 0 10 266.3314 108.4688 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 85.9749 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 309.3071 690.5475 Tm -.0371 Tw (MAIA A:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 340.396 690.5475 Tm 0 Tw [( ‘The will to make the schemes conver)28.1(ge)]TJ ET EMC /P <>BDC BT 10 0 0 10 521.2351 690.5475 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 676.4035 Tm [(puts much mor)18.1(e pr)18.1(essur)18.1(e on us – MAIA pilots – to)]TJ ET EMC /P <>BDC BT 10 0 0 10 531.755 676.4035 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 662.3636 Tm [(work even mor)18.1(e with the other stakeholders in the)]TJ ET EMC /P <>BDC BT 10 0 0 10 530.8064 662.3636 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 648.3236 Tm (territory and to try to make things work better …)Tj ET EMC /P <>BDC BT 10 0 0 10 523.207 648.3236 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 634.2836 Tm [(Ther)18.1(e ar)18.1(e plenty of MAIAs that mer)28.1(ge with the)]TJ ET EMC /P <>BDC BT 10 0 0 10 513.325 634.2836 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 620.2436 Tm [(PT)92(As, that’)74.2(s it…’)]TJ ET EMC /P <>BDC BT 10 0 0 10 382.4745 620.2436 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 597.7497 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 583.7697 Tm [(Given that mixed pictur)18.1(e and the issues that arise)]TJ ET EMC /P <>BDC BT 10 0 0 10 524.437 583.7697 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 569.7898 Tm (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om new policies on conver)28.1(gence, the )]TJ /TT5 1 Tf 17.2338 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ollowing)Tj ET EMC /P <>BDC BT 10 0 0 10 518.9164 569.7898 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 555.7198 Tm (sub-sections identi)Tj /TT5 1 Tf 8.502 0 TD (f)Tj /TT4 1 Tf .296 0 TD (y )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 399.3978 555.7198 Tm (factors contributing to the)Tj ET EMC /P <>BDC BT 10 0 0 10 503.3578 555.7198 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 541.5358 Tm (persistent resistance and unequal adherence to all three)Tj ET EMC /P <>BDC BT 10 0 0 10 527.7277 541.5358 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 527.3518 Tm (dedicated coordination schemes)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 432.7779 527.3518 Tm (.)Tj ET EMC /P <>BDC BT 10 0 0 10 435.5579 527.3518 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 303.6378 500.2472 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 312.0113 500.2472 Tm 0 0 0 1 k [( New differentia)-10(tion processes )]TJ ET EMC /P <>BDC BT 11 0 0 11 438.1263 500.2472 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 479.7119 Tm (a)Tj /TT4 1 Tf .648 0 TD (nalysis o)Tj /TT5 1 Tf 3.889 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( our interviews shows that local actors )Tj ET EMC /P <>BDC BT 10 0 0 10 525.8478 479.7119 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 465.732 Tm (do subscribe to the idea o)Tj /TT5 1 Tf 11.688 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( integration but they also)Tj ET EMC /P <>BDC BT 10 0 0 10 534.0577 465.732 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 451.752 Tm (de)Tj /TT5 1 Tf 1.13 0 TD (f)Tj /TT4 1 Tf .296 0 TD (end it )Tj /TT5 1 Tf 2.779 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om their own position. When questioning)]TJ ET EMC /P <>BDC BT 10 0 0 10 534.6171 451.752 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 437.772 Tm [(the r)18.1(easons )]TJ /TT5 1 Tf 5.4829 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or this unequal support which seems)Tj ET EMC /P <>BDC BT 10 0 0 10 526.097 437.772 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 423.792 Tm [(mor)18.1(e exclusive than inclusive, two elements o)]TJ /TT5 1 Tf 20.4479 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 511.077 423.792 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 409.812 Tm [(r)18.1(esponse emer)28.1(ge. )]TJ ET EMC /P <>BDC BT 10 0 0 10 394.8663 409.812 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 387.3281 Tm (t)Tj /TT4 1 Tf .574 0 TD (he )Tj /TT5 1 Tf 1.371 0 TD (f)Tj /TT4 1 Tf .296 0 TD (irst level o)Tj /TT5 1 Tf 4.518 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( r)18.1(esponse r)18.1(e)]TJ /TT5 1 Tf 5.5199 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ers to di)Tj /TT5 1 Tf 3.63 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(entiation)]TJ ET EMC /P <>BDC BT 10 0 0 10 521.2452 387.3281 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 373.3481 Tm [(pr)18.1(ocesses that occur locally when joining a new)]TJ ET EMC /P <>BDC BT 10 0 0 10 516.9771 373.3481 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 359.368 Tm (scheme. Given the plurality o)Tj /TT5 1 Tf 12.966 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( schemes, local actors)Tj ET EMC /P <>BDC BT 10 0 0 10 536.4578 359.368 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 345.3882 Tm (may be led to make strategic choices to invest in)Tj ET EMC /P <>BDC BT 10 0 0 10 522.0277 345.3882 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 331.4082 Tm [(one scheme or another accor)18.1(ding to opportunities)]TJ ET EMC /P <>BDC BT 10 0 0 10 527.577 331.4082 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 317.4282 Tm [(\(and constraints\) it r)18.1(epr)18.1(esents )]TJ /TT5 1 Tf 13.5029 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or the actors)Tj ET EMC /P <>BDC BT 10 0 0 10 498.2963 317.4282 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 303.4482 Tm (themselves: )Tj ET EMC /P <>BDC BT 10 0 0 10 359.7678 303.4482 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 309.3071 272.3704 Tm (Regional nurses’ organization:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 430.1171 272.3704 Tm [( ‘W)57.1(e want to be)]TJ ET EMC /P <>BDC BT 10 0 0 10 499.7558 272.3704 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 258.2264 Tm [(involved in all PT)92(A pr)18.1(ojects in the r)18.1(egion. Because)]TJ ET EMC /P <>BDC BT 10 0 0 10 530.2653 258.2264 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 244.1864 Tm [(PT)92(A)74.2(’)74.2(s)0( aim is to support fr)18.1(ontline pr)18.1(ofessionals. W)57.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 530.4197 244.1864 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 230.1465 Tm [(ar)18.1(e involved in their construction, we r)18.1(epr)18.1(esent)]TJ ET EMC /P <>BDC BT 10 0 0 10 516.925 230.1465 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 216.1064 Tm [(the nurses and we make sur)18.1(e that the PT)92(A)]TJ ET EMC /P <>BDC BT 10 0 0 10 496.586 216.1064 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 202.0665 Tm [(objectives corr)18.1(espond to the territory’)74.2(s local)]TJ ET EMC /P <>BDC BT 10 0 0 10 504.1141 202.0665 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 188.0265 Tm [(needs. As far as MAIAs ar)18.1(e concer)-17.8(ned … after a)]TJ ET EMC /P <>BDC BT 10 0 0 10 523.2246 188.0265 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 173.9865 Tm (consultation we made the choice not to invest the)Tj ET EMC /P <>BDC BT 10 0 0 10 530.8371 173.9865 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 159.9466 Tm [(MAIAs. W)57.1(e)0( can’)18.1(t be everywher)18.1(e. W)57.1(e)0( can’)18.1(t ask)]TJ ET EMC /P <>BDC BT 10 0 0 10 512.4624 159.9466 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 145.9066 Tm [(fr)18.1(ontline pr)18.1(ofessionals to be everywher)18.1(e. The PT)92(A)]TJ ET EMC /P <>BDC BT 10 0 0 10 528.7646 145.9066 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 131.8666 Tm (is the priority because it makes the link with the)Tj ET EMC /P <>BDC BT 10 0 0 10 519.327 131.8666 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 117.8266 Tm [(medical doctors. MAIA r)18.1(emains very … nebulous)]TJ ET EMC /P <>BDC BT 10 0 0 10 526.1764 117.8266 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 103.7867 Tm (…’)Tj ET EMC /P <>BDC BT 10 0 0 10 322.0871 103.7867 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 81.2928 Tm ( )Tj ET EMC Q endstream endobj 1160 0 obj <>/ExtGState<>>> endobj 1162 0 obj <> endobj 1194 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 571.4064 802.4034 Tm (12)Tj ET EMC /Artifact <>BDC .08 .017 .004 0 k 56.693 553.617 234.945 67.632 re f EMC /Artifact <>BDC 56.693 191.781 234.945 165.913 re f EMC /Artifact <>BDC 56.693 62.37 234.945 109.752 re f EMC /Artifact <>BDC 303.638 302.001 234.945 95.569 re f EMC /P <>BDC /GS2 gs BT /TT5 1 Tf 10 0 0 10 56.6929 690.6375 Tm 0 0 0 1 k (t)Tj /TT4 1 Tf .574 0 TD (hese di)Tj /TT5 1 Tf 3.223 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(entiation pr)18.1(ocesses cannot be)]TJ ET EMC /P <>BDC BT 10 0 0 10 243.5809 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 676.6575 Tm (per)Tj /TT5 1 Tf 1.463 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormed without having identi)Tj /TT5 1 Tf 12.41 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ied the aims and)Tj ET EMC /P <>BDC BT 10 0 0 10 275.2628 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 662.6776 Tm (missions o)Tj /TT5 1 Tf 4.779 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( each dedicated coor)18.1(dination scheme. )]TJ /TT5 1 Tf 17.3939 0 TD (i)Tj /TT4 1 Tf .259 0 TD (n)Tj ET EMC /P <>BDC BT 10 0 0 10 289.5323 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 648.6976 Tm (that sense, they contribute to the construction o)Tj /TT5 1 Tf 21.469 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 274.3427 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 634.7176 Tm [(local coher)18.1(ence and mutual knowledge. )]TJ ET EMC /P <>BDC BT 10 0 0 10 237.1022 634.7176 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 62.3622 603.6397 Tm (MAIA B:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 93.8222 603.6397 Tm [( ‘P)74.2(AERP)74.2(A is for elderly people to stay)]TJ ET EMC /P <>BDC BT 10 0 0 10 259.5577 603.6397 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 589.4958 Tm [(healthy)74.2(, MAIA – for elderly people with complex)]TJ ET EMC /P <>BDC BT 10 0 0 10 273.6699 589.4958 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 575.4558 Tm (situations, the CLICs – information, advice,)Tj ET EMC /P <>BDC BT 10 0 0 10 252.5721 575.4558 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 561.4158 Tm (orientation…’ )Tj ET EMC /P <>BDC BT 10 0 0 10 130.7122 561.4158 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 538.9219 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 524.9419 Tm (t)Tj /TT4 1 Tf .574 0 TD [(hese r)18.1(esults underpin the conceptualization o)]TJ /TT5 1 Tf 20.2629 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 268.0222 524.9419 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 510.9619 Tm [(integration as a boundary r)18.1(eshaping pr)18.1(ocess \(Gobet)]TJ ET EMC /P <>BDC BT 10 0 0 10 288.7715 510.9619 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 496.982 Tm (and )Tj /TT5 1 Tf 1.964 0 TD (e)Tj /TT4 1 Tf .611 0 TD (milsson, 2013, p. 15\) in which ‘boundary work’)Tj ET EMC /P <>BDC BT 10 0 0 10 290.2828 496.982 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 483.002 Tm (per)Tj /TT5 1 Tf 1.463 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormed by actors causes local actors to)Tj ET EMC /P <>BDC BT 10 0 0 10 248.1929 483.002 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 469.022 Tm [(r)18.1(eposition themselves and to clari)]TJ /TT5 1 Tf 15.0029 0 TD (f)Tj /TT4 1 Tf .296 0 TD (y their position.)Tj ET EMC /P <>BDC BT 10 0 0 10 278.2122 469.022 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 455.042 Tm (t)Tj /TT4 1 Tf .574 0 TD [(he pr)18.1(ocess is closely linked to new economic and)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.9522 455.042 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 441.062 Tm (political stakes associated with the objective o)Tj /TT5 1 Tf 20.742 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 267.0728 441.062 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 427.0821 Tm (rationalization o)Tj /TT5 1 Tf 7.054 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( local r)18.1(esour)18.1(ces. )]TJ /TT5 1 Tf 7.5749 0 TD (t)Tj /TT4 1 Tf .574 0 TD (his constitutes )Tj ET EMC /P <>BDC BT 10 0 0 10 279.2916 427.0821 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 413.1021 Tm (a second level o)Tj /TT5 1 Tf 7.26 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( understanding o)Tj /TT5 1 Tf 7.558 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the unequal)Tj ET EMC /P <>BDC BT 10 0 0 10 266.0028 413.1021 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 399.1221 Tm [(adher)18.1(ence and persistent r)18.1(esistance to the)]TJ ET EMC /P <>BDC BT 10 0 0 10 247.1114 399.1221 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 385.1421 Tm (successive implementation o)Tj /TT5 1 Tf 12.948 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( dedicated)Tj ET EMC /P <>BDC BT 10 0 0 10 236.5529 385.1421 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 371.1621 Tm [(coor)18.1(dination schemes: )]TJ ET EMC /P <>BDC BT 10 0 0 10 160.9822 371.1621 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 62.3622 340.0843 Tm [(Regional health agenc)20(y:)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 157.272 340.0843 Tm ( ‘What you need to keep in)Tj ET EMC /P <>BDC BT 10 0 0 10 276.382 340.0843 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 325.9402 Tm (mind is that all these schemes employ human)Tj ET EMC /P <>BDC BT 10 0 0 10 264.8121 325.9402 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 311.9003 Tm [(r)18.1(esour)18.1(ces. This is why it is dif)18.1(ficult. The dif)18.1(ficulty is)]TJ ET EMC /P <>BDC BT 10 0 0 10 285.3195 311.9003 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 297.8603 Tm (how to make all these people live in the same)Tj ET EMC /P <>BDC BT 10 0 0 10 263.872 297.8603 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 283.8203 Tm (house without dismissing people. When people)Tj ET EMC /P <>BDC BT 10 0 0 10 272.7621 283.8203 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 269.7805 Tm [(say overlapping of schemes, they for)28.1(get that)]TJ ET EMC /P <>BDC BT 10 0 0 10 259.1314 269.7805 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 255.7404 Tm [(behind this, these people ar)18.1(e completely devoted)]TJ ET EMC /P <>BDC BT 10 0 0 10 281.6614 255.7404 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 241.7004 Tm (to their work, they love what they do and they do)Tj ET EMC /P <>BDC BT 10 0 0 10 279.2521 241.7004 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 227.6604 Tm [(it well. Conver)28.1(gence also has consequences. In )]TJ ET EMC /P <>BDC BT 10 0 0 10 275.8014 227.6604 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 213.6205 Tm [(a way)74.2(, these people ar)18.1(e afraid to lose their jobs)]TJ ET EMC /P <>BDC BT 10 0 0 10 270.9093 213.6205 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 199.5805 Tm (when they see all these new schemes arrive’. )Tj ET EMC /P <>BDC BT 10 0 0 10 267.9321 199.5805 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 177.0866 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 62.3622 154.5127 Tm (Département:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 116.0322 154.5127 Tm [( ‘In the beginning, the coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 271.2715 154.5127 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 140.3687 Tm [(was the CLIC’)74.2(s af)18.1(fair)92(. And they also did)]TJ ET EMC /P <>BDC BT 10 0 0 10 235.5489 140.3687 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 126.3287 Tm [(coor)18.1(dination at the individual level. This is why it is)]TJ ET EMC /P <>BDC BT 10 0 0 10 285.7215 126.3287 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 112.2887 Tm (important to know exactly what everyone is doing.)Tj ET EMC /P <>BDC BT 10 0 0 10 284.9723 112.2887 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 98.2488 Tm (When the MAIAs arrived, the CLICs had to)Tj ET EMC /P <>BDC BT 10 0 0 10 251.1021 98.2488 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 84.2087 Tm [(r)18.1(enounce to some of their competences … This is)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.8615 84.2087 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 70.1688 Tm (why we gave them other new competences.’)Tj ET EMC /P <>BDC BT 10 0 0 10 261.4622 70.1688 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 690.6375 Tm (t)Tj /TT4 1 Tf .574 0 TD (he di)Tj /TT5 1 Tf 2.186 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(entiation pr)18.1(ocesses and boundary work)]TJ ET EMC /P <>BDC BT 10 0 0 10 522.0057 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 676.6575 Tm [(thus engaged ar)18.1(e a way )]TJ /TT5 1 Tf 10.9459 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or local actors to anticipate)Tj ET EMC /P <>BDC BT 10 0 0 10 537.727 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 662.6776 Tm (the potential e)Tj /TT5 1 Tf 6.372 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (ects o)Tj /TT5 1 Tf 2.741 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( competition between them)Tj ET EMC /P <>BDC BT 10 0 0 10 525.727 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 648.6976 Tm [(induced by rationalization and to r)18.1(e)0(a)]TJ /TT5 1 Tf 16.2429 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (irm their)Tj ET EMC /P <>BDC BT 10 0 0 10 508.2964 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 634.7176 Tm [(legitimacy to cope with coor)18.1(dination issues in the)]TJ ET EMC /P <>BDC BT 10 0 0 10 523.8571 634.7176 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 620.7376 Tm [(elderly car)18.1(e )]TJ /TT5 1 Tf 5.4259 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ield. )Tj /TT5 1 Tf 2.13 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(his is all the mor)18.1(e the case as)]TJ ET EMC /P <>BDC BT 10 0 0 10 519.5964 620.7376 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 606.7576 Tm [(these dedicated coor)18.1(dination schemes cr)18.1(eate and)]TJ ET EMC /P <>BDC BT 10 0 0 10 527.2163 606.7576 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 592.7777 Tm [(employ new pr)18.1(o)]TJ /TT5 1 Tf 7.1679 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals: typically the M)Tj /TT5 1 Tf 11.187 0 TD (aia)Tj /TT4 1 Tf 1.4808 0 TD -.0742 Tc (’s)Tj ET EMC /P <>BDC BT 10 0 0 10 511.9926 592.7777 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 578.7977 Tm (pilots \(Bertillot, 2018\) and case managers \()Tj /TT5 1 Tf 19.022 0 TD (c)Tj /TT4 1 Tf .722 0 TD (ampéon)Tj ET EMC /P <>BDC BT 10 0 0 10 537.5776 578.7977 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 564.8177 Tm (et al., 2017\). )Tj /TT5 1 Tf 5.762 0 TD (a)Tj /TT4 1 Tf .648 0 TD [(s demonstrated in pr)18.1(evious r)18.1(esear)18.1(ch,)]TJ ET EMC /P <>BDC BT 10 0 0 10 533.1556 564.8177 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 550.8377 Tm [(pr)18.1(o)]TJ /TT5 1 Tf 1.4819 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(essional r)18.1(esistance encounter)18.1(ed by new)]TJ ET EMC /P <>BDC BT 10 0 0 10 500.1458 550.8377 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 536.8577 Tm [(pr)18.1(o)]TJ /TT5 1 Tf 1.4819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals on behal)Tj /TT5 1 Tf 8.279 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( o)Tj /TT5 1 Tf .852 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( pr)18.1(e-existing ones was)]TJ ET EMC /P <>BDC BT 10 0 0 10 519.3865 536.8577 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 522.8777 Tm [(r)18.1(elated to their shar)18.1(ed pr)18.1(o)]TJ /TT5 1 Tf 11.5398 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(essional inter)18.1(est in)]TJ ET EMC /P <>BDC BT 10 0 0 10 504.785 522.8777 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 508.8978 Tm (complex situations \(Le Bihan and )Tj /TT5 1 Tf 15.115 0 TD (s)Tj /TT4 1 Tf .648 0 TD (opadzhiyan,)Tj ET EMC /P <>BDC BT 10 0 0 10 515.5277 508.8978 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 494.9178 Tm (2017a and 2017b\). )Tj /TT5 1 Tf 8.635 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he arrival o)Tj /TT5 1 Tf 4.907 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( new case)Tj ET EMC /P <>BDC BT 10 0 0 10 492.9377 494.9178 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 480.9378 Tm (managers specialized in complex cases called into)Tj ET EMC /P <>BDC BT 10 0 0 10 529.7678 480.9378 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 466.9578 Tm [(question traditional pr)18.1(o)]TJ /TT5 1 Tf 10.3169 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals’ legitimacy to)Tj ET EMC /P <>BDC BT 10 0 0 10 513.6671 466.9578 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 452.9778 Tm [(cope with such cases, which ar)18.1(e o)]TJ /TT5 1 Tf 15.3899 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ten also the most)Tj ET EMC /P <>BDC BT 10 0 0 10 537.7471 452.9778 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 438.9979 Tm [(inter)18.1(esting and stimulating ones. )]TJ /TT5 1 Tf 14.7639 0 TD (t)Tj /TT4 1 Tf .574 0 TD (his is also what)Tj ET EMC /P <>BDC BT 10 0 0 10 525.347 438.9979 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 425.0179 Tm (stands behind the discourse o)Tj /TT5 1 Tf 13.504 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( this car)18.1(e coor)18.1(dinator)92(,)]TJ ET EMC /P <>BDC BT 10 0 0 10 538.3259 425.0179 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 411.0379 Tm (involved in the pilot o)Tj /TT5 1 Tf 9.502 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( article 70: )Tj ET EMC /P <>BDC BT 10 0 0 10 450.8877 411.0379 Tm ( )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 309.3071 380 Tm [(‘W)57.1(e know each other well with the CLICs. But )]TJ ET EMC /P <>BDC BT 10 0 0 10 515.2457 380 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 365.9601 Tm (we will have to adjust things with them as they)Tj ET EMC /P <>BDC BT 10 0 0 10 515.267 365.9601 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 351.9201 Tm [(absolutely want to do coor)18.1(dination. Coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 526.0257 351.9201 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 337.8801 Tm [(of what? They don’)18.1(t have the competences of a)]TJ ET EMC /P <>BDC BT 10 0 0 10 521.2163 337.8801 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 323.8401 Tm [(health pr)18.1(ofessional. I militate for coor)18.1(dination to)]TJ ET EMC /P <>BDC BT 10 0 0 10 520.6358 323.8401 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 309.8001 Tm [(be done only by health pr)18.1(ofessionals’. )]TJ ET EMC /P <>BDC BT 10 0 0 10 482.8563 309.8001 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 287.3062 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 273.3263 Tm (t)Tj /TT4 1 Tf .574 0 TD (he notion o)Tj /TT5 1 Tf 5.02 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( boundary is particularly use)Tj /TT5 1 Tf 12.576 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ul )Tj /TT5 1 Tf 1.056 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or the)Tj ET EMC /P <>BDC BT 10 0 0 10 530.7078 273.3263 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 259.3463 Tm (analysis o)Tj /TT5 1 Tf 4.426 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( pr)18.1(o)]TJ /TT5 1 Tf 1.7599 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(essions wher)18.1(e ‘boundary work’)]TJ ET EMC /P <>BDC BT 10 0 0 10 510.4965 259.3463 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 245.3663 Tm [(designates demar)18.1(cation and/or pr)18.1(o)]TJ /TT5 1 Tf 15.6889 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionalization)Tj ET EMC /P <>BDC BT 10 0 0 10 529.0264 245.3663 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 231.3863 Tm [(pr)18.1(ocesses per)]TJ /TT5 1 Tf 6.3339 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormed by social actors to delimitate)Tj ET EMC /P <>BDC BT 10 0 0 10 529.9671 231.3863 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 217.4063 Tm (their activities \(Gieryn 1983, p. 791; )Tj /TT5 1 Tf 16.023 0 TD (a)Tj /TT4 1 Tf .648 0 TD (bbott, 1988,)Tj ET EMC /P <>BDC BT 10 0 0 10 524.8276 217.4063 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 203.4264 Tm (1995, 2005\). )Tj /TT5 1 Tf 5.819 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he same boundary work and the)Tj ET EMC /P <>BDC BT 10 0 0 10 511.8677 203.4264 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 189.4464 Tm (same stakes can be identi)Tj /TT5 1 Tf 11.652 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ied at the institutional)Tj ET EMC /P <>BDC BT 10 0 0 10 518.6976 189.4464 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 175.4664 Tm [(level. With the cr)18.1(eation o)]TJ /TT5 1 Tf 11.0019 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the r)18.1(egional health)]TJ ET EMC /P <>BDC BT 10 0 0 10 501.6364 175.4664 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 161.4864 Tm [(agencies, the départements wer)18.1(e no longer the sole)]TJ ET EMC /P <>BDC BT 10 0 0 10 535.157 161.4864 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 147.5063 Tm [(institutional actor competent in local elderly car)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 519.967 147.5063 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 133.5265 Tm [(and coor)18.1(dination policies. )]TJ /TT5 1 Tf 11.7799 0 TD (i)Tj /TT4 1 Tf .259 0 TD (n this shi)Tj /TT5 1 Tf 3.983 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ting local)Tj ET EMC /P <>BDC BT 10 0 0 10 507.187 133.5265 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 119.5465 Tm [(institutional context, maintaining a r)18.1(ole in r)18.1(egional)]TJ ET EMC /P <>BDC BT 10 0 0 10 524.2364 119.5465 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 105.5665 Tm (implementation o)Tj /TT5 1 Tf 7.744 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( national coor)18.1(dination policies is)]TJ ET EMC /P <>BDC BT 10 0 0 10 527.3871 105.5665 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 91.5865 Tm (an issue in itsel)Tj /TT5 1 Tf 6.816 0 TD (f)Tj /TT4 1 Tf .296 0 TD (: )Tj ET EMC /P <>BDC BT 10 0 0 10 380.3177 91.5865 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 77.6065 Tm ( )Tj ET EMC Q endstream endobj 1195 0 obj <>/ExtGState<>>> endobj 1197 0 obj <> endobj 1239 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 571.4064 802.4034 Tm (13)Tj ET EMC /Artifact <>BDC .08 .017 .004 0 k 56.693 626.485 234.945 79.342 re f EMC /Artifact <>BDC 56.693 190.483 234.945 39.553 re f EMC /Artifact <>BDC 56.693 117.232 234.945 53.592 re f EMC /Artifact <>BDC 303.638 598.405 234.945 107.422 re f EMC /Artifact <>BDC 303.638 412.833 234.945 165.912 re f EMC /Artifact <>BDC 303.638 106.918 234.945 165.912 re f EMC /P <>BDC /GS2 gs BT /TT2 1 Tf 10 0 0 10 62.3622 690.5475 Tm 0 0 0 1 k (Département:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 116.0322 690.5475 Tm [( ‘For us, ther)18.1(e was one condition for)]TJ ET EMC /P <>BDC BT 10 0 0 10 276.6116 690.5475 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 676.4035 Tm [(all this to work: we had to r)18.1(eally be part of it. And)]TJ ET EMC /P <>BDC BT 10 0 0 10 279.6315 676.4035 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 662.3636 Tm [(the r)18.1(egional health agency took it into account)]TJ ET EMC /P <>BDC BT 10 0 0 10 267.6015 662.3636 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 648.3236 Tm [(and understood that it had to be done in our way)74.2(.)]TJ ET EMC /P <>BDC BT 10 0 0 10 281.8899 648.3236 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 634.2836 Tm [(W)57.1(ell, that we had to work together’. )]TJ ET EMC /P <>BDC BT 10 0 0 10 223.1208 634.2836 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 611.7897 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 597.8097 Tm (t)Tj /TT4 1 Tf .574 0 TD [(his département, which had traditionally str)18.1(ong and)]TJ ET EMC /P <>BDC BT 10 0 0 10 291.562 597.8097 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 583.8297 Tm [(pr)18.1(oactive elderly car)18.1(e and coor)18.1(dination policies,)]TJ ET EMC /P <>BDC BT 10 0 0 10 270.0508 583.8297 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 569.8498 Tm [(ther)18.1(e)]TJ /TT5 1 Tf 2.2599 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or)18.1(e took a strategic decision to go )]TJ /TT5 1 Tf 15.5389 0 TD (f)Tj /TT4 1 Tf .296 0 TD (urther in)Tj ET EMC /P <>BDC BT 10 0 0 10 277.4615 569.8498 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 555.8698 Tm (the di)Tj /TT5 1 Tf 2.501 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(entiation pr)18.1(ocesses by extending the M)]TJ /TT5 1 Tf 18.4489 0 TD (aia)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 287.4808 555.8698 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 541.8898 Tm [(method to the ar)18.1(ea o)]TJ /TT5 1 Tf 9.3369 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( disabled car)18.1(e. )]TJ /TT5 1 Tf 6.8349 0 TD (t)Tj /TT4 1 Tf .574 0 TD (his can be)Tj ET EMC /P <>BDC BT 10 0 0 10 273.0515 541.8898 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 527.9098 Tm [(interpr)18.1(eted as a way to r)18.1(e)0(a)]TJ /TT5 1 Tf 11.8899 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (irm its legitimacy as a)Tj ET EMC /P <>BDC BT 10 0 0 10 277.8308 527.9098 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 513.9298 Tm [(key local institutional actor in the elderly car)18.1(e and)]TJ ET EMC /P <>BDC BT 10 0 0 10 276.9121 513.9298 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 499.9499 Tm [(coor)18.1(dination )]TJ /TT5 1 Tf 5.8529 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ields \(Le Bihan and )Tj /TT5 1 Tf 8.78 0 TD (s)Tj /TT4 1 Tf .648 0 TD (opadzhiyan,)Tj ET EMC /P <>BDC BT 10 0 0 10 266.7222 499.9499 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 485.9699 Tm (2017b\). )Tj ET EMC /P <>BDC BT 10 0 0 10 95.7929 485.9699 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 56.6929 458.9792 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 65.0666 458.9792 Tm 0 0 0 1 k ( Dissonance between institutional actors and frontline)Tj ET EMC /P <>BDC BT 11 0 0 11 283.1086 458.9792 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 56.6929 445.7793 Tm (professionals )Tj ET EMC /P <>BDC BT 11 0 0 11 113.079 445.7793 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 425.244 Tm (t)Tj /TT4 1 Tf .574 0 TD (he implementation o)Tj /TT5 1 Tf 9.115 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the new conver)28.1(gence)]TJ ET EMC /P <>BDC BT 10 0 0 10 254.9721 425.244 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 411.264 Tm (objective in its double acceptance –)Tj ET EMC /P <>BDC BT 10 0 0 10 217.0928 411.264 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 397.284 Tm (complementarity and rationalization – and)Tj ET EMC /P <>BDC BT 10 0 0 10 243.3928 397.284 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 383.304 Tm (associated di)Tj /TT5 1 Tf 5.945 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(entiation pr)18.1(ocesses at both)]TJ ET EMC /P <>BDC BT 10 0 0 10 251.9108 383.304 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 369.3241 Tm [(institutional and pr)18.1(o)]TJ /TT5 1 Tf 8.8359 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(essional levels have as a dir)18.1(ect)]TJ ET EMC /P <>BDC BT 10 0 0 10 285.8015 369.3241 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 355.3441 Tm [(consequence the r)18.1(e-politicizing o)]TJ /TT5 1 Tf 14.8159 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( local institutional)Tj ET EMC /P <>BDC BT 10 0 0 10 285.4122 355.3441 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 341.3641 Tm [(decision-making pr)18.1(ocesses. )]TJ /TT5 1 Tf 12.8179 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he timescale o)Tj /TT5 1 Tf 6.483 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 258.4022 341.3641 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 327.3841 Tm (institutional decision making becomes distended, as)Tj ET EMC /P <>BDC BT 10 0 0 10 290.6528 327.3841 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 313.4041 Tm (complex negotiations on di)Tj /TT5 1 Tf 12.095 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent aspects o)]TJ /TT5 1 Tf 6.9089 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the)Tj ET EMC /P <>BDC BT 10 0 0 10 272.2915 313.4041 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 299.4243 Tm [(implementation pr)18.1(ocess r)18.1(equir)18.1(e time. )]TJ /TT5 1 Tf 16.8398 0 TD (a)Tj /TT4 1 Tf .648 0 TD [(s a r)18.1(esult, the)]TJ ET EMC /P <>BDC BT 10 0 0 10 291.5901 299.4243 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 285.4442 Tm (timescale needed )Tj /TT5 1 Tf 8.169 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or local institutional negotiations)Tj ET EMC /P <>BDC BT 10 0 0 10 285.6128 285.4442 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 271.4642 Tm [(no longer corr)18.1(esponds to the timescale o)]TJ /TT5 1 Tf 18.3369 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( local)Tj ET EMC /P <>BDC BT 10 0 0 10 266.7222 271.4642 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 257.4843 Tm [(pr)18.1(o)]TJ /TT5 1 Tf 1.4819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essional actors and their expectations )Tj /TT5 1 Tf 17.224 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or rapid)Tj ET EMC /P <>BDC BT 10 0 0 10 284.3022 257.4843 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 243.5042 Tm (solutions. )Tj ET EMC /P <>BDC BT 10 0 0 10 102.4429 243.5042 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 62.3622 212.4264 Tm (Département:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 116.0322 212.4264 Tm [( ‘Pr)18.1(ofessionals want concr)18.1(ete)]TJ ET EMC /P <>BDC BT 10 0 0 10 246.7809 212.4264 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 198.2823 Tm [(solutions. And it’)74.2(s long.’ )]TJ ET EMC /P <>BDC BT 10 0 0 10 171.27 198.2823 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 175.7885 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 62.3622 153.2146 Tm -.0371 Tw [(PT)55.2(A A:)37.1( )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 89.3782 153.2146 Tm 0 Tw [(‘[talking about P)74.2(AERP)74.2(A] the r)18.1(egional health)]TJ ET EMC /P <>BDC BT 10 0 0 10 279.7931 153.2146 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 139.0706 Tm (agency started working on it on April 2017 and)Tj ET EMC /P <>BDC BT 10 0 0 10 269.8221 139.0706 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 125.0307 Tm [(ther)18.1(e is still nothing concr)18.1(ete’.)]TJ ET EMC /P <>BDC BT 10 0 0 10 195.9008 125.0307 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 102.5367 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 309.3071 690.5475 Tm [(Care coordinator B:)37.1( )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 388.0959 690.5475 Tm [(‘Ther)18.1(e ar)18.1(e institutional)]TJ ET EMC /P <>BDC BT 10 0 0 10 486.0846 690.5475 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 676.4035 Tm [(obstacles. Ther)18.1(e is not a political will to say)74.2(, OK,)]TJ ET EMC /P <>BDC BT 10 0 0 10 522.8442 676.4035 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 662.3636 Tm [(all pr)18.1(ofessionals fr)18.1(om the département will have )]TJ ET EMC /P <>BDC BT 10 0 0 10 523.4058 662.3636 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 648.3236 Tm [(a secur)18.1(ed messaging system. I think this issue)]TJ ET EMC /P <>BDC BT 10 0 0 10 514.1263 648.3236 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 634.2836 Tm [(should be of the competence of the r)18.1(egion. But)]TJ ET EMC /P <>BDC BT 10 0 0 10 520.0964 634.2836 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 620.2436 Tm (they spend their time so as to please everyone …)Tj ET EMC /P <>BDC BT 10 0 0 10 528.397 620.2436 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 606.2036 Tm [(And this is something very concr)18.1(ete we need.’)]TJ ET EMC /P <>BDC BT 10 0 0 10 514.5164 606.2036 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 583.7098 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 309.3071 561.1358 Tm -.0371 Tw (MAIA A:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 340.396 561.1358 Tm 0 Tw ( It is complicated because depending on)Tj ET EMC /P <>BDC BT 10 0 0 10 521.3658 561.1358 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 546.9919 Tm (what you want to put in place you need)Tj ET EMC /P <>BDC BT 10 0 0 10 484.3669 546.9919 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 532.9519 Tm (institutional validations. The stakeholders on the)Tj ET EMC /P <>BDC BT 10 0 0 10 522.1171 532.9519 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 518.9119 Tm (territory want things to go quickly and it is not)Tj ET EMC /P <>BDC BT 10 0 0 10 512.1071 518.9119 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 504.8719 Tm (always possible … Do what I say and not what I)Tj ET EMC /P <>BDC BT 10 0 0 10 520.827 504.8719 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 490.8319 Tm (do. They want us to change our ways of doing)Tj ET EMC /P <>BDC BT 10 0 0 10 514.717 490.8319 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 476.792 Tm [(things and to work together)92(, but sometimes the)]TJ ET EMC /P <>BDC BT 10 0 0 10 519.3466 476.792 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 462.752 Tm (integration between the département and the)Tj ET EMC /P <>BDC BT 10 0 0 10 510.487 462.752 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 448.712 Tm [(r)18.1(egional health agency)74.2(, it is r)18.1(eally complicated.)]TJ ET EMC /P <>BDC BT 10 0 0 10 515.4535 448.712 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 434.672 Tm [(When you ask them to better coor)18.1(dinate their)]TJ ET EMC /P <>BDC BT 10 0 0 10 510.2764 434.672 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 420.6321 Tm [(schemes, it is much mor)18.1(e complicated!’ )]TJ ET EMC /P <>BDC BT 10 0 0 10 489.1463 420.6321 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 398.1381 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 384.1581 Tm [(Meanwhile, local actors ar)18.1(e also very critical o)]TJ /TT5 1 Tf 20.4989 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj ET EMC /P <>BDC BT 10 0 0 10 514.3671 384.1581 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 370.1782 Tm [(the time allotted to the experimentations, per)18.1(ceived)]TJ ET EMC /P <>BDC BT 10 0 0 10 533.3271 370.1782 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 356.1982 Tm [(as too short. Wher)18.1(eas all actors underline the)]TJ ET EMC /P <>BDC BT 10 0 0 10 505.707 356.1982 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 342.2183 Tm (importance o)Tj /TT5 1 Tf 5.909 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the long run )Tj /TT5 1 Tf 5.891 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or trans)Tj /TT5 1 Tf 3.426 0 TD (f)Tj /TT4 1 Tf .296 0 TD (orming a)Tj ET EMC /P <>BDC BT 10 0 0 10 504.0478 342.2183 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 328.2382 Tm (system and )Tj /TT5 1 Tf 5.447 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or establishing its legitimacy)74.2(, various)]TJ ET EMC /P <>BDC BT 10 0 0 10 524.4155 328.2382 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 314.2582 Tm (local stakeholders highlight the di)Tj /TT5 1 Tf 14.947 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (iculty they have)Tj ET EMC /P <>BDC BT 10 0 0 10 528.307 314.2582 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 300.2783 Tm [(to support experimentations which ar)18.1(e limited in)]TJ ET EMC /P <>BDC BT 10 0 0 10 518.4971 300.2783 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 286.2983 Tm (time and have an uncertain )Tj /TT5 1 Tf 12.375 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(utur)18.1(e. )]TJ ET EMC /P <>BDC BT 10 0 0 10 458.697 286.2983 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 309.3071 255.2204 Tm [(Care coordinator B:)37.1( )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 388.0959 255.2204 Tm (‘So we find ourselves with a)Tj ET EMC /P <>BDC BT 10 0 0 10 512.3559 255.2204 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 241.0764 Tm [(P)74.2(AERP)74.2(A pilot on territories A, B and C. They)]TJ ET EMC /P <>BDC BT 10 0 0 10 506.3627 241.0764 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 227.0365 Tm (started thinking about it in May 2017 after having)Tj ET EMC /P <>BDC BT 10 0 0 10 526.037 227.0365 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 212.9965 Tm [(elaborated a r)18.1(oadmap which begins to be mor)18.1(e )]TJ ET EMC /P <>BDC BT 10 0 0 10 522.7057 212.9965 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 198.9565 Tm (or less clear now and with the experimentation)Tj ET EMC /P <>BDC BT 10 0 0 10 516.187 198.9565 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 184.9165 Tm (ending in December 2018. How do you want to)Tj ET EMC /P <>BDC BT 10 0 0 10 519.7371 184.9165 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 170.8766 Tm [(motivate local actors on something like this? Y)111.1(o)0(u)]TJ ET EMC /P <>BDC BT 10 0 0 10 525.4363 170.8766 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 156.8366 Tm (need to think, to change your practice, and it)Tj ET EMC /P <>BDC BT 10 0 0 10 508.627 156.8366 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 142.7966 Tm (stops in six months and they needed a year just to)Tj ET EMC /P <>BDC BT 10 0 0 10 532.127 142.7966 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 128.7567 Tm [(define the r)18.1(oadmap! And we don’)18.1(t even know if it)]TJ ET EMC /P <>BDC BT 10 0 0 10 527.5156 128.7567 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 114.7166 Tm (is going to be made permanent or not.’)Tj ET EMC /P <>BDC BT 10 0 0 10 483.057 114.7166 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 92.2228 Tm ( )Tj ET EMC Q endstream endobj 1240 0 obj <>/ExtGState<>>> endobj 1242 0 obj <> endobj 1284 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 571.4064 802.4034 Tm (14)Tj ET EMC /Artifact <>BDC .08 .017 .004 0 k 56.693 598.405 234.945 107.422 re f EMC /Artifact <>BDC 56.693 217.363 234.945 81.673 re f EMC /Artifact <>BDC 56.693 101.992 234.945 95.712 re f EMC /Artifact <>BDC 303.638 626.485 234.945 79.342 re f EMC /P <>BDC /GS2 gs BT /TT2 1 Tf 10 0 0 10 62.3622 690.5475 Tm 0 0 0 1 k -.0371 Tw [(PT)55.2(A A:)37.1( )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 89.3782 690.5475 Tm 0 Tw [(‘Y)111.1(ou need 10 years for a system to be)]TJ ET EMC /P <>BDC BT 10 0 0 10 256.4374 690.5475 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 676.4035 Tm [(r)18.1(ecognized, to develop. In 10 years’ time, we )]TJ ET EMC /P <>BDC BT 10 0 0 10 263.8715 676.4035 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 662.3636 Tm [(ar)18.1(e known and r)18.1(ecognized. But now)55.2(, ther)18.1(e is a)]TJ ET EMC /P <>BDC BT 10 0 0 10 267.4184 662.3636 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 648.3236 Tm (succession of schemes which only have the time)Tj ET EMC /P <>BDC BT 10 0 0 10 278.8522 648.3236 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 634.2836 Tm [(to be experimental and then they ar)18.1(e r)18.1(eplaced by)]TJ ET EMC /P <>BDC BT 10 0 0 10 280.0207 634.2836 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 620.2436 Tm [(new schemes, how can you make them conver)28.1(ge)]TJ ET EMC /P <>BDC BT 10 0 0 10 281.5514 620.2436 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 606.2036 Tm (in that case?’ )Tj ET EMC /P <>BDC BT 10 0 0 10 135.7322 606.2036 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 583.7098 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.2529 583.7098 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 569.7298 Tm (t)Tj /TT4 1 Tf .574 0 TD [(his per)18.1(ception o)]TJ /TT5 1 Tf 7.1869 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( implementation pr)18.1(ocesses as at)]TJ ET EMC /P <>BDC BT 10 0 0 10 282.1216 569.7298 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 555.7498 Tm (the same time too long-drawn out but also too brie)Tj /TT5 1 Tf 22.709 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 286.743 555.7498 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 541.7698 Tm (has also been identi)Tj /TT5 1 Tf 8.928 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ied as an obstacle in )Tj /TT5 1 Tf 9.465 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.6653 0 TD -.0742 Tc (’s)Tj ET EMC /P <>BDC BT 10 0 0 10 287.274 541.7698 Tm 0 Tc ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 527.7898 Tm (f)Tj /TT4 1 Tf .296 0 TD [(irst wave evaluation r)18.1(eports \(Gand et al., 2017;)]TJ ET EMC /P <>BDC BT 10 0 0 10 267.0923 527.7898 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 513.8098 Tm (Ministry o)Tj /TT5 1 Tf 4.371 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj /TT5 1 Tf .278 0 TD (s)Tj /TT4 1 Tf .648 0 TD (olidarities and )Tj /TT5 1 Tf 6.519 0 TD (h)Tj /TT4 1 Tf .722 0 TD (ealth, 2018\). Our )Tj ET EMC /P <>BDC BT 10 0 0 10 261.9228 513.8098 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 499.8299 Tm (study builds on this evidence by pointing to the)Tj ET EMC /P <>BDC BT 10 0 0 10 267.8728 499.8299 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 485.8499 Tm (dissonance o)Tj /TT5 1 Tf 5.964 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( both priorities and temporality)Tj ET EMC /P <>BDC BT 10 0 0 10 256.1728 485.8499 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 471.8699 Tm (between institutional actors and )Tj /TT5 1 Tf 14.539 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(ontline)]TJ ET EMC /P <>BDC BT 10 0 0 10 238.0122 471.8699 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 457.8899 Tm [(pr)18.1(o)]TJ /TT5 1 Tf 1.4819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals. )Tj /TT5 1 Tf 4.704 0 TD (n)Tj /TT4 1 Tf .722 0 TD (evertheless, delay in implementation)Tj ET EMC /P <>BDC BT 10 0 0 10 291.1822 457.8899 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 443.9099 Tm (has also been )Tj /TT5 1 Tf 6.483 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ound to be a )Tj /TT5 1 Tf 5.947 0 TD (f)Tj /TT4 1 Tf .296 0 TD (actor )Tj /TT5 1 Tf 2.574 0 TD (f)Tj /TT4 1 Tf .296 0 TD (acilitating local)Tj ET EMC /P <>BDC BT 10 0 0 10 281.9027 443.9099 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 429.93 Tm [(actors’ mobilization and the scheme’)74.2(s adaptation to)]TJ ET EMC /P <>BDC BT 10 0 0 10 287.6707 429.93 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 415.95 Tm (local speci)Tj /TT5 1 Tf 4.759 0 TD (f)Tj /TT4 1 Tf .296 0 TD (icities and needs \(Ministry o)Tj /TT5 1 Tf 12.428 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj /TT5 1 Tf .278 0 TD (s)Tj /TT4 1 Tf .648 0 TD (olidarities)Tj ET EMC /P <>BDC BT 10 0 0 10 286.5128 415.95 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 401.97 Tm (and )Tj /TT5 1 Tf 1.964 0 TD (h)Tj /TT4 1 Tf .722 0 TD (ealth, 2018\). )Tj ET EMC /P <>BDC BT 10 0 0 10 149.5129 401.97 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 56.6929 374.9793 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 65.0666 374.9793 Tm 0 0 0 1 k ( )Tj ET EMC /P <>BDC /GS1 gs BT 11 0 0 11 67.7064 374.9793 Tm .533 .114 .024 0 k (Remaining complexity and the risks it involves )Tj ET EMC /P <>BDC BT 11 0 0 11 258.2156 374.9793 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT4 1 Tf 10 0 0 10 56.6929 354.4441 Tm 0 0 0 1 k [(finally)74.2(, the last element explaining unequal support)]TJ ET EMC /P <>BDC BT 10 0 0 10 284.7106 354.4441 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 340.4641 Tm [(and persistent r)18.1(esistance is the )]TJ /TT5 1 Tf 14.1699 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(eeling expr)18.1(essed )]TJ ET EMC /P <>BDC BT 10 0 0 10 279.6915 340.4641 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 326.4842 Tm [(by local stakeholders that the system r)18.1(emains as)]TJ ET EMC /P <>BDC BT 10 0 0 10 274.1622 326.4842 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 312.5042 Tm (complex as it was: )Tj ET EMC /P <>BDC BT 10 0 0 10 142.6229 312.5042 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 62.3622 281.4263 Tm [(Regional nurses’ organization:)37.1( )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 185.2011 281.4263 Tm (When we went to the)Tj ET EMC /P <>BDC BT 10 0 0 10 279.671 281.4263 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 267.2823 Tm [(meeting for the P)74.2(AERP)74.2(A pr)18.1(esentation, they [the)]TJ ET EMC /P <>BDC BT 10 0 0 10 272.3971 267.2823 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 253.2423 Tm [(r)18.1(egional health agency] wer)18.1(e unable to tell us how)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.8908 253.2423 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 239.2024 Tm [(the P)74.2(AERP)74.2(A and the MAIA and P)74.2(AERP)74.2(A and PT)92(A)]TJ ET EMC /P <>BDC BT 10 0 0 10 280.953 239.2024 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 225.1624 Tm [(wer)18.1(e meant to articulated. )]TJ ET EMC /P <>BDC BT 10 0 0 10 181.1015 225.1624 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 202.6685 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 62.3622 180.0946 Tm [(Département:)37.1( )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 118.0612 180.0946 Tm [([talking about P)74.2(AERP)74.2(A] This is)]TJ ET EMC /P <>BDC BT 10 0 0 10 251.9567 180.0946 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 165.9506 Tm (something additional, which brings many positive)Tj ET EMC /P <>BDC BT 10 0 0 10 281.2823 165.9506 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 151.9106 Tm (elements, but it was implemented in a territory)Tj ET EMC /P <>BDC BT 10 0 0 10 268.1321 151.9106 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 137.8705 Tm [(wher)18.1(e ther)18.1(e wer)18.1(e alr)18.1(eady many other things.)]TJ ET EMC /P <>BDC BT 10 0 0 10 259.0695 137.8705 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 123.8307 Tm [(Ther)18.1(e ar)18.1(e too many things implemented at the)]TJ ET EMC /P <>BDC BT 10 0 0 10 267.0508 123.8307 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 62.3622 109.7906 Tm (same time. )Tj ET EMC /P <>BDC BT 10 0 0 10 113.8522 109.7906 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 56.6929 87.2968 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 309.3071 690.5475 Tm (MAIA B:)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 340.7671 690.5475 Tm ( In territory B, everything was done at the)Tj ET EMC /P <>BDC BT 10 0 0 10 523.747 690.5475 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 676.4035 Tm [(same time. This implies a lot of pr)18.1(ofessionals who)]TJ ET EMC /P <>BDC BT 10 0 0 10 529.4965 676.4035 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 662.3636 Tm (dit not even have the time to understand what the)Tj ET EMC /P <>BDC BT 10 0 0 10 530.307 662.3636 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 648.3236 Tm [(MAIA was about and since then ther)18.1(e have been)]TJ ET EMC /P <>BDC BT 10 0 0 10 524.7464 648.3236 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 309.3071 634.2836 Tm [(thr)18.1(ee other schemes! )]TJ ET EMC /P <>BDC BT 10 0 0 10 405.7964 634.2836 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 303.6378 611.7897 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 597.8097 Tm (i)Tj /TT4 1 Tf .259 0 TD (n the )Tj /TT5 1 Tf 2.52 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ace o)Tj /TT5 1 Tf 2.463 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( these persistent di)Tj /TT5 1 Tf 8.502 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (iculties, the)Tj ET EMC /P <>BDC BT 10 0 0 10 503.4871 597.8097 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 583.8297 Tm (disengagement o)Tj /TT5 1 Tf 7.743 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( local actors \(both medical)Tj ET EMC /P <>BDC BT 10 0 0 10 502.0077 583.8297 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 569.8498 Tm [(doctors and r)18.1(esidential car)18.1(e stakeholders\) due to)]TJ ET EMC /P <>BDC BT 10 0 0 10 521.8264 569.8498 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 555.8698 Tm (lack o)Tj /TT5 1 Tf 2.667 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( time and inter)18.1(est was identi)]TJ /TT5 1 Tf 12.5399 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ied as a major)Tj ET EMC /P <>BDC BT 10 0 0 10 524.417 555.8698 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 541.8898 Tm (risk in our interviews. )Tj /TT5 1 Tf 9.685 0 TD (i)Tj /TT4 1 Tf .259 0 TD [(n local dynamics str)18.1(ongly)]TJ ET EMC /P <>BDC BT 10 0 0 10 516.4372 541.8898 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 527.9098 Tm (dependent on the engagement o)Tj /TT5 1 Tf 14.617 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( local actors, the)Tj ET EMC /P <>BDC BT 10 0 0 10 526.8477 527.9098 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 513.9298 Tm [(pr)18.1(ocess o)]TJ /TT5 1 Tf 4.4079 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( making sense o)Tj /TT5 1 Tf 7.299 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the integration pr)18.1(oject)]TJ ET EMC /P <>BDC BT 10 0 0 10 527.3865 513.9298 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 499.9499 Tm [(r)18.1(emains a major )]TJ /TT5 1 Tf 7.4099 0 TD (f)Tj /TT4 1 Tf .296 0 TD (actor determining local integration)Tj ET EMC /P <>BDC BT 10 0 0 10 533.3071 499.9499 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 485.9699 Tm (outputs. )Tj /TT5 1 Tf 3.965 0 TD (a)Tj /TT4 1 Tf .648 0 TD (ll )Tj /TT5 1 Tf .722 0 TD (f)Tj /TT4 1 Tf .296 0 TD (actors contributing to hindering this)Tj ET EMC /P <>BDC BT 10 0 0 10 518.8677 485.9699 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 471.9899 Tm [(pr)18.1(ocess carry the risk o)]TJ /TT5 1 Tf 10.4639 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( local actors’)Tj ET EMC /P <>BDC BT 10 0 0 10 468.457 471.9899 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 458.0099 Tm (disengagement and )Tj /TT5 1 Tf 9.133 0 TD (f)Tj /TT4 1 Tf .296 0 TD (urther challenge the e)Tj /TT5 1 Tf 9.687 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (ective)Tj ET EMC /P <>BDC BT 10 0 0 10 527.0171 458.0099 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 444.0299 Tm (integration o)Tj /TT5 1 Tf 5.593 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( health and social car)18.1(e )]TJ /TT5 1 Tf 10.3169 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or the elderly)74.2(. )]TJ ET EMC /P <>BDC BT 10 0 0 10 531.6249 444.0299 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /F1 1 Tf 14 0 0 14 303.6378 406.8968 Tm .533 .114 .024 0 k (4)Tj ET EMC /P <>BDC BT 14 0 0 14 319.6378 406.8968 Tm (Discussion)Tj ET EMC /P <>BDC BT 14 0 0 14 375.3719 406.8968 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 303.6378 378.0656 Tm (4.1)Tj ET EMC /P <>BDC BT 11 0 0 11 319.6365 378.0656 Tm [(F)20(rench pa)-10(thways for producing health and social care)]TJ ET EMC /P <>BDC BT 11 0 0 11 537.5466 378.0656 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 319.6365 364.8656 Tm [(integra)-10(tion in the elderly sector)]TJ ET EMC /P <>BDC BT 11 0 0 11 445.9496 364.8656 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT5 1 Tf 10 0 0 10 303.6378 344.3304 Tm 0 0 0 1 k (t)Tj /TT4 1 Tf .574 0 TD (he aim o)Tj /TT5 1 Tf 3.835 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the fr)18.1(ench in-depth study was to take )]TJ ET EMC /P <>BDC BT 10 0 0 10 525.9271 344.3304 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 330.3504 Tm (a close look at the implementation o)Tj /TT5 1 Tf 16.19 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( fr)18.1(ench)]TJ ET EMC /P <>BDC BT 10 0 0 10 502.0271 330.3504 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 316.3704 Tm (integration policies by putting the emphasis on the)Tj ET EMC /P <>BDC BT 10 0 0 10 529.2578 316.3704 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 302.3904 Tm (local level. )Tj ET EMC /P <>BDC BT 10 0 0 10 353.0778 302.3904 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 279.9065 Tm (a)Tj /TT4 1 Tf .648 0 TD [(nalysis shows that local integration pr)18.1(ocesses do)]TJ ET EMC /P <>BDC BT 10 0 0 10 529.207 279.9065 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 265.9265 Tm (take place as a consequence o)Tj /TT5 1 Tf 13.892 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( both pr)18.1(e-existent)]TJ ET EMC /P <>BDC BT 10 0 0 10 524.797 265.9265 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 251.9466 Tm (dynamics and implementing national policies. )Tj /TT5 1 Tf 20.618 0 TD (a)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 516.2977 251.9466 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 237.9666 Tm [(major achievement in the territory studied her)18.1(e is )]TJ ET EMC /P <>BDC BT 10 0 0 10 524.2471 237.9666 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 223.9866 Tm [(the established cooperation between r)18.1(egional and)]TJ ET EMC /P <>BDC BT 10 0 0 10 526.8171 223.9866 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 210.0066 Tm (local institutional actors, as well as other )Tj /TT5 1 Tf 18.352 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inancing)Tj ET EMC /P <>BDC BT 10 0 0 10 527.7178 210.0066 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 196.0266 Tm (stakeholders, when implementing di)Tj /TT5 1 Tf 16.097 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent)]TJ ET EMC /P <>BDC BT 10 0 0 10 492.9464 196.0266 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 182.0467 Tm [(coor)18.1(dination schemes. )]TJ /TT5 1 Tf 10.4289 0 TD (t)Tj /TT4 1 Tf .574 0 TD (his cooperation was not)Tj ET EMC /P <>BDC BT 10 0 0 10 520.707 182.0467 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 168.0667 Tm (obvious due to the traditional legitimacy o)Tj /TT5 1 Tf 18.689 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the)Tj ET EMC /P <>BDC BT 10 0 0 10 510.3477 168.0667 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 154.0867 Tm [(département and its r)18.1(esponsibility )]TJ /TT5 1 Tf 15.4119 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or local social)Tj ET EMC /P <>BDC BT 10 0 0 10 522.187 154.0867 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 140.1067 Tm [(car)18.1(e policies, and to the r)18.1(egional agencies’ r)18.1(elatively)]TJ ET EMC /P <>BDC BT 10 0 0 10 536.2557 140.1067 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 126.1266 Tm [(r)18.1(ecent cr)18.1(eation and their r)18.1(esponsibilities within the)]TJ ET EMC /P <>BDC BT 10 0 0 10 527.3757 126.1266 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 112.1469 Tm [(social \(medico-social\) sector)92(. )]TJ /TT5 1 Tf 13.223 0 TD (n)Tj /TT4 1 Tf .722 0 TD (or is this cooperation)Tj ET EMC /P <>BDC BT 10 0 0 10 537.1673 112.1469 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 98.1668 Tm (per)Tj /TT5 1 Tf 1.463 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ect, as the two institutional actors intervene at)Tj ET EMC /P <>BDC BT 10 0 0 10 526.8076 98.1668 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 84.1868 Tm (di)Tj /TT5 1 Tf .815 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent levels o)]TJ /TT5 1 Tf 5.9079 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( gover)-17.8(nance, r)18.1(epr)18.1(esent di)]TJ /TT5 1 Tf 11.3907 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent)]TJ ET EMC /P <>BDC BT 10 0 0 10 521.812 84.1868 Tm ( )Tj ET EMC Q endstream endobj 1285 0 obj <>/ExtGState<>>> endobj 1287 0 obj <> endobj 1307 0 obj <> endobj 1323 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 571.4064 802.4034 Tm (15)Tj ET EMC /P <>BDC /GS2 gs BT /TT4 1 Tf 10 0 0 10 56.6929 690.6375 Tm 0 0 0 1 k (authorities and have di)Tj /TT5 1 Tf 10.132 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent )]TJ /TT5 1 Tf 2.5379 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(unding and inter)18.1(ests.)]TJ ET EMC /P <>BDC BT 10 0 0 10 285.8308 690.6375 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 676.6575 Tm (n)Tj /TT4 1 Tf .722 0 TD (evertheless, evidence clearly shows their joint)Tj ET EMC /P <>BDC BT 10 0 0 10 267.8029 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 662.6776 Tm (e)Tj /TT5 1 Tf .537 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (orts avoid contributing to local complexity by)Tj ET EMC /P <>BDC BT 10 0 0 10 268.9422 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 648.6976 Tm [(implementing all thr)18.1(ee coor)18.1(dination schemes)]TJ ET EMC /P <>BDC BT 10 0 0 10 256.5715 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 634.7176 Tm (independently )Tj /TT5 1 Tf 6.595 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om one another)92(. )]TJ ET EMC /P <>BDC BT 10 0 0 10 209.5318 634.7176 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 612.2337 Tm (h)Tj /TT4 1 Tf .722 0 TD [(owever)92(, r)18.1(esults also point to the )]TJ /TT5 1 Tf 14.4279 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(act the fr)18.1(ench)]TJ ET EMC /P <>BDC BT 10 0 0 10 275.4311 612.2337 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 598.2537 Tm (pathways o)Tj /TT5 1 Tf 5.148 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( integrating health and social car)18.1(e in )]TJ ET EMC /P <>BDC BT 10 0 0 10 275.0522 598.2537 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 584.2737 Tm [(the elderly car)18.1(e sector ar)18.1(e neither the shortest nor)]TJ ET EMC /P <>BDC BT 10 0 0 10 279.1315 584.2737 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 570.2937 Tm [(the simplest. Local institutional and pr)18.1(o)]TJ /TT5 1 Tf 17.5239 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essional)Tj ET EMC /P <>BDC BT 10 0 0 10 271.3722 570.2937 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 556.3138 Tm [(stakeholders r)18.1(emain attached to the idea o)]TJ /TT5 1 Tf 19.0979 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 250.6321 556.3138 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 542.3338 Tm (complementarity in a bid to ameliorate their)Tj ET EMC /P <>BDC BT 10 0 0 10 250.6328 542.3338 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 528.3538 Tm [(practices and pr)18.1(event discontinuities in elderly)]TJ ET EMC /P <>BDC BT 10 0 0 10 263.5821 528.3538 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 514.3738 Tm (people and their )Tj /TT5 1 Tf 7.539 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(amilies’ experience thr)18.1(ough the)]TJ ET EMC /P <>BDC BT 10 0 0 10 274.7021 514.3738 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 500.3938 Tm [(system. But they ar)18.1(e also critical o)]TJ /TT5 1 Tf 15.3359 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the second)Tj ET EMC /P <>BDC BT 10 0 0 10 265.6222 500.3938 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 486.4139 Tm [(inher)18.1(ent objective o)]TJ /TT5 1 Tf 8.7609 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( rationalization supported by)Tj ET EMC /P <>BDC BT 10 0 0 10 274.4922 486.4139 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 472.4339 Tm [(curr)18.1(ent conver)28.1(gence policies. )]TJ /TT5 1 Tf 13.4178 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he latter brings them)Tj ET EMC /P <>BDC BT 10 0 0 10 288.8614 472.4339 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 458.4539 Tm (to better de)Tj /TT5 1 Tf 5.205 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ine the scope o)Tj /TT5 1 Tf 6.872 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( their actions in or)18.1(der to)]TJ ET EMC /P <>BDC BT 10 0 0 10 289.5121 458.4539 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 444.4739 Tm (avoid duplication, which )Tj /TT5 1 Tf 11.094 0 TD (f)Tj /TT4 1 Tf .296 0 TD (avours integration. But it)Tj ET EMC /P <>BDC BT 10 0 0 10 280.0529 444.4739 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 430.4939 Tm [(also cr)18.1(eates conditions )]TJ /TT5 1 Tf 10.5939 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or competition )Tj /TT5 1 Tf 6.761 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or capturing)Tj ET EMC /P <>BDC BT 10 0 0 10 290.2422 430.4939 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 416.5139 Tm [(the rar)18.1(e available r)18.1(esour)18.1(ces. )]TJ /TT5 1 Tf 12.7978 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(his jeopar)18.1(dizes)]TJ ET EMC /P <>BDC BT 10 0 0 10 257.0702 416.5139 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 402.534 Tm [(pr)18.1(evious collaboration dynamics and the adher)18.1(ence)]TJ ET EMC /P <>BDC BT 10 0 0 10 287.4915 402.534 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 388.554 Tm (to the idea o)Tj /TT5 1 Tf 5.594 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( complementarity central to the)Tj ET EMC /P <>BDC BT 10 0 0 10 254.8929 388.554 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 374.574 Tm (objective o)Tj /TT5 1 Tf 4.889 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( better mutual knowledge as a)Tj ET EMC /P <>BDC BT 10 0 0 10 243.5729 374.574 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 360.594 Tm [(pr)18.1(econdition )]TJ /TT5 1 Tf 5.8719 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or integration.)Tj ET EMC /P <>BDC BT 10 0 0 10 180.4122 360.594 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 338.1101 Tm [(finally)74.2(, this in-depth study also shows the limits o)]TJ /TT5 1 Tf 22.1158 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 280.8107 338.1101 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 324.1302 Tm (trans)Tj /TT5 1 Tf 2.241 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(erring r)18.1(esponsibility )]TJ /TT5 1 Tf 8.9819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or making the system)Tj ET EMC /P <>BDC BT 10 0 0 10 270.9922 324.1302 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 310.1502 Tm [(mor)18.1(e coher)18.1(ent at the local level. )]TJ /TT5 1 Tf 14.5219 0 TD (d)Tj /TT4 1 Tf .704 0 TD (espite local)Tj ET EMC /P <>BDC BT 10 0 0 10 259.6916 310.1502 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 296.1702 Tm [(actors’ willingness to contribute to elderly people’)74.2(s)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.0007 296.1702 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 282.1902 Tm [(mor)18.1(e seamless experience )]TJ /TT5 1 Tf 12.2059 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om the system, their)]TJ ET EMC /P <>BDC BT 10 0 0 10 276.0115 282.1902 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 268.2102 Tm [(r)18.1(esistance and disengagement r)18.1(emains closely)]TJ ET EMC /P <>BDC BT 10 0 0 10 265.2615 268.2102 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 254.2303 Tm [(linked to the complexity inher)18.1(ent in implementing )]TJ ET EMC /P <>BDC BT 10 0 0 10 278.4421 254.2303 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 240.2502 Tm (a number o)Tj /TT5 1 Tf 5.095 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( di)Tj /TT5 1 Tf 1.093 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent but very similar coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 278.9709 240.2502 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 226.2703 Tm (schemes at the same time. )Tj /TT5 1 Tf 12.302 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he )Tj /TT5 1 Tf 1.371 0 TD (f)Tj /TT4 1 Tf .296 0 TD (eeling o)Tj /TT5 1 Tf 3.5 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( local)Tj ET EMC /P <>BDC BT 10 0 0 10 263.7827 226.2703 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 212.2903 Tm (stakeholders that they have to achieve objectives)Tj ET EMC /P <>BDC BT 10 0 0 10 276.7328 212.2903 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 198.3102 Tm [(that ar)18.1(e not met by national institutional actors is )]TJ ET EMC /P <>BDC BT 10 0 0 10 276.7521 198.3102 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 184.3304 Tm [(a r)18.1(ecurr)18.1(ent motive )]TJ /TT5 1 Tf 8.3729 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or criticism. Mor)18.1(e coher)18.1(ent)]TJ ET EMC /P <>BDC BT 10 0 0 10 263.2202 184.3304 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 170.3504 Tm [(national policies ar)18.1(e mor)18.1(e than expected by local)]TJ ET EMC /P <>BDC BT 10 0 0 10 275.2515 170.3504 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 156.3704 Tm (stakeholders. )Tj /TT5 1 Tf 6.279 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he evolution )Tj /TT5 1 Tf 5.705 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om the)]TJ ET EMC /P <>BDC BT 10 0 0 10 219.5122 156.3704 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 142.3904 Tm (experimentation o)Tj /TT5 1 Tf 8.057 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( article 70 to that o)Tj /TT5 1 Tf 8.391 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj /TT5 1 Tf .278 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( )Tj ET EMC /P <>BDC BT 10 0 0 10 270.0485 142.3904 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 128.4104 Tm (and )Tj /TT5 1 Tf 1.964 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inally the transcription into law o)Tj /TT5 1 Tf 14.408 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the )Tj /TT5 1 Tf 1.964 0 TD [(pt)92(a)]TJ /TT4 1 Tf 1.778 0 TD ( as )Tj ET EMC /P <>BDC BT 10 0 0 10 279.6824 128.4104 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 114.4305 Tm (a permanent version o)Tj /TT5 1 Tf 9.984 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the )Tj /TT5 1 Tf 1.964 0 TD [(ct)92(a)]TJ /TT4 1 Tf 1.852 0 TD ( is in itsel)Tj /TT5 1 Tf 4.13 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( a way )Tj ET EMC /P <>BDC BT 10 0 0 10 273.5724 114.4305 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 100.4505 Tm (o)Tj /TT5 1 Tf .574 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( building coher)18.1(ence at the national level.)]TJ ET EMC /P <>BDC BT 10 0 0 10 245.0622 100.4505 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 86.4705 Tm (n)Tj /TT4 1 Tf .722 0 TD [(evertheless, this pr)18.1(ocess o)]TJ /TT5 1 Tf 11.9089 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( integration o)Tj /TT5 1 Tf 5.871 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( health)Tj ET EMC /P <>BDC BT 10 0 0 10 277.6422 86.4705 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 72.4905 Tm [(and social car)18.1(e r)18.1(emains quite nebulous )]TJ /TT5 1 Tf 17.7089 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or local)Tj ET EMC /P <>BDC BT 10 0 0 10 269.5115 72.4905 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 690.6375 Tm [(stakeholders, who need clear)18.1(er dir)18.1(ectives and)]TJ ET EMC /P <>BDC BT 10 0 0 10 508.4763 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 676.6575 Tm [(concr)18.1(ete solutions. )]TJ ET EMC /P <>BDC BT 10 0 0 10 402.3671 676.6575 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 654.1736 Tm (s)Tj /TT4 1 Tf .648 0 TD (upporting the integration objective does not)Tj ET EMC /P <>BDC BT 10 0 0 10 505.5277 654.1736 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 640.1936 Tm [(appear to be a pr)18.1(oblem in itsel)]TJ /TT5 1 Tf 13.6149 0 TD (f)Tj /TT4 1 Tf .296 0 TD (. )Tj /TT5 1 Tf .556 0 TD (s)Tj /TT4 1 Tf .648 0 TD (upporting a variety)Tj ET EMC /P <>BDC BT 10 0 0 10 538.317 640.1936 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 626.2137 Tm (o)Tj /TT5 1 Tf .574 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( coor)18.1(dination schemes at a time r)18.1(emains much)]TJ ET EMC /P <>BDC BT 10 0 0 10 521.1263 626.2137 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 612.2337 Tm [(mor)18.1(e pr)18.1(oblematic. )]TJ /TT5 1 Tf 8.4109 0 TD (a)Tj /TT4 1 Tf .648 0 TD [( long-term view on pr)18.1(ocesses)]TJ ET EMC /P <>BDC BT 10 0 0 10 526.2758 612.2337 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 598.2537 Tm (over time is necessary to con)Tj /TT5 1 Tf 13.076 0 TD (f)Tj /TT4 1 Tf .296 0 TD (irm or modi)Tj /TT5 1 Tf 5.113 0 TD (f)Tj /TT4 1 Tf .296 0 TD (y these)Tj ET EMC /P <>BDC BT 10 0 0 10 523.6777 598.2537 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 584.2737 Tm [(r)18.1(esults.)]TJ ET EMC /P <>BDC BT 10 0 0 10 335.8671 584.2737 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /F1 1 Tf 11 0 0 11 303.6378 557.7865 Tm .533 .114 .024 0 k (4.2)Tj ET EMC /P <>BDC BT 11 0 0 11 319.6365 557.7865 Tm [(Evalua)-10(tion,)37( health impact and cost-effectiveness)]TJ ET EMC /P <>BDC BT 11 0 0 11 516.3826 557.7865 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT5 1 Tf 10 0 0 10 303.6378 537.2513 Tm 0 0 0 1 k (p)Tj /TT4 1 Tf .648 0 TD (olicies based on the development o)Tj /TT5 1 Tf 15.893 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( dedicated)Tj ET EMC /P <>BDC BT 10 0 0 10 519.4277 537.2513 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 523.2713 Tm [(coor)18.1(dination schemes cost money)74.2(, but their overall)]TJ ET EMC /P <>BDC BT 10 0 0 10 531.285 523.2713 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 509.2913 Tm (cost is di)Tj /TT5 1 Tf 4.019 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (icult to estimate due to lack o)Tj /TT5 1 Tf 13.189 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( centralized)Tj ET EMC /P <>BDC BT 10 0 0 10 535.887 509.2913 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 495.3113 Tm (in)Tj /TT5 1 Tf .778 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormation and cost evaluation tradition. )Tj /TT5 1 Tf 17.467 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he cost)Tj ET EMC /P <>BDC BT 10 0 0 10 527.7578 495.3113 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 481.3313 Tm (o)Tj /TT5 1 Tf .574 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( a range o)Tj /TT5 1 Tf 4.482 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( schemes with common coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 525.1671 481.3313 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 467.3514 Tm (objectives)Tj ET EMC /Reference <>BDC BT 6 0 0 6 349.0077 470.6513 Tm (16)Tj ET EMC /P <>BDC BT 10 0 0 10 355.6798 467.3514 Tm ( was estimated in 2014 at a total o)Tj /TT5 1 Tf 15.356 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( €898)Tj ET EMC /P <>BDC BT 10 0 0 10 537.2197 467.3514 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 453.3714 Tm (million per year \()Tj /TT5 1 Tf 7.334 0 TD (i)Tj /TT4 1 Tf .259 0 TD (G)Tj /TT5 1 Tf .759 0 TD (as)Tj /TT4 1 Tf 1.296 0 TD (, 2014\). )Tj ET EMC /P <>BDC BT 10 0 0 10 436.0678 453.3714 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 430.8874 Tm (t)Tj /TT4 1 Tf .574 0 TD (he implementation o)Tj /TT5 1 Tf 9.115 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the )Tj /TT5 1 Tf 1.964 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( scheme could)Tj ET EMC /P <>BDC BT 10 0 0 10 526.1033 430.8874 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 416.9074 Tm [(be a game changer in this r)18.1(egar)18.1(d. )]TJ /TT5 1 Tf 15.2639 0 TD (u)Tj /TT4 1 Tf .722 0 TD (nder the)Tj ET EMC /P <>BDC BT 10 0 0 10 500.5463 416.9074 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 402.9275 Tm (supervision o)Tj /TT5 1 Tf 5.945 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the )Tj /TT5 1 Tf 1.964 0 TD (drees)Tj /TT4 1 Tf 3.259 0 TD ( and the )Tj /TT5 1 Tf 3.928 0 TD (s)Tj /TT4 1 Tf .648 0 TD (ocial )Tj /TT5 1 Tf 2.37 0 TD (s)Tj /TT4 1 Tf .648 0 TD (ecurity)Tj ET EMC /P <>BDC BT 10 0 0 10 524.2178 402.9275 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 388.9475 Tm (d)Tj /TT4 1 Tf .704 0 TD (epartment, the implementation o)Tj /TT5 1 Tf 14.562 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj /TT5 1 Tf .278 0 TD [(p)74.2(aerp)74.2(a)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 499.4334 388.9475 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 374.8775 Tm [(includes a thr)18.1(ee-)]TJ /TT5 1 Tf 7.4649 0 TD (f)Tj /TT4 1 Tf .296 0 TD (old continuous )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 450.1571 374.8775 Tm (evaluation)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 491.4071 374.8775 Tm [( pr)18.1(ocess:)]TJ ET EMC /P <>BDC BT 10 0 0 10 532.5264 374.8775 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 352.2796 Tm (•)Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 317.811 352.2796 Tm (p)Tj /TT4 1 Tf .648 0 TD [(r)18.1(ocess indicators monitoring: i.e. the number )]TJ ET EMC /P <>BDC BT 10 0 0 10 526.5703 352.2796 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 317.811 338.2996 Tm (o)Tj /TT5 1 Tf .574 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( trained pr)18.1(o)]TJ /TT5 1 Tf 5.1309 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals, o)Tj /TT5 1 Tf 5.278 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( personalized health)Tj ET EMC /P <>BDC BT 10 0 0 10 526.1503 338.2996 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 317.811 324.3196 Tm (plans or o)Tj /TT5 1 Tf 4.445 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( secur)18.1(ed message systems deployed)]TJ ET EMC /P <>BDC BT 10 0 0 10 531.0103 324.3196 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 317.811 310.3396 Tm [(within the scheme’)74.2(s territory)74.2(. )]TJ ET EMC /P <>BDC BT 10 0 0 10 450.9766 310.3396 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 287.8557 Tm (•)Tj ET EMC /P <>BDC BT 10 0 0 10 317.811 287.8557 Tm (Qualitative evaluation aiming at identi)Tj /TT5 1 Tf 16.652 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ying the)Tj ET EMC /P <>BDC BT 10 0 0 10 522.6709 287.8557 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 317.811 273.8759 Tm (f)Tj /TT4 1 Tf .296 0 TD (acilitating )Tj /TT5 1 Tf 4.537 0 TD (f)Tj /TT4 1 Tf .296 0 TD (actors and di)Tj /TT5 1 Tf 5.853 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (iculties a)Tj /TT5 1 Tf 3.926 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (ecting the)Tj ET EMC /P <>BDC BT 10 0 0 10 522.6397 273.8759 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 317.811 259.8958 Tm [(implementation pr)18.1(ocess at both national and)]TJ ET EMC /P <>BDC BT 10 0 0 10 517.1403 259.8958 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 317.811 245.9158 Tm (territorial levels \(Gand et al., 2017\).)Tj ET EMC /P <>BDC BT 10 0 0 10 472.6409 245.9158 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 223.4319 Tm (•)Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 317.811 223.4319 Tm (c)Tj /TT4 1 Tf .722 0 TD (ost-e)Tj /TT5 1 Tf 2.315 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (ectiveness evaluation per)Tj /TT5 1 Tf 11.316 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormed by)Tj ET EMC /P <>BDC BT 10 0 0 10 512.6503 223.4319 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 317.811 209.4518 Tm (irdes)Tj /TT4 1 Tf 2.907 0 TD (, including health consumption indicators)Tj ET EMC /P <>BDC BT 10 0 0 10 530.641 209.4518 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 317.811 195.472 Tm [(r)18.1(elated to drug consumption and hospital)]TJ ET EMC /P <>BDC BT 10 0 0 10 502.1302 195.472 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 317.811 181.492 Tm (admissions, and health impact indicators.)Tj ET EMC /P <>BDC BT 10 0 0 10 503.611 181.492 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 159.008 Tm (t)Tj /TT4 1 Tf .574 0 TD [(he evaluation’)74.2(s main hypothesis is that the)]TJ ET EMC /P <>BDC BT 10 0 0 10 498.3255 159.008 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 145.028 Tm [(r)18.1(ede)]TJ /TT5 1 Tf 1.9819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inition o)Tj /TT5 1 Tf 3.519 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( r)18.1(oles, tasks and practices o)]TJ /TT5 1 Tf 12.5579 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the)Tj ET EMC /P <>BDC BT 10 0 0 10 509.9665 145.028 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 131.0481 Tm (di)Tj /TT5 1 Tf .815 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(er)18.1(ent actors and or)28.1(ganizations involved in the)]TJ ET EMC /P <>BDC BT 10 0 0 10 520.0457 131.0481 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 117.0681 Tm [(elderly person’)74.2(s health pathway would r)18.1(esults in)]TJ ET EMC /P <>BDC BT 10 0 0 10 517.1748 117.0681 Tm ( )Tj ET EMC /Artifact <>BDC 0 0 0 1 K 0 J 0 j 1 w 10 M [] 0 d /GS4 gs q 1 0 0 1 303.638 97.385 cm 0 0 m 178.252 0 l S Q EMC /P <>BDC /GS1 gs BT 4.8 0 0 4.8 303.6378 83.4048 Tm (16)Tj ET EMC /P <>BDC BT 8 0 0 8 310.3098 80.7649 Tm ( )Tj /TT5 1 Tf .278 0 TD (h)Tj /TT4 1 Tf .722 0 TD (ealth networks, )Tj /TT5 1 Tf 7.093 0 TD (c)Tj /TT4 1 Tf .722 0 TD (L)Tj /TT5 1 Tf .556 0 TD (ic)Tj /TT4 1 Tf .981 0 TD (s, M)Tj /TT5 1 Tf 1.927 0 TD (aia)Tj /TT4 1 Tf 1.555 0 TD (s, )Tj /TT5 1 Tf 1.056 0 TD [(p)44.4(aerp)44.4(a)]TJ /TT4 1 Tf 3.7993 0 TD [(, the coor)10.8(dination)]TJ ET EMC /P <>BDC BT 8 0 0 8 522.4178 80.7649 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 303.6378 69.5809 Tm (mission o)Tj /TT5 1 Tf 4.279 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the health centers, and the di)Tj /TT5 1 Tf 13.301 0 TD -.0108 Tc (ff)Tj /TT4 1 Tf .5812 0 TD 0 Tc [(er)10.8(ent coor)10.8(dination)]TJ ET EMC /P <>BDC BT 8 0 0 8 516.3147 69.5809 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 303.6378 58.3969 Tm [(payments to the health pr)10.8(o)]TJ /TT5 1 Tf 12.0122 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(essionals or gr)10.8(oups o)]TJ /TT5 1 Tf 9.5822 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( pr)10.8(o)]TJ /TT5 1 Tf 1.7672 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionals.)Tj ET EMC Q endstream endobj 1324 0 obj <>/ExtGState<>>> endobj 1326 0 obj <> endobj 1338 0 obj <> endobj 1343 0 obj <> endobj 1356 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 571.4064 802.4034 Tm (16)Tj ET EMC /P <>BDC /GS2 gs BT /TT4 1 Tf 10 0 0 10 56.6929 690.6375 Tm 0 0 0 1 k [(impr)18.1(ovements in the quality o)]TJ /TT5 1 Tf 13.1719 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( li)Tj /TT5 1 Tf .722 0 TD (f)Tj /TT4 1 Tf .296 0 TD (e o)Tj /TT5 1 Tf 1.389 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( both elderly)Tj ET EMC /P <>BDC BT 10 0 0 10 273.7823 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 676.6575 Tm (people and their )Tj /TT5 1 Tf 7.539 0 TD (f)Tj /TT4 1 Tf .296 0 TD (amilies, and better use o)Tj /TT5 1 Tf 10.966 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( hospital)Tj ET EMC /P <>BDC BT 10 0 0 10 285.6328 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 662.5876 Tm [(r)18.1(esour)18.1(ces and drugs. )]TJ /TT5 1 Tf 9.7249 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 173.3914 662.5876 Tm (cost-effectiveness)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 246.6716 662.5876 Tm ( o)Tj /TT5 1 Tf .852 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the)Tj ET EMC /P <>BDC BT 10 0 0 10 275.0116 662.5876 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 648.4936 Tm (scheme – both in terms o)Tj /TT5 1 Tf 11.338 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( better quality and)Tj ET EMC /P <>BDC BT 10 0 0 10 253.9828 648.4936 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 634.5136 Tm [(r)18.1(esour)18.1(ce savings – is a main criterion )]TJ /TT5 1 Tf 16.7619 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or its)Tj ET EMC /P <>BDC BT 10 0 0 10 249.4916 634.5136 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 620.5336 Tm (generalization. )Tj /TT5 1 Tf 6.758 0 TD (i)Tj /TT4 1 Tf .259 0 TD [(n or)18.1(der to evaluate it, a contr)18.1(ol)]TJ ET EMC /P <>BDC BT 10 0 0 10 263.3716 620.5336 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 606.5536 Tm [(gr)18.1(oup )]TJ /TT5 1 Tf 2.8899 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or each territory was constituted. )Tj /TT5 1 Tf 15.019 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he main)Tj ET EMC /P <>BDC BT 10 0 0 10 279.8722 606.5536 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 592.5736 Tm (indicators used )Tj /TT5 1 Tf 7.131 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or the medico-economic evaluation)Tj ET EMC /P <>BDC BT 10 0 0 10 288.9628 592.5736 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 578.5937 Tm [(ar)18.1(e: cumulative duration o)]TJ /TT5 1 Tf 11.5959 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( hospital stays,)Tj ET EMC /P <>BDC BT 10 0 0 10 242.6622 578.5937 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 564.6137 Tm [(r)18.1(ehospitalizations at 30 days, unplanned)]TJ ET EMC /P <>BDC BT 10 0 0 10 236.3622 564.6137 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 550.6337 Tm (hospitalizations, avoidable hospital stays,)Tj ET EMC /P <>BDC BT 10 0 0 10 241.7029 550.6337 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 536.6537 Tm [(emer)28.1(gency department visits, continuous)]TJ ET EMC /P <>BDC BT 10 0 0 10 240.9121 536.6537 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 522.6737 Tm [(polymedication, and \(at least one\) inappr)18.1(opriate)]TJ ET EMC /P <>BDC BT 10 0 0 10 269.3321 522.6737 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 508.6938 Tm [(medical pr)18.1(escription.)]TJ ET EMC /P <>BDC BT 10 0 0 10 150.2322 508.6938 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 486.2099 Tm (t)Tj /TT4 1 Tf .4629 0 TD (o date, data )Tj /TT5 1 Tf 5.65 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om the cost-e)]TJ /TT5 1 Tf 6.5579 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (ectiveness evaluation)Tj ET EMC /P <>BDC BT 10 0 0 10 287.8506 486.2099 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 472.2299 Tm (per)Tj /TT5 1 Tf 1.463 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormed by the )Tj /TT5 1 Tf 6.225 0 TD (irdes)Tj /TT4 1 Tf 2.907 0 TD ( puts the annual cost o)Tj /TT5 1 Tf 10.226 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj ET EMC /P <>BDC BT 10 0 0 10 273.6028 472.2299 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 458.2499 Tm [(the pr)18.1(ogramme to €9 million in 2016, hal)]TJ /TT5 1 Tf 17.9899 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( o)Tj /TT5 1 Tf .852 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( which)Tj ET EMC /P <>BDC BT 10 0 0 10 280.1022 458.2499 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 444.2699 Tm (\(48%\) is speci)Tj /TT5 1 Tf 6.297 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ically dedicated to coor)18.1(dination)]TJ ET EMC /P <>BDC BT 10 0 0 10 262.6421 444.2699 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 430.29 Tm (actions \()Tj /TT5 1 Tf 3.778 0 TD [(ct)92(a)]TJ /TT4 1 Tf 1.852 0 TD (, )Tj /TT5 1 Tf .556 0 TD (pps)Tj /TT4 1 Tf 1.944 0 TD (, )Tj /TT5 1 Tf .556 0 TD (si)Tj /TT4 1 Tf .907 0 TD (\).)Tj ET EMC /Reference <>BDC BT 6 0 0 6 157.9924 433.5899 Tm (17)Tj ET EMC /P <>BDC BT 10 0 0 10 164.6645 430.29 Tm ( )Tj /TT5 1 Tf .278 0 TD (a)Tj /TT4 1 Tf .648 0 TD ( medico-economic)Tj ET EMC /P <>BDC BT 10 0 0 10 257.6545 430.29 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 416.31 Tm (evaluation \(Or et al. 2018\) aims to establish e)Tj /TT5 1 Tf 20.024 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (ects)Tj ET EMC /P <>BDC BT 10 0 0 10 281.5621 416.31 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 402.33 Tm (on any o)Tj /TT5 1 Tf 3.853 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the outcome indicators when all the pilots)Tj ET EMC /P <>BDC BT 10 0 0 10 287.2928 402.33 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 388.35 Tm [(ar)18.1(e evaluated together: her)18.1(e analysis was per)]TJ /TT5 1 Tf 20.1869 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormed)Tj ET EMC /P <>BDC BT 10 0 0 10 290.4215 388.35 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 374.37 Tm [(over a short period \(2014-2016\) and the territory’)74.2(s)]TJ ET EMC /P <>BDC BT 10 0 0 10 278.4106 374.37 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 360.39 Tm (characteristics and starting point situation \(2013-)Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 346.4101 Tm [(2014\) wer)18.1(e not contr)18.1(olled. )]TJ /TT5 1 Tf 11.9099 0 TD (n)Tj /TT4 1 Tf .722 0 TD (evertheless, it shows)Tj ET EMC /P <>BDC BT 10 0 0 10 276.3415 346.4101 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 332.4301 Tm (some tendencies at both overall and territorial)Tj ET EMC /P <>BDC BT 10 0 0 10 261.3528 332.4301 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 318.4501 Tm (levels.)Tj ET EMC /P <>BDC BT 10 0 0 10 84.6529 318.4501 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 295.9662 Tm (a)Tj /TT4 1 Tf .648 0 TD [(t the overall level, the observations wer)18.1(e o)]TJ /TT5 1 Tf 18.7599 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( a)Tj ET EMC /P <>BDC BT 10 0 0 10 261.8822 295.9662 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 281.9861 Tm [(decr)18.1(ease in continuous polymedication,)]TJ ET EMC /P <>BDC BT 10 0 0 10 234.3321 281.9861 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 268.0062 Tm [(inappr)18.1(opriate medical pr)18.1(escriptions and cumulative)]TJ ET EMC /P <>BDC BT 10 0 0 10 285.2715 268.0062 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 254.0262 Tm (length o)Tj /TT5 1 Tf 3.612 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( stay)74.2(, and an incr)18.1(ease in r)18.1(ehospitalizations)]TJ ET EMC /P <>BDC BT 10 0 0 10 283.7593 254.0262 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 240.0462 Tm (over a period o)Tj /TT5 1 Tf 6.741 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( 30 days, unplanned)Tj ET EMC /P <>BDC BT 10 0 0 10 217.6628 240.0462 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 226.0663 Tm (hospitalizations, avoidable hospitalizations and)Tj ET EMC /P <>BDC BT 10 0 0 10 266.3229 226.0663 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 212.0863 Tm [(emer)28.1(gency department visits which wer)18.1(e not)]TJ ET EMC /P <>BDC BT 10 0 0 10 256.4414 212.0863 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 56.6929 198.1063 Tm (f)Tj /TT4 1 Tf .296 0 TD [(ollowed by a hospitalization wer)18.1(e observed. )]TJ /TT5 1 Tf 19.7949 0 TD (a)Tj /TT4 1 Tf .648 0 TD (t)Tj ET EMC /P <>BDC BT 10 0 0 10 267.2322 198.1063 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 184.1263 Tm (territorial level, some signi)Tj /TT5 1 Tf 11.611 0 TD (f)Tj /TT4 1 Tf .296 0 TD (icant e)Tj /TT5 1 Tf 2.982 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(ects r)18.1(elated to)]TJ ET EMC /P <>BDC BT 10 0 0 10 275.2216 184.1263 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 170.1463 Tm [(the outcomes most sensitive to the primary car)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 271.9421 170.1463 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 690.6375 Tm [(or)28.1(ganization wer)18.1(e r)18.1(egister)18.1(ed within each o)]TJ /TT5 1 Tf 18.8037 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the)Tj ET EMC /P <>BDC BT 10 0 0 10 511.4951 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 676.6575 Tm (territories studied and independently )Tj /TT5 1 Tf 16.652 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om one)]TJ ET EMC /P <>BDC BT 10 0 0 10 509.9871 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 662.6776 Tm (another: a signi)Tj /TT5 1 Tf 6.853 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(icant decr)18.1(ease in polymedication in)]TJ ET EMC /P <>BDC BT 10 0 0 10 532.7571 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 648.6976 Tm (two territories \()Tj /TT5 1 Tf 6.683 0 TD (a)Tj /TT4 1 Tf .648 0 TD (quitaine and )Tj /TT5 1 Tf 5.78 0 TD (n)Tj /TT4 1 Tf .722 0 TD [(or)18.1(d pas de )]TJ /TT5 1 Tf 5.0759 0 TD (c)Tj /TT4 1 Tf .722 0 TD (alais\),)Tj ET EMC /P <>BDC BT 10 0 0 10 525.4971 648.6976 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 634.7176 Tm (signi)Tj /TT5 1 Tf 2.074 0 TD (f)Tj /TT4 1 Tf .296 0 TD (icant e)Tj /TT5 1 Tf 2.982 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(ect on inappr)18.1(opriate medical)]TJ ET EMC /P <>BDC BT 10 0 0 10 490.7065 634.7176 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 620.7376 Tm [(pr)18.1(escriptions \()]TJ /TT5 1 Tf 6.3339 0 TD (n)Tj /TT4 1 Tf .722 0 TD [(or)18.1(d pas de )]TJ /TT5 1 Tf 5.0759 0 TD (c)Tj /TT4 1 Tf .722 0 TD (alais\), )Tj /TT5 1 Tf 2.833 0 TD (f)Tj /TT4 1 Tf .296 0 TD (avourable)Tj ET EMC /P <>BDC BT 10 0 0 10 507.3564 620.7376 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 606.7576 Tm [(r)18.1(esults r)18.1(egar)18.1(ding emer)28.1(gency department visits not)]TJ ET EMC /P <>BDC BT 10 0 0 10 527.3049 606.7576 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 592.7777 Tm (f)Tj /TT4 1 Tf .296 0 TD (ollowed by hospitalization \(in Lorraine\), signi)Tj /TT5 1 Tf 19.684 0 TD (f)Tj /TT4 1 Tf .296 0 TD (icant)Tj ET EMC /P <>BDC BT 10 0 0 10 528.0677 592.7777 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 578.7977 Tm [(r)18.1(eduction in non-pr)18.1(ogrammed hospitalizations \(Midi-)]TJ ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 564.8177 Tm (p)Tj /TT4 1 Tf .648 0 TD [(yrénées and Bour)28.1(gogne\), signi)]TJ /TT5 1 Tf 13.5659 0 TD (f)Tj /TT4 1 Tf .296 0 TD (icant e)Tj /TT5 1 Tf 2.982 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (ect on)Tj ET EMC /P <>BDC BT 10 0 0 10 512.2664 564.8177 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 550.8377 Tm [(avoidable hospitalizations \(Bour)28.1(gogne\) and no)]TJ ET EMC /P <>BDC BT 10 0 0 10 509.8469 550.8377 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 536.8577 Tm (signi)Tj /TT5 1 Tf 2.074 0 TD (f)Tj /TT4 1 Tf .296 0 TD (icant e)Tj /TT5 1 Tf 2.982 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(ect concer)-17.8(ning cumulative length o)]TJ /TT5 1 Tf 15.6698 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 522.5553 536.8577 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 522.8777 Tm [(stay and r)18.1(ehospitalizations in 30 days’ time in any )]TJ ET EMC /P <>BDC BT 10 0 0 10 527.7671 522.8777 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 508.8978 Tm (o)Tj /TT5 1 Tf .574 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the experimental territories. )Tj ET EMC /P <>BDC BT 10 0 0 10 440.1277 508.8978 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 486.4139 Tm (r)Tj /TT4 1 Tf .685 0 TD (esults on the impact o)Tj /TT5 1 Tf 9.911 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the use o)Tj /TT5 1 Tf 4.409 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( personalized)Tj ET EMC /P <>BDC BT 10 0 0 10 519.2278 486.4139 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 472.4339 Tm (health plans \()Tj /TT5 1 Tf 5.946 0 TD (pps)Tj /TT4 1 Tf 1.944 0 TD [(\) on hospital car)18.1(e use and the)]TJ ET EMC /P <>BDC BT 10 0 0 10 514.4269 472.4339 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 458.4539 Tm (number o)Tj /TT5 1 Tf 4.28 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( medicines taken by the elderly person)Tj ET EMC /P <>BDC BT 10 0 0 10 521.6677 458.4539 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 444.4739 Tm (suggest that the )Tj /TT5 1 Tf 7.521 0 TD (pps)Tj /TT4 1 Tf 1.944 0 TD ( is o)Tj /TT5 1 Tf 1.852 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ten )Tj /TT5 1 Tf 1.686 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormalized a)Tj /TT5 1 Tf 5.166 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ter a)Tj ET EMC /P <>BDC BT 10 0 0 10 514.2078 444.4739 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 430.4939 Tm (period o)Tj /TT5 1 Tf 3.704 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( intensive use o)Tj /TT5 1 Tf 6.946 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the car)18.1(e system \(both)]TJ ET EMC /P <>BDC BT 10 0 0 10 515.5371 430.4939 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 416.5139 Tm [(outpatient and inpatient car)18.1(e\) by the elderly person.)]TJ ET EMC /P <>BDC BT 10 0 0 10 533.697 416.5139 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 402.534 Tm (a)Tj /TT4 1 Tf .648 0 TD (s such, the )Tj /TT5 1 Tf 5.169 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormalization o)Tj /TT5 1 Tf 6.277 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( a )Tj /TT5 1 Tf 1.093 0 TD (pps)Tj /TT4 1 Tf 1.944 0 TD ( serves to)Tj ET EMC /P <>BDC BT 10 0 0 10 504.3878 402.534 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 388.554 Tm (identi)Tj /TT5 1 Tf 2.445 0 TD (f)Tj /TT4 1 Tf .296 0 TD (y the most )Tj /TT5 1 Tf 4.984 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ragile elderly people in the)Tj ET EMC /P <>BDC BT 10 0 0 10 501.0778 388.554 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 374.574 Tm [(territory)74.2(, whose car)18.1(e needs wer)18.1(e not met, as the )]TJ ET EMC /P <>BDC BT 10 0 0 10 521.2542 374.574 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 360.594 Tm (risk o)Tj /TT5 1 Tf 2.426 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( hospitalization in the year )Tj /TT5 1 Tf 11.908 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ollowing the)Tj ET EMC /P <>BDC BT 10 0 0 10 506.7778 360.594 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 346.614 Tm (f)Tj /TT4 1 Tf .296 0 TD (ormalization o)Tj /TT5 1 Tf 6.277 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( the )Tj /TT5 1 Tf 1.964 0 TD (pps)Tj /TT4 1 Tf 1.944 0 TD ( is particularly high. )Tj /TT5 1 Tf 8.927 0 TD (a)Tj /TT4 1 Tf .648 0 TD (lso, it)Tj ET EMC /P <>BDC BT 10 0 0 10 531.0478 346.614 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 332.6341 Tm [(r)18.1(esults in an up to 6% r)18.1(eduction in the pr)18.1(oportion o)]TJ /TT5 1 Tf 22.8038 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 534.6357 332.6341 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 318.6541 Tm [(elderly people with polypr)18.1(escriptions. )]TJ /TT5 1 Tf 16.9269 0 TD (t)Tj /TT4 1 Tf .574 0 TD (hese early)Tj ET EMC /P <>BDC BT 10 0 0 10 524.0171 318.6541 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 304.6741 Tm [(r)18.1(esults should be interpr)18.1(eted with caution as ther)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 526.8357 304.6741 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 290.6941 Tm (may be a persistent bias e)Tj /TT5 1 Tf 11.744 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (ect between the)Tj ET EMC /P <>BDC BT 10 0 0 10 498.6769 290.6941 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 276.7141 Tm [(experimental and contr)18.1(ol gr)18.1(oups.)]TJ ET EMC /Reference <>BDC BT 6 0 0 6 451.2664 280.0142 Tm (18)Tj ET EMC /P <>BDC BT 10 0 0 10 457.9385 276.7141 Tm ( )Tj /TT5 1 Tf .278 0 TD (d)Tj /TT4 1 Tf .704 0 TD (ata will)Tj ET EMC /P <>BDC BT 10 0 0 10 498.6684 276.7141 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 262.7343 Tm [(continue to be collected as the period the curr)18.1(ent)]TJ ET EMC /P <>BDC BT 10 0 0 10 523.877 262.7343 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 248.7542 Tm [(r)18.1(esults ar)18.1(e built on r)18.1(emains too short to be)]TJ ET EMC /P <>BDC BT 10 0 0 10 492.3957 248.7542 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 234.7742 Tm [(conclusive on or)28.1(ganizational and system impact.)]TJ ET EMC /P <>BDC BT 10 0 0 10 520.6169 234.7742 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 220.7942 Tm [(finally)74.2(, no indicators ar)18.1(e available )]TJ /TT5 1 Tf 15.2417 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or key)Tj ET EMC /P <>BDC BT 10 0 0 10 486.4249 220.7942 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 206.8142 Tm (dimensions such as quality o)Tj /TT5 1 Tf 12.93 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( li)Tj /TT5 1 Tf .722 0 TD (f)Tj /TT4 1 Tf .296 0 TD (e )Tj /TT5 1 Tf .815 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or both elderly)Tj ET EMC /P <>BDC BT 10 0 0 10 521.6378 206.8142 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 192.8343 Tm [(people and their r)18.1(elatives or access to health and)]TJ ET EMC /P <>BDC BT 10 0 0 10 523.3069 192.8343 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 178.8543 Tm [(social car)18.1(e. )]TJ ET EMC /P <>BDC BT 10 0 0 10 357.1571 178.8543 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 156.3704 Tm (t)Tj /TT4 1 Tf .574 0 TD [(he evaluation r)18.1(eport concludes that the lack o)]TJ /TT5 1 Tf 20.3939 0 TD (f)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 516.2771 156.3704 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 142.3904 Tm (impact o)Tj /TT5 1 Tf 3.909 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( pilots on hospital utilization, in all)Tj ET EMC /P <>BDC BT 10 0 0 10 495.6977 142.3904 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 128.4104 Tm (territories, suggests that it would be legitimate to)Tj ET EMC /P <>BDC BT 10 0 0 10 521.8078 128.4104 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 114.4305 Tm [(explor)18.1(e other levers o)]TJ /TT5 1 Tf 9.6479 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( action )Tj /TT5 1 Tf 3.297 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or impr)18.1(oving hospital)]TJ ET EMC /P <>BDC BT 10 0 0 10 532.9163 114.4305 Tm ( )Tj ET EMC /Artifact <>BDC 0 0 0 1 K 0 J 0 j 1 w 10 M [] 0 d /GS4 gs q 1 0 0 1 56.693 153.305 cm 0 0 m 178.252 0 l S Q EMC /P <>BDC /GS1 gs BT 4.8 0 0 4.8 56.6929 139.3247 Tm (17)Tj ET EMC /P <>BDC BT 8 0 0 8 63.365 136.6847 Tm ( )Tj /TT5 1 Tf .278 0 TD (t)Tj /TT4 1 Tf .574 0 TD (he overall cost o)Tj /TT5 1 Tf 7.352 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( the pr)10.8(ogramme since its initiation \(2014-)]TJ ET EMC /P <>BDC BT 8 0 0 8 56.6929 125.5007 Tm (2017\) is estimated at €49 million, )Tj /TT5 1 Tf 14.951 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(inanced by the r)10.8(egional)]TJ ET EMC /P <>BDC BT 8 0 0 8 262.0066 125.5007 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 114.3167 Tm (investment )Tj /TT5 1 Tf 5.169 0 TD (f)Tj /TT4 1 Tf .296 0 TD (und, and at €53 million when including territories)Tj ET EMC /P <>BDC BT 8 0 0 8 273.7889 114.3167 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 8 0 0 8 56.6929 103.1328 Tm (f)Tj /TT4 1 Tf .296 0 TD [(r)10.8(om the second wave. )]TJ /TT5 1 Tf 10.1762 0 TD (t)Tj /TT4 1 Tf .5076 0 TD (o this amount should be added )Tj /TT5 1 Tf 14.21 0 TD (f)Tj /TT4 1 Tf .296 0 TD (unding)Tj ET EMC /P <>BDC BT 8 0 0 8 285.0354 103.1328 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 8 0 0 8 56.6929 91.9488 Tm (f)Tj /TT4 1 Tf .296 0 TD [(r)10.8(om other sour)10.8(ces such as the )]TJ /TT5 1 Tf 13.8524 0 TD (cnsa)Tj /TT4 1 Tf 2.74 0 TD ( )Tj /TT5 1 Tf .278 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or training in the home)Tj ET EMC /P <>BDC BT 8 0 0 8 276.7122 91.9488 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 80.7649 Tm [(car)10.8(e sector)55(, )]TJ /TT5 1 Tf 5.5082 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)10.8(om the départements )]TJ /TT5 1 Tf 10.1972 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or pr)10.8(evention actions and)]TJ ET EMC /P <>BDC BT 8 0 0 8 278.1138 80.7649 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 8 0 0 8 56.6929 69.5809 Tm (f)Tj /TT4 1 Tf .296 0 TD (unding )Tj /TT5 1 Tf 3.335 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)10.8(om other central administration departments )]TJ /TT5 1 Tf 20.4952 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inancing)Tj ET EMC /P <>BDC BT 8 0 0 8 284.5186 69.5809 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 56.6929 58.3969 Tm [(other coor)10.8(dination schemes on which )]TJ /TT5 1 Tf 17.0662 0 TD [(p)44.4(aerp)44.4(a)]TJ /TT4 1 Tf 3.7993 0 TD [( r)10.8(elies.)]TJ ET EMC /Artifact <>BDC /GS4 gs q 1 0 0 1 303.638 97.385 cm 0 0 m 178.252 0 l S Q EMC /P <>BDC /GS1 gs BT 4.8 0 0 4.8 303.6378 83.4048 Tm (18)Tj ET EMC /P <>BDC BT 8 0 0 8 310.3098 80.7649 Tm ( )Tj /TT5 1 Tf .278 0 TD (d)Tj /TT4 1 Tf .704 0 TD (ue to lack o)Tj /TT5 1 Tf 5.205 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( in)Tj /TT5 1 Tf 1.056 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormation on the level o)Tj /TT5 1 Tf 10.206 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( vulnerability)Tj ET EMC /P <>BDC BT 8 0 0 8 501.7498 80.7649 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 303.6378 69.5809 Tm (\(dependence\) and social context in the medico-administrative)Tj ET EMC /P <>BDC BT 8 0 0 8 523.838 69.5809 Tm ( )Tj ET EMC /P <>BDC BT 8 0 0 8 303.6378 58.3969 Tm (database.)Tj ET EMC Q endstream endobj 1357 0 obj <>/ExtGState<>>> endobj 1359 0 obj <> endobj 1417 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 571.4064 802.4034 Tm (17)Tj ET EMC /P <>BDC /GS2 gs BT /TT4 1 Tf 10 0 0 10 56.6929 690.6375 Tm 0 0 0 1 k [(practices and coor)18.1(dination between hospital and)]TJ ET EMC /P <>BDC BT 10 0 0 10 274.6921 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 676.6575 Tm [(primary car)18.1(e pr)18.1(oviders, and to evolve )]TJ /TT5 1 Tf 16.8549 0 TD [(p)74.2(aerp)74.2(a)]TJ /TT4 1 Tf 3.7396 0 TD ( \(Or et)Tj ET EMC /P <>BDC BT 10 0 0 10 290.2371 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.6929 662.6776 Tm (al. 2018\).)Tj ET EMC /P <>BDC BT 10 0 0 10 97.4529 662.6776 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 303.6378 690.6375 Tm (a)Tj /TT4 1 Tf .648 0 TD ( list o)Tj /TT5 1 Tf 2.389 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( publications known to the authors which)Tj ET EMC /P <>BDC BT 10 0 0 10 520.5177 690.6375 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 676.6575 Tm [(pr)18.1(esent r)18.1(esults )]TJ /TT5 1 Tf 6.8539 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om the cost-e)]TJ /TT5 1 Tf 6.5579 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc (ectiveness)Tj ET EMC /P <>BDC BT 10 0 0 10 493.8651 676.6575 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 662.6776 Tm (evaluation per)Tj /TT5 1 Tf 6.297 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ormed by the )Tj /TT5 1 Tf 6.225 0 TD (irdes)Tj /TT4 1 Tf 2.907 0 TD ( can be )Tj /TT5 1 Tf 3.594 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ound )Tj ET EMC /P <>BDC BT 10 0 0 10 525.3576 662.6776 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 303.6378 648.6976 Tm (in Box 1. )Tj ET EMC /P <>BDC BT 10 0 0 10 345.8678 648.6976 Tm ( )Tj ET EMC /Artifact <>BDC .533 .114 .024 0 K 0 J 0 j 1 w 10 M [] 0 d /GS1 gs 58.895 616.474 480.886 -419.342 re 348.648 648.698 m S EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 69.3946 592.8126 Tm .533 .114 .024 0 k [(Box 1:)37( Main evalua)-10(tion reports and publica)-10(tions on P)37(AERP)37(A)55()55(s)0( cost-effectiveness evalua)-10(tion performed by the IRDES)]TJ ET EMC /P <>BDC BT 10 0 0 10 493.4547 592.8126 Tm ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT2 1 Tf 10 0 0 10 69.3946 572.6733 Tm 0 0 0 1 k [(Or Z,)37.1( Bricard D,)37.1( Le Guen N,)37.1( P)18.1(enneau )37.1(A \(IRDES\),)37.1( 2018)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 273.4684 572.6733 Tm (. )Tj ET EMC /Link <>BDC BT /TT7 1 Tf 10 0 0 10 279.0284 572.6733 Tm [(Évaluation d’impact de l’expérimentation Par)18.1(cours santé)]TJ ET EMC /Link <>BDC BT 10 0 0 10 529.2677 572.6733 Tm ( )Tj ET EMC /Link <>BDC BT 10 0 0 10 97.7411 559.4072 Tm [(des aînés \(Paerpa\). Pr)18.1(emiers résultats)]TJ ET EMC /P <>BDC BT 10 0 0 10 264.4103 559.4072 Tm (.)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 267.1903 559.4072 Tm ( Les rapports de l’)Tj /TT5 1 Tf 8.113 0 TD (irdes)Tj /TT4 1 Tf 2.907 0 TD (, 567, juin 2018. )Tj ET EMC /P <>BDC BT 10 0 0 10 451.3303 559.4072 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 69.3946 546.2371 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 69.3946 532.977 Tm [(Or Z,)37.1( Bricard D,)37.1( Le Guen N,)37.1( P)18.1(enneau )37.1(A \(IRDES\),)37.1( 2017)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 273.4684 532.977 Tm (. )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 279.0284 532.977 Tm [(Evaluation d’impact de l’expérimentation P)74.2(AERP)74.2(A.)]TJ ET EMC /P <>BDC BT 10 0 0 10 503.334 532.977 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 97.7411 519.7109 Tm [(Résultats préliminair)18.1(es en 2016.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 239.2504 519.7109 Tm ( )Tj /TT5 1 Tf .278 0 TD (irdes)Tj /TT4 1 Tf 2.907 0 TD ( – point d’étape sur l’évaluation nationale, )Tj /TT5 1 Tf 18.875 0 TD (d)Tj /TT4 1 Tf .704 0 TD [(écembr)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 505.9796 519.7109 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 97.7411 506.5408 Tm (2017, )Tj /TT5 1 Tf 2.78 0 TD (p)Tj /TT4 1 Tf .648 0 TD (aris. )Tj ET EMC /P <>BDC BT 10 0 0 10 153.501 506.5408 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 69.3946 493.3707 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 69.3946 480.1106 Tm [(Or Z,)37.1( Guillaume S \(IRDES\),)37.1( 2016.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 195.5224 480.1106 Tm ( )Tj ET EMC /Link <>BDC BT /TT7 1 Tf 10 0 0 10 198.3024 480.1106 Tm [(La satisfaction des personnes âgées en termes de prise en char)28.1(ge)]TJ ET EMC /Link <>BDC BT 10 0 0 10 491.9415 480.1106 Tm ( )Tj ET EMC /Link <>BDC BT 10 0 0 10 97.7411 466.8445 Tm [(médicale et de coor)18.1(dination des soins : une appr)18.1(oche qualitative exploratoir)18.1(e.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 441.8889 466.8445 Tm ( )Tj /TT5 1 Tf .278 0 TD (irdes)Tj /TT4 1 Tf 2.907 0 TD (. Questions)Tj ET EMC /P <>BDC BT 10 0 0 10 524.4989 466.8445 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 97.7411 453.6744 Tm (d’économie de la santé n° 214, 2016/01.)Tj ET EMC /P <>BDC BT 10 0 0 10 278.861 453.6744 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 69.3946 440.5043 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 69.3946 427.2442 Tm [(Monégat M,)37.1( Sermet C,)37.1( P)18.1(erronnin M,)37.1( Rococo E \(IRDES\),)37.1( 2014.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 306.1296 427.2442 Tm ( )Tj ET EMC /Link <>BDC BT 10 0 0 10 308.9095 427.2442 Tm (La polymédication)Tj /TT3 1 Tf 8.206 0 TD <000d>Tj /TT4 1 Tf .278 0 TD (: dé)Tj /TT5 1 Tf 1.686 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(initions, mesur)18.1(es et)]TJ ET EMC /Link <>BDC BT 10 0 0 10 500.0789 427.2442 Tm ( )Tj ET EMC /Link <>BDC BT 10 0 0 10 97.7411 414.028 Tm (enjeux. )Tj /TT5 1 Tf 3.482 0 TD (r)Tj /TT4 1 Tf .685 0 TD [(evue de littératur)18.1(e et tests de mesur)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 305.1996 414.028 Tm (, )Tj /TT5 1 Tf .556 0 TD (irdes)Tj /TT4 1 Tf 2.907 0 TD (. Questions d’économie de la santé)Tj ET EMC /P <>BDC BT 10 0 0 10 497.6595 414.028 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 97.7411 400.8579 Tm (n°204, )Tj /TT5 1 Tf 3.18 0 TD (d)Tj /TT4 1 Tf .704 0 TD [(écembr)18.1(e 2014.)]TJ ET EMC /P <>BDC BT 10 0 0 10 203.4703 400.8579 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 69.3946 387.6878 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 69.3946 374.4278 Tm [(Bricard D,)37.1( Or Z \(IRDES\),)37.1( 2019.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 185.3524 374.4278 Tm ( )Tj ET EMC /Link <>BDC BT /TT5 1 Tf 10 0 0 10 188.1324 374.4278 Tm (i)Tj /TT4 1 Tf .259 0 TD (mpact o)Tj /TT5 1 Tf 3.687 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( early primary car)18.1(e )]TJ /TT5 1 Tf 8.5379 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ollow-up a)Tj /TT5 1 Tf 4.703 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ter dischar)28.1(ge on hospital)]TJ ET EMC /Link <>BDC BT 10 0 0 10 479.1709 374.4278 Tm ( )Tj ET EMC /Link <>BDC BT 10 0 0 10 97.7411 361.1617 Tm [(r)18.1(eadmissions. )]TJ ET EMC /Link <>BDC BT /TT7 1 Tf 10 0 0 10 162.3904 361.1617 Tm [(Eur)18.1(opean Jour)-17.8(nal of Health Economics)]TJ ET EMC /Link <>BDC BT /TT4 1 Tf 10 0 0 10 335.938 361.1617 Tm ( 20\(4\):611)Tj ET EMC /Link <>BDC BT 10 0 0 10 380.038 361.1617 Tm (–)Tj ET EMC /Link <>BDC BT 10 0 0 10 385.038 361.1617 Tm (623. doi: 10.1007/s10198-018-)Tj ET EMC /Link <>BDC BT 10 0 0 10 97.7411 347.9915 Tm [(1022-y)74.2(. )]TJ /TT5 1 Tf 3.5948 0 TD (e)Tj /TT4 1 Tf .611 0 TD (pub 2019 Jan 2. )Tj /TT5 1 Tf 7.524 0 TD (p)Tj /TT4 1 Tf .648 0 TD (M)Tj /TT5 1 Tf .871 0 TD (id)Tj /TT4 1 Tf .963 0 TD (: 30600468. )Tj ET EMC /P <>BDC BT 10 0 0 10 295.4588 347.9915 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 69.3946 334.8214 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 69.3946 321.5613 Tm [(Or Z,)37.1( P)18.1(enneau )37.1(A \(IRDES\),)37.1( 2017.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 189.8207 321.5613 Tm ( )Tj ET EMC /Link <>BDC BT /TT5 1 Tf 10 0 0 10 192.6006 321.5613 Tm (a)Tj /TT4 1 Tf .648 0 TD [(nalyse des déterminants territoriaux du r)18.1(ecours aux ur)28.1(gences non suivi)]TJ ET EMC /Link <>BDC BT 10 0 0 10 514.4091 321.5613 Tm ( )Tj ET EMC /Link <>BDC BT 10 0 0 10 97.7411 308.2952 Tm (d’une hospitalisation)Tj ET EMC /P <>BDC BT 10 0 0 10 190.171 308.2952 Tm (, )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 195.731 308.2952 Tm (Document de travail IRDES)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 316.861 308.2952 Tm ( n°72, 2017/09.)Tj ET EMC /P <>BDC BT 10 0 0 10 385.3509 308.2952 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 69.3946 295.1251 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 69.3946 281.865 Tm [(Bricard D,)37.1( Or Z,)37.1( P)18.1(enneau )37.1(A \(IRDES\),)37.1( 2018.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 231.4496 281.865 Tm ( )Tj ET EMC /Link <>BDC BT 10 0 0 10 234.2295 281.865 Tm (Méthodologie de l’évaluation d’impact de l’expérimentation)Tj ET EMC /Link <>BDC BT 10 0 0 10 499.1094 281.865 Tm ( )Tj ET EMC /Link <>BDC BT /TT5 1 Tf 10 0 0 10 97.7411 268.5989 Tm (p)Tj /TT4 1 Tf .648 0 TD [(ar)18.1(cours santé des aînés \()]TJ /TT5 1 Tf 11.1499 0 TD (p)Tj /TT4 1 Tf .648 0 TD (aerpa\))Tj ET EMC /P <>BDC BT 10 0 0 10 250.1603 268.5989 Tm (, )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 255.7202 268.5989 Tm (Document de travail IRDES)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 376.8503 268.5989 Tm ( n°74, juin 2018.)Tj ET EMC /P <>BDC BT 10 0 0 10 449.2303 268.5989 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 69.3946 255.4288 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 69.3946 242.1687 Tm [(Atlas des territoires pilotes P)18.1(aerpa.)37.1( Situation 2012.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 270.6128 242.1687 Tm ( )Tj /TT5 1 Tf .278 0 TD (r)Tj /TT4 1 Tf .685 0 TD (esponsable scienti)Tj /TT5 1 Tf 8.316 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ique : Or Z. Équipe scienti)Tj /TT5 1 Tf 11.559 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ique :)Tj ET EMC /P <>BDC BT 10 0 0 10 509.5528 242.1687 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 97.7411 228.9525 Tm [(Bour)28.1(gueil )]TJ /TT5 1 Tf 4.5089 0 TD (y)Tj /TT4 1 Tf .5088 0 TD (, )Tj /TT5 1 Tf .556 0 TD (c)Tj /TT4 1 Tf .722 0 TD (ombes JB, Lecomte )Tj /TT5 1 Tf 9.282 0 TD (c)Tj /TT4 1 Tf .722 0 TD (, Le Guen )Tj /TT5 1 Tf 4.613 0 TD (n)Tj /TT4 1 Tf .722 0 TD (, Le )Tj /TT5 1 Tf 1.927 0 TD (n)Tj /TT4 1 Tf .722 0 TD [(eindr)18.1(e )]TJ /TT5 1 Tf 3.0379 0 TD (c)Tj /TT4 1 Tf .722 0 TD (, )Tj /TT5 1 Tf .556 0 TD (p)Tj /TT4 1 Tf .648 0 TD (enneau )Tj /TT5 1 Tf 3.557 0 TD (a)Tj /TT4 1 Tf .648 0 TD (. Ouvrage )Tj /TT5 1 Tf 4.631 0 TD (irdes)Tj /TT4 1 Tf 2.907 0 TD ( n°)Tj ET EMC /P <>BDC BT 10 0 0 10 519.988 228.9525 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 97.7411 215.7825 Tm (1, 2015/06, 126 pages. )Tj ET EMC Q endstream endobj 1418 0 obj <>/ExtGState<>>> endobj 1421 0 obj <> endobj 1483 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 571.4064 802.4034 Tm (18)Tj ET EMC /P <>BDC BT 14 0 0 14 56.6929 690.1615 Tm .533 .114 .024 0 k (5)Tj ET EMC /P <>BDC BT 14 0 0 14 72.6929 690.1615 Tm (References)Tj ET EMC /P <>BDC BT 14 0 0 14 130.7369 690.1615 Tm ( )Tj ET EMC /P <>BDC BT 11 0 0 11 56.6929 661.3303 Tm (5.1)Tj ET EMC /P <>BDC BT 11 0 0 11 72.6916 661.3303 Tm [(Evalua)-10(tion reports)]TJ ET EMC /P <>BDC BT 11 0 0 11 145.8747 661.3303 Tm ( )Tj ET EMC /P <>BDC BT /TT9 1 Tf 11 0 0 11 56.6929 636.2883 Tm (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 72.6916 636.2883 Tm 0 0 0 1 k [(Na)-10(tional and local evalua)-10(tion reports )]TJ ET EMC /P <>BDC BT 11 0 0 11 223.5457 636.2883 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 615.6631 Tm [(ANAP)129.2(,)37.1( 2016)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 101.0803 615.6631 Tm [(. Mettr)18.1(e en place la coor)18.1(dination territoriale d’appui. Retours d’expérience des territoir)18.1(es P)74.2(AERP)74.2(A,)]TJ ET EMC /P <>BDC BT 10 0 0 10 535.7638 615.6631 Tm ( )Tj ET EMC /Link <>BDC BT /TT4 1 Tf 10 0 0 10 85.0394 604.0971 Tm [(www)55.2(.anap.)]TJ /TT5 1 Tf 4.9978 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r/publications-et-outils/publications/detail/actualites/mettr)18.1(e-en-place-la-coor)18.1(dination-)]TJ ET EMC /Link <>BDC BT 10 0 0 10 85.0394 592.5271 Tm [(territoriale-dappui-r)18.1(etour)55.2(-dexperiences-des-territoir)18.1(es-paerpa/)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 362.8262 592.5271 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 575.2478 Tm [(ARS anon)-9.8(ymized,)37.1( 2017.)37.1( )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 151.4784 575.2478 Tm [(Pr)18.1(ojet P)74.2(AERP)74.2(A en Région anonymized. Diagnostic territorial des pays A, B et C,)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 505.2132 575.2478 Tm ( Les)Tj ET EMC /P <>BDC BT 10 0 0 10 523.9232 575.2478 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 85.0394 563.6317 Tm (rapports de l’)Tj /TT5 1 Tf 5.964 0 TD (ars)Tj /TT4 1 Tf 1.981 0 TD [( anonymized, novembr)18.1(e 2017.)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 299.3586 563.6317 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 546.3525 Tm [(CNSA,)37.1( 2017)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 102.1818 546.3525 Tm [(. Evaluation des dispositifs MAIA et appui à la mise en œuvr)18.1(e des r)18.1(ecommandations, )]TJ ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 479.8404 546.3525 Tm (r)Tj /TT4 1 Tf .685 0 TD (apport )Tj /TT5 1 Tf 3.223 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inal)Tj ET EMC /P <>BDC BT 10 0 0 10 537.2504 546.3525 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 85.0394 534.7865 Tm (d’évaluation réalisé pour le compte de la )Tj /TT5 1 Tf 18.374 0 TD (c)Tj /TT4 1 Tf .722 0 TD (aisse nationale de solidarité pour l’autonomie, )Tj /TT5 1 Tf 20.763 0 TD (p)Tj /TT4 1 Tf .648 0 TD (aris,)Tj ET EMC /P <>BDC BT 10 0 0 10 508.8092 534.7865 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 85.0394 523.2165 Tm (cnsa)Tj /TT4 1 Tf 2.74 0 TD (.)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 115.2194 523.2165 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 117.9994 523.2165 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 505.9372 Tm [(Cour des comptes,)37.1( 2016)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 151.7318 505.9372 Tm [(. La maintien à domicile des personnes âgées en perte d’autonomie. Une or)28.1(ganisation)]TJ ET EMC /P <>BDC BT 10 0 0 10 533.201 505.9372 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 85.0394 494.3211 Tm [(à amélior)18.1(er)92(, des aides à mieux cibler)92(, )]TJ ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 250.2578 494.3211 Tm (r)Tj /TT4 1 Tf .685 0 TD (apport public thématique, juillet 2016, p. 198.)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 459.6077 494.3211 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 477.0418 Tm [(Gand S,)37.1( P)18.1(eriac E,)37.1( Bloch MA,)37.1( Hénaut L,)37.1( 2017.)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 228.7278 477.0418 Tm [( Evaluation qualitative P)74.2(AERP)74.2(A, )]TJ ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 371.1634 477.0418 Tm (r)Tj /TT4 1 Tf .685 0 TD (apport )Tj /TT5 1 Tf 3.223 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inal, )Tj /TT5 1 Tf 2.093 0 TD (e)Tj /TT4 1 Tf .611 0 TD [(tudes et r)18.1(echer)18.1(ches)]TJ ET EMC /P <>BDC BT 10 0 0 10 528.6021 477.0418 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 85.0394 465.4258 Tm (n° 135, )Tj /TT5 1 Tf 3.458 0 TD (p)Tj /TT4 1 Tf .648 0 TD (ublication )Tj /TT5 1 Tf 4.612 0 TD (drees)Tj /TT4 1 Tf 3.259 0 TD (.)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 207.5894 465.4258 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 448.1465 Tm [(IGAS \(Inspection générale des affaires sociales\),)37.1( 2014.)37.1( )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 274.3907 448.1465 Tm [(Evaluation de la coor)18.1(dination d’appui aux soins, )]TJ ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 488.9 448.1465 Tm (i)Tj /TT4 1 Tf .259 0 TD (nspection)Tj ET EMC /P <>BDC BT 10 0 0 10 535.39 448.1465 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 85.0394 436.5805 Tm (générale des a)Tj /TT5 1 Tf 6.556 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(air)18.1(es sociales, établi par )]TJ /TT5 1 Tf 11.0189 0 TD (p)Tj /TT4 1 Tf .648 0 TD [( Blanchar)18.1(d L, )]TJ /TT5 1 Tf 6.2059 0 TD (e)Tj /TT4 1 Tf .611 0 TD (slous )Tj /TT5 1 Tf 2.63 0 TD (i)Tj /TT4 1 Tf .259 0 TD (, )Tj /TT5 1 Tf .556 0 TD (y)Tj /TT4 1 Tf .5369 0 TD (eni, )Tj /TT5 1 Tf 1.871 0 TD (p)Tj /TT4 1 Tf .648 0 TD ( Louis, )Tj /TT5 1 Tf 3.242 0 TD (r)Tj /TT4 1 Tf .685 0 TD [(apport Ministèr)18.1(es)]TJ ET EMC /P <>BDC BT 10 0 0 10 523.4357 436.5805 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 85.0394 425.0105 Tm (des a)Tj /TT5 1 Tf 2.445 0 TD -.0181 Tc (ff)Tj /TT4 1 Tf .5739 0 TD 0 Tc [(air)18.1(es sociales. )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 180.968 425.0105 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 407.7312 Tm [(Ministr)-17.8(y of Solidarities and of Health,)37.1( 2018.)37.1( )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 229.7489 407.7312 Tm [(Le par)18.1(cours de santé des personnes âgées en risqué de perte)]TJ ET EMC /P <>BDC BT 10 0 0 10 504.6082 407.7312 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 85.0394 396.1152 Tm [(d’autonomie P)74.2(AERP)74.2(A. Bilan intermédiair)18.1(e. Ministry of Solidarities and of Health, Mar)18.1(ch 2018, Paris.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 524.1837 396.1152 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /TT9 1 Tf 11 0 0 11 56.6929 368.7499 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 72.6916 368.7499 Tm 0 0 0 1 k (IRDES )Tj ET EMC /P <>BDC BT 11 0 0 11 99.9936 368.7499 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 348.1247 Tm [(Or Z,)37.1( Bricard D,)37.1( Le Guen N,)37.1( P)18.1(enneau )37.1(A \(IRDES\),)37.1( 2018)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 263.1667 348.1247 Tm (. )Tj ET EMC /Link <>BDC BT /TT4 1 Tf 10 0 0 10 268.7267 348.1247 Tm (Évaluation d’impact de l’expérimentation )Tj /TT5 1 Tf 18.505 0 TD (p)Tj /TT4 1 Tf .648 0 TD [(ar)18.1(cours santé)]TJ ET EMC /Link <>BDC BT 10 0 0 10 521.006 348.1247 Tm ( )Tj ET EMC /Link <>BDC BT 10 0 0 10 85.0394 336.5086 Tm (des aînés \()Tj /TT5 1 Tf 4.797 0 TD (p)Tj /TT4 1 Tf .648 0 TD (aerpa\). )Tj /TT5 1 Tf 3.352 0 TD (p)Tj /TT4 1 Tf .648 0 TD [(r)18.1(emiers résultats)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 253.3886 336.5086 Tm (.)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 256.1686 336.5086 Tm ( )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 258.9486 336.5086 Tm (Les rapports de l’IRDES)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 365.8086 336.5086 Tm (, n° 567, juin 2018. )Tj ET EMC /P <>BDC BT 10 0 0 10 452.0885 336.5086 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 319.2293 Tm [(Or Z,)37.1( Bricard D,)37.1( Le Guen N,)37.1( P)18.1(enneau )37.1(A \(IRDES\),)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 239.5378 319.2293 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 242.3179 319.2293 Tm (2017)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 261.5178 319.2293 Tm (. )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 267.0779 319.2293 Tm [(Evaluation d’impact de l’expérimentation P)74.2(AERP)74.2(A. Résultats)]TJ ET EMC /P <>BDC BT 10 0 0 10 535.2734 319.2293 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 85.0394 307.6133 Tm [(préliminair)18.1(es en 2016)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 179.8787 307.6133 Tm (. )Tj /TT5 1 Tf .556 0 TD (irdes)Tj /TT4 1 Tf 2.907 0 TD [( – point d’étape sur l’évaluation nationale, décembr)18.1(e 2017, )]TJ /TT5 1 Tf 26.4349 0 TD (p)Tj /TT4 1 Tf .648 0 TD (aris. )Tj ET EMC /P <>BDC BT 10 0 0 10 506.8179 307.6133 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 290.334 Tm [(Or Z,)37.1( Guillaume S \(IRDES\),)37.1( 2016)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 180.4207 290.334 Tm (. )Tj ET EMC /Link <>BDC BT 10 0 0 10 185.9807 290.334 Tm (La satis)Tj /TT5 1 Tf 3.445 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(action des personnes âgées en termes de prise en char)28.1(ge médicale et)]TJ ET EMC /Link <>BDC BT 10 0 0 10 536.5098 290.334 Tm ( )Tj ET EMC /Link <>BDC BT 10 0 0 10 85.0394 278.7181 Tm [(de coor)18.1(dination des soins : une appr)18.1(oche qualitative exploratoir)18.1(e.)]TJ ET EMC /P <>BDC BT 10 0 0 10 376.9473 278.7181 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 379.7272 278.7181 Tm (irdes)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 408.7972 278.7181 Tm (. )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 414.3571 278.7181 Tm (Questions d’économie de)Tj ET EMC /P <>BDC BT 10 0 0 10 528.6271 278.7181 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 85.0394 267.148 Tm (la santé)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 119.3093 267.148 Tm ( n° 214, 2016/01.)Tj ET EMC /P <>BDC BT 10 0 0 10 196.1393 267.148 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 249.8687 Tm [(Monégat M,)37.1( Sermet C,)37.1( P)18.1(erronnin M,)37.1( Rococo E \(IRDES\),)37.1( 2014)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 291.0278 249.8687 Tm (. )Tj ET EMC /Link <>BDC BT 10 0 0 10 296.5879 249.8687 Tm (La polymédication)Tj /TT3 1 Tf 8.206 0 TD <000d>Tj /TT4 1 Tf .278 0 TD (: dé)Tj /TT5 1 Tf 1.686 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(initions, mesur)18.1(es et enjeux.)]TJ ET EMC /Link <>BDC BT 10 0 0 10 522.5771 249.8687 Tm ( )Tj ET EMC /Link <>BDC BT /TT5 1 Tf 10 0 0 10 85.0394 238.2527 Tm (r)Tj /TT4 1 Tf .685 0 TD [(evue de littératur)18.1(e et tests de mesur)18.1(e)]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 257.6779 238.2527 Tm (, )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 263.2379 238.2527 Tm (irdes)Tj /TT4 1 Tf 2.907 0 TD (. )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 297.8679 238.2527 Tm (Questions d’économie de la santé)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 449.1879 238.2527 Tm [( n°204, décembr)18.1(e)]TJ ET EMC /P <>BDC BT 10 0 0 10 528.7871 238.2527 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 85.0394 226.7327 Tm (2014.)Tj ET EMC /P <>BDC BT 10 0 0 10 110.0593 226.7327 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 209.4534 Tm [(Bricard D,)37.1( Or Z \(IRDES\),)37.1( 2018.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 172.6507 209.4534 Tm ( )Tj ET EMC /Link <>BDC BT /TT5 1 Tf 10 0 0 10 175.4308 209.4534 Tm (d)Tj /TT4 1 Tf .704 0 TD (oes an )Tj /TT5 1 Tf 3.26 0 TD (e)Tj /TT4 1 Tf .611 0 TD (arly )Tj /TT5 1 Tf 1.87 0 TD (p)Tj /TT4 1 Tf .648 0 TD (rimary )Tj /TT5 1 Tf 3.056 0 TD (c)Tj /TT4 1 Tf .722 0 TD [(ar)18.1(e follow-up a)]TJ /TT5 1 Tf 6.9439 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ter )Tj /TT5 1 Tf 1.463 0 TD (d)Tj /TT4 1 Tf .704 0 TD [(ischar)28.1(ge )]TJ /TT5 1 Tf 4.0459 0 TD (r)Tj /TT4 1 Tf .685 0 TD (educe )Tj /TT5 1 Tf 3.038 0 TD (r)Tj /TT4 1 Tf .685 0 TD (eadmissions )Tj /TT5 1 Tf 5.872 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or)Tj ET EMC /Link <>BDC BT 10 0 0 10 533.4992 209.4534 Tm ( )Tj ET EMC /Link <>BDC BT /TT5 1 Tf 10 0 0 10 85.0394 197.8374 Tm (h)Tj /TT4 1 Tf .722 0 TD [(eart failur)18.1(e )]TJ /TT5 1 Tf 5.2409 0 TD (p)Tj /TT4 1 Tf .648 0 TD (atients?)Tj ET EMC /P <>BDC BT 10 0 0 10 186.5287 197.8374 Tm (, )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 192.0886 197.8374 Tm (Document de travail IRDES)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 313.2187 197.8374 Tm (, n° 73. )Tj ET EMC /P <>BDC BT 10 0 0 10 347.7986 197.8374 Tm ([)Tj /TT5 1 Tf .259 0 TD (t)Tj /TT4 1 Tf .4629 0 TD (o be submitted to )Tj /TT5 1 Tf 8.189 0 TD (h)Tj /TT4 1 Tf .722 0 TD (ealth )Tj /TT5 1 Tf 2.445 0 TD (e)Tj /TT4 1 Tf .611 0 TD (conomics].)Tj ET EMC /P <>BDC BT 10 0 0 10 523.5876 197.8374 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 180.5581 Tm [(Or Z,)37.1( P)18.1(enneau )37.1(A \(IRDES\),)37.1( 2017.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 177.119 180.5581 Tm ( )Tj ET EMC /Link <>BDC BT /TT5 1 Tf 10 0 0 10 179.8989 180.5581 Tm (a)Tj /TT4 1 Tf .648 0 TD [(nalyse des déterminants territoriaux du r)18.1(ecours aux ur)28.1(gences non suivi d’une)]TJ ET EMC /Link <>BDC BT 10 0 0 10 529.6874 180.5581 Tm ( )Tj ET EMC /Link <>BDC BT 10 0 0 10 85.0394 168.9421 Tm (hospitalisation)Tj ET EMC /P <>BDC BT 10 0 0 10 149.4894 168.9421 Tm (, )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 155.0493 168.9421 Tm (Document de travail IRDES)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 276.1793 168.9421 Tm ( n°72, 2017/09.)Tj ET EMC /P <>BDC BT 10 0 0 10 344.6693 168.9421 Tm ( [)Tj /TT5 1 Tf .537 0 TD (s)Tj /TT4 1 Tf .648 0 TD (ubmitted to )Tj /TT5 1 Tf 5.429 0 TD (h)Tj /TT4 1 Tf .722 0 TD (ealth )Tj /TT5 1 Tf 2.445 0 TD (p)Tj /TT4 1 Tf .648 0 TD (olicy].)Tj ET EMC /P <>BDC BT 10 0 0 10 474.8791 168.9421 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 151.6628 Tm [(Bricard D,)37.1( Or Z,)37.1( P)18.1(enneau )37.1(A \(IRDES\),)37.1( 2018)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 216.3478 151.6628 Tm (. )Tj ET EMC /Link <>BDC BT 10 0 0 10 221.9078 151.6628 Tm (Méthodologie de l’évaluation d’impact de l’expérimentation )Tj /TT5 1 Tf 26.766 0 TD (p)Tj /TT4 1 Tf .648 0 TD [(ar)18.1(cours)]TJ ET EMC /Link <>BDC BT 10 0 0 10 529.567 151.6628 Tm ( )Tj ET EMC /Link <>BDC BT 10 0 0 10 85.0394 140.0468 Tm (santé des aînés \()Tj /TT5 1 Tf 7.52 0 TD (p)Tj /TT4 1 Tf .648 0 TD (aerpa\))Tj ET EMC /P <>BDC BT 10 0 0 10 194.6793 140.0468 Tm (,)Tj ET EMC /P <>BDC BT 10 0 0 10 197.4593 140.0468 Tm ( )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 200.2393 140.0468 Tm (Document de travail )Tj ET EMC /P <>BDC BT 10 0 0 10 292.2993 140.0468 Tm (IRDES)Tj ET EMC /P <>BDC BT 10 0 0 10 321.3693 140.0468 Tm ( )Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 324.1492 140.0468 Tm (n°74, juin 2018.)Tj ET EMC /P <>BDC BT 10 0 0 10 393.7493 140.0468 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.6929 122.7675 Tm [(Atlas des territoires pilotes P)18.1(aerpa.)37.1( Situation 2012.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 257.9111 122.7675 Tm ( )Tj /TT5 1 Tf .278 0 TD (r)Tj /TT4 1 Tf .685 0 TD (esponsable scienti)Tj /TT5 1 Tf 8.316 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ique : Or Z. Équipe scienti)Tj /TT5 1 Tf 11.559 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ique :)Tj ET EMC /P <>BDC BT 10 0 0 10 496.8511 122.7675 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 85.0394 111.1515 Tm [(Bour)28.1(gueil )]TJ /TT5 1 Tf 4.5089 0 TD (y)Tj /TT4 1 Tf .5088 0 TD (, )Tj /TT5 1 Tf .556 0 TD (c)Tj /TT4 1 Tf .722 0 TD (ombes JB, Lecomte )Tj /TT5 1 Tf 9.282 0 TD (c)Tj /TT4 1 Tf .722 0 TD (, Le Guen )Tj /TT5 1 Tf 4.613 0 TD (n)Tj /TT4 1 Tf .722 0 TD (, Le )Tj /TT5 1 Tf 1.927 0 TD (n)Tj /TT4 1 Tf .722 0 TD [(eindr)18.1(e )]TJ /TT5 1 Tf 3.0379 0 TD (c)Tj /TT4 1 Tf .722 0 TD (, )Tj /TT5 1 Tf .556 0 TD (p)Tj /TT4 1 Tf .648 0 TD (enneau )Tj /TT5 1 Tf 3.557 0 TD (a)Tj /TT4 1 Tf .648 0 TD (, )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 425.1262 111.1515 Tm (Ouvrage IRDES)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 494.5662 111.1515 Tm ( n° 1, juin)Tj ET EMC /P <>BDC BT 10 0 0 10 536.3662 111.1515 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 85.0394 99.6314 Tm (2015, 126 pages. )Tj ET EMC /P <>BDC BT 10 0 0 10 165.2693 99.6314 Tm ( )Tj ET EMC Q endstream endobj 1484 0 obj <>/ExtGState<>>> endobj 1486 0 obj <> endobj 1548 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 571.4064 802.4034 Tm (19)Tj ET EMC /P <>BDC BT /TT9 1 Tf 11 0 0 11 56.4966 691.8 Tm .533 .114 .024 0 k (n)Tj ET EMC /P <>BDC /GS2 gs BT /F1 1 Tf 11 0 0 11 72.4954 691.8 Tm 0 0 0 1 k [(Other evalua)-10(tion reports not cited in the in-depth stud)-10(y)]TJ ET EMC /P <>BDC BT 11 0 0 11 295.2014 691.8 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 671.1748 Tm [(Haute )37.1(Autorité de Santé \(HAS\),)37.1( 2015)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 198.4044 671.1748 Tm (. )Tj ET EMC /Link <>BDC BT /TT7 1 Tf 10 0 0 10 203.9644 671.1748 Tm [(Mise en oeuvr)18.1(e du PPS Paerpa : bilan à 6 mois)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 412.1537 671.1748 Tm [(. Les par)18.1(cours de soins,)]TJ ET EMC /P <>BDC BT 10 0 0 10 519.033 671.1748 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 659.6088 Tm [(novembr)18.1(e 2015. )]TJ ET EMC /P <>BDC BT 10 0 0 10 160.0724 659.6088 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 642.3295 Tm [(Laborde C,)37.1( Rodwin )37.1(VG,)37.1( 2015)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 167.1033 642.3295 Tm (. )Tj ET EMC /Link <>BDC BT /TT7 1 Tf 10 0 0 10 172.6633 642.3295 Tm (Hospitalisations potentiellement évitables. Quel apport dans un diagnostic)Tj ET EMC /Link <>BDC BT 10 0 0 10 501.6031 642.3295 Tm ( )Tj ET EMC /Link <>BDC BT 10 0 0 10 84.843 630.7135 Tm (territorial)Tj /TT6 1 Tf 3.925 0 TD <0001>Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 126.873 630.7135 Tm (?)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 132.433 630.7135 Tm (, O)Tj /TT5 1 Tf 1.316 0 TD (rs)Tj /TT4 1 Tf 1.333 0 TD (, )Tj /TT5 1 Tf .556 0 TD (i)Tj /TT4 1 Tf .259 0 TD (le-de-france, juillet 2015.)Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 280.803 630.7135 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 283.583 630.7135 Tm ( )Tj ET EMC /P <>BDC /GS1 gs BT /F1 1 Tf 11 0 0 11 56.4966 609.5209 Tm .533 .114 .024 0 k -.037 Tw [(5.1 Academic )-37(litera)-10(ture)]TJ ET EMC /P <>BDC BT 11 0 0 11 151.0416 609.5209 Tm 0 Tw ( )Tj ET EMC /P <>BDC /GS2 gs BT /TT2 1 Tf 10 0 0 10 56.4966 588.8957 Tm 0 0 0 1 k -.0371 Tw [(Abbott A,)37.1( )-37.1(1988.)37.1( )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 118.4232 588.8957 Tm 0 Tw [(The System of Pr)18.1(ofessions. )]TJ ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 242.4828 588.8957 Tm (t)Tj /TT4 1 Tf .574 0 TD (he )Tj /TT5 1 Tf 1.371 0 TD (u)Tj /TT4 1 Tf .722 0 TD (niversity o)Tj /TT5 1 Tf 4.537 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj /TT5 1 Tf .278 0 TD (c)Tj /TT4 1 Tf .722 0 TD (hicago )Tj /TT5 1 Tf 3.278 0 TD (p)Tj /TT4 1 Tf .648 0 TD [(r)18.1(ess, )]TJ ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 390.822 588.8957 Tm (c)Tj /TT4 1 Tf .722 0 TD (hicago and London.)Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 487.3319 588.8957 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.4966 571.5703 Tm -.0371 Tw [(Abbott A,)37.1( )-37.1(1995.)37.1( )]TJ ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 118.4232 571.5703 Tm 0 Tw (t)Tj /TT4 1 Tf .574 0 TD (hings o)Tj /TT5 1 Tf 3.26 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( boundaries. )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 218.0733 571.5703 Tm [(Social Resear)18.1(ch)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 289.7426 571.5703 Tm (, 62, 4, 857-82.)Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 357.5726 571.5703 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.4966 554.2451 Tm -.0371 Tw [(Abbott A,)37.1( )-37.1(2005.)37.1( )]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 118.4232 554.2451 Tm 0 Tw [(Linked ecologies: states and universities as envir)18.1(onments )]TJ /TT5 1 Tf 25.9319 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or pr)18.1(o)]TJ /TT5 1 Tf 2.6669 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essions. )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 449.7819 554.2451 Tm (Sociological)Tj ET EMC /P <>BDC BT 10 0 0 10 504.032 554.2451 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 542.5891 Tm (Theory)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 115.3931 542.5891 Tm (, 23, 3, 245–74.)Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 184.333 542.5891 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.4966 525.2638 Tm [(Amyot JJ,)37.1( 2006.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 119.5255 525.2638 Tm ( )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 122.3055 525.2638 Tm [(Développer la coor)18.1(dination gér)18.1(ontologique. Stratégies, dispositifs et pratiques [Developing)]TJ ET EMC /P <>BDC BT 10 0 0 10 523.634 525.2638 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 513.6477 Tm [(Ger)18.1(ontological Coor)18.1(dination. Strategies, Schemes and Practices])]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 373.5717 513.6477 Tm (. )Tj /TT5 1 Tf .556 0 TD (d)Tj /TT4 1 Tf .704 0 TD (unod, )Tj /TT5 1 Tf 2.835 0 TD (p)Tj /TT4 1 Tf .648 0 TD (aris.)Tj ET EMC /P <>BDC BT 10 0 0 10 439.7017 513.6477 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 496.3684 Tm [(Bertillot H,)37.1( 2017.)37.1( )]TJ ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 123.9544 496.3684 Tm (i)Tj /TT4 1 Tf .259 0 TD [(ntégr)18.1(er les services pour rationaliser l’action publique. Les nouveaux pr)18.1(o)]TJ /TT5 1 Tf 32.3378 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essionnels de la)Tj ET EMC /P <>BDC BT 10 0 0 10 524.3729 496.3684 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 484.7524 Tm (transversalité dans le secteur de l’autonomie. )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 289.8829 484.7524 Tm [(T)111.1(errain et travaux)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 365.6321 484.7524 Tm (, 2017/1, n° 30, p. 5)Tj ET EMC /P <>BDC BT 10 0 0 10 453.952 484.7524 Tm (–)Tj ET EMC /P <>BDC BT 10 0 0 10 458.952 484.7524 Tm (30.)Tj ET EMC /P <>BDC BT 10 0 0 10 472.852 484.7524 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 467.4731 Tm [(Bloch MA,)37.1( Hénaut L,)37.1( 2014.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 159.6944 467.4731 Tm ( )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 162.4744 467.4731 Tm [(Coor)18.1(dination et par)18.1(cours. La dynamique du monde sanitair)18.1(e, social et médico-social)]TJ ET EMC /P <>BDC BT 10 0 0 10 536.8223 467.4731 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 455.8571 Tm [([Coor)18.1(dination and Pathways. Dynamics of the Health, Social and Medico-social W)57.1(orld])]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 467.851 455.8571 Tm (. )Tj /TT5 1 Tf .556 0 TD (d)Tj /TT4 1 Tf .704 0 TD (unod, )Tj /TT5 1 Tf 2.835 0 TD (p)Tj /TT4 1 Tf .648 0 TD (aris.)Tj ET EMC /P <>BDC BT 10 0 0 10 533.981 455.8571 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 438.5778 Tm [(Campéon,)37.1( )37.1(A,)37.1( Le Bihan B,)37.1( Sopadzhiy)-9.8(an,)37.1( )37.1(A.)37.1( 2017.)37.1( )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 243.0354 438.5778 Tm [(Les r)18.1(essorts d’un pr)18.1(ocessus local d’intégration: compositions et)]TJ ET EMC /P <>BDC BT 10 0 0 10 526.574 438.5778 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 426.9618 Tm [(r)18.1(ecompositions pr)18.1(ofessionnelles dans le secteur de la prise en char)28.1(ge des personnes âgées en perte)]TJ ET EMC /P <>BDC BT 10 0 0 10 530.7008 426.9618 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 415.3918 Tm (d’autonomie)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 140.603 415.3918 Tm (, )Tj /TT5 1 Tf .556 0 TD -.0181 Tc (rt)Tj /TT4 1 Tf 1.2409 0 TD 0 Tc [( 7 V)18.1(ieillesses, vieillissement, par)18.1(cours de vie, )]TJ ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 360.641 415.3918 Tm (c)Tj /TT4 1 Tf .722 0 TD (ongrès )Tj /TT5 1 Tf 3.352 0 TD (a)Tj /TT4 1 Tf .648 0 TD (f)Tj /TT5 1 Tf .574 0 TD (s)Tj /TT4 1 Tf .648 0 TD (.)Tj ET EMC /P <>BDC BT 10 0 0 10 422.861 415.3918 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 398.1125 Tm -.0371 Tw [(Gier)-17.8(yn TF)111.1(,)37.1( )-37.1(1983.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 118.4118 398.1125 Tm 0 Tw [( Boundary-work and the demar)18.1(cation o)]TJ /TT5 1 Tf 17.5409 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( science )Tj /TT5 1 Tf 3.982 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(r)18.1(om non-science: strains and inter)18.1(ests in)]TJ ET EMC /P <>BDC BT 10 0 0 10 520.9097 398.1125 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 386.4965 Tm [(pr)18.1(o)]TJ /TT5 1 Tf 1.4819 0 TD (f)Tj /TT4 1 Tf .296 0 TD (essional ideologies o)Tj /TT5 1 Tf 9.333 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( scientists. )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 249.2924 386.4965 Tm (American Sociological Review)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 383.5424 386.4965 Tm (, 48, 6, 781-95.)Tj ET EMC /P <>BDC BT 10 0 0 10 451.3723 386.4965 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 369.2172 Tm [(Gobet P)129.1(,)37.1( Emilsson )37.1(T)92(.)37.1( 2013.)37.1( )]TJ ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 160.0102 369.2172 Tm (i)Tj /TT4 1 Tf .259 0 TD (ntegration as ‘Boundary )Tj /TT5 1 Tf 11.002 0 TD (r)Tj /TT4 1 Tf .685 0 TD (ede)Tj /TT5 1 Tf 1.667 0 TD (f)Tj /TT4 1 Tf .296 0 TD (inition )Tj /TT5 1 Tf 2.945 0 TD (p)Tj /TT4 1 Tf .648 0 TD [(r)18.1(ocess’. )]TJ /TT5 1 Tf 3.7969 0 TD (i)Tj /TT4 1 Tf .259 0 TD (n Leichsenring K, Billings J, )Tj /TT5 1 Tf 12.577 0 TD (n)Tj /TT4 1 Tf .722 0 TD (ies )Tj /TT5 1 Tf 1.537 0 TD (h)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 531.1696 369.2172 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 357.6012 Tm (\(eds\), )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 111.8831 357.6012 Tm [(Long-T)111.1(erm Car)18.1(e in Eur)18.1(ope. Impr)18.1(oving Policy and Practice)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 367.2902 357.6012 Tm (. )Tj /TT5 1 Tf .556 0 TD (p)Tj /TT4 1 Tf .648 0 TD (algrave Macmillan, London, )Tj /TT5 1 Tf 12.596 0 TD (n)Tj /TT4 1 Tf .722 0 TD (ew)Tj ET EMC /P <>BDC BT 10 0 0 10 525.4601 357.6012 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 84.843 345.9911 Tm (y)Tj /TT4 1 Tf .5369 0 TD (ork, 118–39.)Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 145.6122 345.9911 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.4966 328.6659 Tm -.0371 Tw [(Goodwin )-37.1(N,)37.1( )-37.1(Dixon A,)37.1( Anderson )-37.1(G,)37.1( W)18.1(odchis W)74.2(,)37.1( )-37.1(2014)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 253.855 328.6659 Tm 0 Tw (. )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 259.4149 328.6659 Tm [(Pr)18.1(oviding Integrated Car)18.1(e for Older People with Complex)]TJ ET EMC /P <>BDC BT 10 0 0 10 512.9436 328.6659 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 317.0499 Tm [(Needs. Lessons fr)18.1(om Seven Inter)-17.8(national Case Studies)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 328.7405 317.0499 Tm (. )Tj /TT5 1 Tf .556 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(he King’)74.2(s fund, London.)]TJ ET EMC /P <>BDC BT 10 0 0 10 448.9783 317.0499 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 299.7706 Tm [(Henrard JC,)37.1( )37.1(V)18.1(edel I,)37.1( 2003.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 157.2926 299.7706 Tm [( L)74.2(’enjeu de la coor)18.1(dination gér)18.1(ontologique en france [)]TJ /TT5 1 Tf 24.0046 0 TD (t)Tj /TT4 1 Tf .574 0 TD [(he ger)18.1(ontological)]TJ ET EMC /P <>BDC BT 10 0 0 10 480.1184 299.7706 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 288.1545 Tm [(coor)18.1(dination challenge in france]. )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 238.3823 288.1545 Tm (Santé, Société et Solidarité)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 359.3223 288.1545 Tm (, 2, 2, 77)Tj ET EMC /P <>BDC BT 10 0 0 10 398.2422 288.1545 Tm (–)Tj ET EMC /P <>BDC BT 10 0 0 10 403.2422 288.1545 Tm (84.)Tj ET EMC /P <>BDC BT 10 0 0 10 417.1422 288.1545 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 270.8752 Tm [(Le Bihan B,)37.1( Martin C,)37.1( 2007.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 163.0143 270.8752 Tm ( )Tj /TT5 1 Tf .278 0 TD (c)Tj /TT4 1 Tf .722 0 TD (ash )Tj /TT5 1 Tf 1.871 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(or car)18.1(e in the fr)18.1(ench wel)]TJ /TT5 1 Tf 11.0009 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ar)18.1(e state: a skil)]TJ /TT5 1 Tf 6.7049 0 TD (f)Tj /TT4 1 Tf .296 0 TD [(ul compr)18.1(omise. )]TJ /TT5 1 Tf 7.1699 0 TD (i)Tj /TT4 1 Tf .259 0 TD (n )Tj /TT5 1 Tf .834 0 TD (u)Tj /TT4 1 Tf .722 0 TD (ngerson )Tj /TT5 1 Tf 3.908 0 TD (c)Tj /TT4 1 Tf .722 0 TD (,)Tj ET EMC /P <>BDC BT 10 0 0 10 516.5917 270.8752 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 84.843 259.2593 Tm (y)Tj /TT4 1 Tf .5369 0 TD (eandle )Tj /TT5 1 Tf 3.26 0 TD (s)Tj /TT4 1 Tf .648 0 TD ( \(eds\), )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 159.1122 259.2593 Tm [(Cash for Car)18.1(e in Developed W)57.1(elfar)18.1(e States)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 348.1894 259.2593 Tm (. )Tj /TT5 1 Tf .556 0 TD (p)Tj /TT4 1 Tf .648 0 TD (algrave Macmillan, London, 39–52.)Tj ET EMC /P <>BDC BT 10 0 0 10 516.2095 259.2593 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 241.98 Tm [(Le Bihan B,)37.1( Sopadzhiy)-9.8(an )37.1(A,)37.1( 2017a.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 192.5509 241.98 Tm ( )Tj ET EMC /Link <>BDC BT /TT5 1 Tf 10 0 0 10 195.3309 241.98 Tm (t)Tj /TT4 1 Tf .574 0 TD (he development o)Tj /TT5 1 Tf 8.04 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( integration in the elderly car)18.1(e sector: a qualitative)]TJ ET EMC /Link <>BDC BT 10 0 0 10 506.3101 241.98 Tm ( )Tj ET EMC /Link <>BDC BT 10 0 0 10 84.843 230.364 Tm (analysis o)Tj /TT5 1 Tf 4.426 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( national policies and local initiatives in france and )Tj /TT5 1 Tf 22.892 0 TD (s)Tj /TT4 1 Tf .648 0 TD (weden)Tj ET EMC /P <>BDC BT 10 0 0 10 397.2729 230.364 Tm (, )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 402.8329 230.364 Tm (Ageing & Society)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 479.1329 230.364 Tm (. )Tj ET EMC /P <>BDC BT 10 0 0 10 487.4729 230.364 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 213.0847 Tm [(Le Bihan B,)37.1( Sopadzhiy)-9.8(an )37.1(A,)37.1( 2017b.)37.1( )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 194.7698 213.0847 Tm [(Country r)18.1(eport )]TJ ET EMC /P <>BDC BT 10 0 0 10 262.369 213.0847 Tm (–)Tj ET EMC /P <>BDC BT 10 0 0 10 267.3691 213.0847 Tm ( France. )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 306.2693 213.0847 Tm (e)Tj /TT4 1 Tf .611 0 TD [(ur)18.1(opean )]TJ /TT5 1 Tf 3.9459 0 TD (n)Tj /TT4 1 Tf .722 0 TD (etwork on Quality and )Tj /TT5 1 Tf 10.076 0 TD (c)Tj /TT4 1 Tf .722 0 TD (ost-)Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 84.843 201.5186 Tm [(ef)18.1(f)]TJ /TT4 1 Tf 1.1849 0 TD (ectiveness in L)Tj /TT5 1 Tf 6.539 0 TD (tc)Tj /TT4 1 Tf 1.296 0 TD ( and )Tj /TT5 1 Tf 2.242 0 TD (d)Tj /TT4 1 Tf .704 0 TD (ependency )Tj /TT5 1 Tf 5.224 0 TD (p)Tj /TT4 1 Tf .648 0 TD [(r)18.1(evention, May 2017 [with the collaboration o)]TJ /TT5 1 Tf 20.0779 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( Jean-Baptiste)Tj ET EMC /P <>BDC BT 10 0 0 10 532.1612 201.5186 Tm ( )Tj ET EMC /P <>BDC BT /TT5 1 Tf 10 0 0 10 84.843 189.9987 Tm (c)Tj /TT4 1 Tf .722 0 TD (ombes and )Tj /TT5 1 Tf 5.299 0 TD (c)Tj /TT4 1 Tf .722 0 TD (laude Martin].)Tj ET EMC /P <>BDC BT 10 0 0 10 213.213 189.9987 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 172.7194 Tm [(Leichsenring K,)37.1( 2004.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 141.3855 172.7194 Tm ( )Tj /TT5 1 Tf .278 0 TD (d)Tj /TT4 1 Tf .704 0 TD [(eveloping integrated health and social car)18.1(e services )]TJ /TT5 1 Tf 23.3729 0 TD (f)Tj /TT4 1 Tf .296 0 TD (or older persons in )Tj /TT5 1 Tf 8.649 0 TD (e)Tj /TT4 1 Tf .611 0 TD [(ur)18.1(ope.)]TJ ET EMC /P <>BDC BT 10 0 0 10 509.024 172.7194 Tm ( )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 84.843 161.1035 Tm [(Inter)-17.8(national Jour)-17.8(nal of Integrated Car)18.1(e)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 258.9488 161.1035 Tm (, 4, 3.)Tj ET EMC /P <>BDC BT 10 0 0 10 283.9688 161.1035 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 143.8241 Tm [(Mur)37.1(-V)18.1(eeman I,)37.1( van Raak )37.1(A,)37.1( P)18.1(aulus )37.1(A,)37.1( 2008.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 225.7487 143.8241 Tm ( )Tj /TT5 1 Tf .278 0 TD (c)Tj /TT4 1 Tf .722 0 TD [(omparing integrated car)18.1(e policy in )]TJ /TT5 1 Tf 15.5029 0 TD (e)Tj /TT4 1 Tf .611 0 TD [(ur)18.1(ope: does policy matter?)]TJ ET EMC /P <>BDC BT 10 0 0 10 516.7372 143.8241 Tm ( )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 84.843 132.208 Tm (Health Policy)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 143.173 132.208 Tm (, 85, 2, 172–83.)Tj ET EMC /P <>BDC BT 10 0 0 10 212.113 132.208 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 114.9287 Tm [(Robertson H,)37.1( 2011.)37.1( )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 133.0344 114.9287 Tm [(Integration of health and social car)18.1(e. A r)18.1(eview of literatur)18.1(e and models. Implications for)]TJ ET EMC /P <>BDC BT 10 0 0 10 516.8024 114.9287 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 103.2727 Tm (Scotland)Tj ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 124.483 103.2727 Tm (. )Tj /TT5 1 Tf .556 0 TD (s)Tj /TT4 1 Tf .648 0 TD (cotland: )Tj /TT5 1 Tf 3.89 0 TD (r)Tj /TT4 1 Tf .685 0 TD (oyal )Tj /TT5 1 Tf 2.111 0 TD (c)Tj /TT4 1 Tf .722 0 TD (ollege o)Tj /TT5 1 Tf 3.518 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( )Tj /TT5 1 Tf .278 0 TD (n)Tj /TT4 1 Tf .722 0 TD (ursing.)Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 288.933 103.2727 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 56.4966 85.9474 Tm [(V)18.1(alentijn PP)129.2(,)37.1( Schepman SM,)37.1( Opheij )37.1(W)74.2(,)37.1( Bruijnzeels MA,)37.1( 2013.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 292.0267 85.9474 Tm ( )Tj /TT5 1 Tf .278 0 TD (u)Tj /TT4 1 Tf .722 0 TD [(nderstanding integrated car)18.1(e: a compr)18.1(ehensive)]TJ ET EMC /P <>BDC BT 10 0 0 10 512.6353 85.9474 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 74.3315 Tm (conceptual )Tj /TT5 1 Tf 5.242 0 TD (f)Tj /TT4 1 Tf .296 0 TD (ramework based on the integrative )Tj /TT5 1 Tf 15.78 0 TD (f)Tj /TT4 1 Tf .296 0 TD (unctions o)Tj /TT5 1 Tf 4.668 0 TD (f)Tj /TT4 1 Tf .296 0 TD [( primary car)18.1(e. )]TJ ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 414.7122 74.3315 Tm [(Inter)-17.8(national Jour)-17.8(nal of)]TJ ET EMC /P <>BDC BT 10 0 0 10 516.9487 74.3315 Tm ( )Tj ET EMC /P <>BDC BT 10 0 0 10 84.843 62.7614 Tm [(Integrated Car)18.1(e)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 153.9324 62.7614 Tm (, 13, 1.)Tj ET EMC /P <>BDC BT 10 0 0 10 184.5123 62.7614 Tm ( )Tj ET EMC /P <>BDC BT /TT2 1 Tf 10 0 0 10 56.4966 45.4821 Tm [(Williams P)129.2(,)37.1( Sullivan H,)37.1( 2009.)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 166.8828 45.4821 Tm ( faces o)Tj /TT5 1 Tf 3.815 0 TD (f)Tj /TT4 1 Tf .296 0 TD ( integration. )Tj ET EMC /P <>BDC BT /TT7 1 Tf 10 0 0 10 263.7428 45.4821 Tm [(Inter)-17.8(national Jour)-17.8(nal of Integrated Car)18.1(e)]TJ ET EMC /P <>BDC BT /TT4 1 Tf 10 0 0 10 437.8487 45.4821 Tm (, 9, 4.)Tj ET EMC Q endstream endobj 1549 0 obj <>/ExtGState<>>> endobj 1552 0 obj <> endobj 1567 0 obj <> endobj 1569 0 obj <> endobj 1575 0 obj <> endobj 1581 0 obj <> endobj 1566 0 obj <> endobj 1565 0 obj <> endobj 1589 0 obj <> endobj 1588 0 obj <> endobj 1595 0 obj <> endobj 1600 0 obj <> endobj 1607 0 obj <> endobj 1614 0 obj <> endobj 1594 0 obj <> endobj 1622 0 obj <> endobj 1627 0 obj <> endobj 1638 0 obj <> endobj 1649 0 obj <> endobj 1621 0 obj <> endobj 1659 0 obj <> endobj 1664 0 obj <> endobj 1669 0 obj <> endobj 1674 0 obj <> endobj 1658 0 obj <> endobj 1680 0 obj <> endobj 1685 0 obj <> endobj 1690 0 obj <> endobj 1695 0 obj <> endobj 1679 0 obj <> endobj 1701 0 obj <> endobj 1700 0 obj <> endobj 1707 0 obj <> endobj 1712 0 obj <> endobj 1717 0 obj <> endobj 1722 0 obj <> endobj 1706 0 obj <> endobj 1728 0 obj <> endobj 1733 0 obj <> endobj 1738 0 obj <> endobj 1743 0 obj <> endobj 1727 0 obj <> endobj 1749 0 obj <> endobj 1754 0 obj <> endobj 1759 0 obj <> endobj 1764 0 obj <> endobj 1748 0 obj <> endobj 1770 0 obj <> endobj 1775 0 obj <> endobj 1784 0 obj <> endobj 1789 0 obj <> endobj 1769 0 obj <> endobj 1587 0 obj <> endobj 1564 0 obj <> endobj 1794 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 571.4064 802.4034 Tm (20)Tj ET EMC /P <>BDC BT 14 0 0 14 56.6929 690.1615 Tm .533 .114 .024 0 k [(A)-10(ppendix:)37( details of the policies)]TJ ET EMC /Artifact <>BDC 56.693 639.763 73.701 42.395 re f EMC /Artifact <>BDC 130.394 639.763 133.228 42.395 re f EMC /P <>BDC BT 9 0 0 9 134.3937 669.7315 Tm 0 0 0 0 k (MAIA )Tj ET EMC /P <>BDC BT 9 0 0 9 153.7257 669.7315 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 158.2257 669.7315 Tm ( Method of action for the)Tj ET EMC /P <>BDC BT 9 0 0 9 239.9907 669.7315 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 658.9316 Tm [(integra)-10(tion of health and social)]TJ ET EMC /P <>BDC BT 9 0 0 9 236.9217 658.9316 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 648.1316 Tm [(ser)-18(vices in the eld of autonomy)]TJ ET EMC /Artifact <>BDC .533 .114 .024 0 k 263.622 639.763 141.732 42.395 re f EMC /P <>BDC BT 9 0 0 9 267.622 669.7315 Tm 0 0 0 0 k [(P)37(AERP)37(A … Elderly people a)-10(t)0( risk of loss)]TJ ET EMC /P <>BDC BT 9 0 0 9 395.6111 669.7315 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 658.9316 Tm (of autonomy)Tj ET EMC /Artifact <>BDC .533 .114 .024 0 k 405.354 639.763 133.229 42.395 re f EMC /P <>BDC BT 9 0 0 9 409.3543 669.7315 Tm 0 0 0 0 k [(PT)55(A)]TJ ET EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 626.5452 Tm 0 0 0 1 k (CHARACTERISTICS)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 569.182 73.701 47.248 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 606.0035 Tm 0 0 0 1 k [(T)74(arget group)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 569.182 133.228 47.248 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 606.0035 Tm 0 0 0 1 k (60+)Tj ET EMC /P <>BDC BT 9 0 0 9 148.4337 606.0035 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 592.3688 Tm (Elderly people in complex health and)Tj ET EMC /P <>BDC BT 9 0 0 9 256.4788 592.3688 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 581.5689 Tm [(social care situa)-10(tions)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 569.182 141.732 47.248 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 606.0035 Tm 0 0 0 1 k (75+)Tj ET EMC /P <>BDC BT 9 0 0 9 281.662 606.0035 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 592.3688 Tm [(Elderly people a)-10(t)0( risk of loss of)]TJ ET EMC /P <>BDC BT 9 0 0 9 369.4482 592.3688 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 581.5689 Tm (autonomy )Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 569.182 133.229 47.248 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 606.0035 Tm 0 0 0 1 k [(All a)-10(ges)]TJ ET EMC /P <>BDC BT 9 0 0 9 435.5984 606.0035 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 592.3688 Tm (Complex health and social care)Tj ET EMC /P <>BDC BT 9 0 0 9 513.2864 592.3688 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 581.5689 Tm [(situa)-10(tions)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 342.38 73.701 225.802 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 557.756 Tm 0 0 0 1 k (Aims )Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 342.38 133.228 225.802 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 557.756 Tm 0 0 0 1 k [(Support the organiza)-10(tion of health)]TJ ET EMC /P <>BDC BT 9 0 0 9 247.0828 557.756 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 546.956 Tm [(and social care:)37( )]TJ ET EMC /P <>BDC BT 9 0 0 9 188.6819 546.956 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 533.3214 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 533.3214 Tm [( harmonizing informa)-10(tion and)]TJ ET EMC /P <>BDC BT 9 0 0 9 236.6068 533.3214 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 522.5214 Tm [(orienta)-10(tion practices of professionals)]TJ ET EMC /P <>BDC BT 9 0 0 9 256.9017 522.5214 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 511.7215 Tm [(involved \(integra)-10(ted entr)-18(y point\))]TJ ET EMC /P <>BDC BT 9 0 0 9 244.0498 511.7215 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 498.0868 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 498.0868 Tm ( structuring of shared bodies in)Tj ET EMC /P <>BDC BT 9 0 0 9 242.4928 498.0868 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 487.2869 Tm (order to enhance shared)Tj ET EMC /P <>BDC BT 9 0 0 9 215.6638 487.2869 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 476.4869 Tm [(responsibilities a)-10(t)0( institutional and)]TJ ET EMC /P <>BDC BT 9 0 0 9 247.7667 476.4869 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 465.6869 Tm [(organiza)-10(tional levels)]TJ ET EMC /P <>BDC BT 9 0 0 9 202.1097 465.6869 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 452.0523 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 452.0523 Tm [( complex case mana)-10(gement:)]TJ ET EMC /P <>BDC BT 9 0 0 9 234.5727 452.0523 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 441.2524 Tm [(intensive coordina)-10(tion and follo)-10(w up)]TJ ET EMC /P <>BDC BT 9 0 0 9 254.3368 441.2524 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 430.4524 Tm [(of professional inter)-18(ventions)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 342.38 141.732 225.802 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 557.756 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 557.756 Tm ( Prevent loss of autonomy by)Tj ET EMC /P <>BDC BT 9 0 0 9 368.1701 557.756 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 546.956 Tm [(identifying a)-10(t)0( an early sta)-10(ge risk factors)]TJ ET EMC /P <>BDC BT 9 0 0 9 399.0131 546.956 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 536.156 Tm [(leading to hospitaliza)-10(tions and/or early)]TJ ET EMC /P <>BDC BT 9 0 0 9 395.8002 536.156 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 525.3561 Tm [(institutionaliza)-10(tions)]TJ ET EMC /P <>BDC BT 9 0 0 9 331.5311 525.3561 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 511.7215 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 511.7215 Tm [( Coordina)-10(tion of health,)37( social and)]TJ ET EMC /P <>BDC BT 9 0 0 9 384.9731 511.7215 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 500.9215 Tm [(medico-social inter)-18(ventions:)37( support to)]TJ ET EMC /P <>BDC BT 9 0 0 9 397.0331 500.9215 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 490.1215 Tm (frontline professionals in their)Tj ET EMC /P <>BDC BT 9 0 0 9 366.3971 490.1215 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 479.3215 Tm [(coordina)-10(tion functions,)37( providing)]TJ ET EMC /P <>BDC BT 9 0 0 9 375.9911 479.3215 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 468.5216 Tm [(informa)-10(tion,)37( orienta)-10(tion to the adequa)-10(te)]TJ ET EMC /P <>BDC BT 9 0 0 9 399.1302 468.5216 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 457.7216 Tm [(ser)-18(vice)]TJ ET EMC /P <>BDC BT 9 0 0 9 291.4271 457.7216 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 444.087 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 444.087 Tm ( Secure hospital discharges and)Tj ET EMC /P <>BDC BT 9 0 0 9 378.3941 444.087 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 433.287 Tm [(limiting unplanned \(a)-10(voidable\))]TJ ET EMC /P <>BDC BT 9 0 0 9 367.3511 433.287 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 422.487 Tm [(hospitaliza)-10(tions or unnecessar)-18(y)]TJ ET EMC /P <>BDC BT 9 0 0 9 372.1391 422.487 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 411.687 Tm [(emergenc)20(y visits:)37( improving)]TJ ET EMC /P <>BDC BT 9 0 0 9 360.5292 411.687 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 400.8871 Tm [(coordina)-10(tion between hospital and)]TJ ET EMC /P <>BDC BT 9 0 0 9 381.9851 400.8871 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 390.0871 Tm [(primar)-18(y care )]TJ ET EMC /P <>BDC BT 9 0 0 9 312.0732 390.0871 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 376.4525 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 376.4525 Tm [( Better use of medicines:)37( reduce)]TJ ET EMC /P <>BDC BT 9 0 0 9 379.7081 376.4525 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 365.6525 Tm [(polymedica)-10(tion and drug-rela)-10(ted)]TJ ET EMC /P <>BDC BT 9 0 0 9 376.0811 365.6525 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 354.8527 Tm [(ia)-10(trogenia)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 342.38 133.229 225.802 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 557.756 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 557.756 Tm [( Mobilize a)-10(vailable resources in a)]TJ ET EMC /P <>BDC BT 9 0 0 9 524.2033 557.756 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 546.956 Tm [(territor)-18(y and support frontline)]TJ ET EMC /P <>BDC BT 9 0 0 9 506.9414 546.956 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 536.156 Tm (professionals \(GPs\))Tj ET EMC /P <>BDC BT 9 0 0 9 472.6514 536.156 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 522.5214 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 522.5214 Tm ( Identify the existing solution during)Tj ET EMC /P <>BDC BT 9 0 0 9 532.2764 522.5214 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 511.7215 Tm (admissions and discharges from)Tj ET EMC /P <>BDC BT 9 0 0 9 517.2914 511.7215 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 500.9215 Tm (hospitals)Tj ET EMC /P <>BDC BT 9 0 0 9 439.0093 500.9215 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 487.2869 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 487.2869 Tm [( Prevent a)-10(voidable hospitaliza)-10(tions)]TJ ET EMC /P <>BDC BT 9 0 0 9 528.6135 487.2869 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 476.4869 Tm [(and a)-10(void discontinuities in care)]TJ ET EMC /P <>BDC BT 9 0 0 9 516.3823 476.4869 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 465.6869 Tm (provided)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 288.49 73.701 52.89 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 330.9536 Tm 0 0 0 1 k [(F)18(ields covered)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 288.49 133.228 52.89 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 330.9536 Tm 0 0 0 1 k [(Social,)37( medico-social and health care)]TJ ET EMC /P <>BDC BT 9 0 0 9 258.8278 330.9536 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 320.1535 Tm (sectors )Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 288.49 141.732 52.89 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 330.9536 Tm 0 0 0 1 k (Relies on professionals from the social)Tj ET EMC /P <>BDC BT 9 0 0 9 395.701 330.9536 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 320.1535 Tm (medico-social and health care sectors)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 288.49 133.229 52.89 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 330.9536 Tm 0 0 0 1 k (Relies on professionals from the)Tj ET EMC /P <>BDC BT 9 0 0 9 516.1124 330.9536 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 320.1535 Tm (social medico-social and health care)Tj ET EMC /P <>BDC BT 9 0 0 9 531.1244 320.1535 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 309.3535 Tm (sectors \(emphasis on hospital and)Tj ET EMC /P <>BDC BT 9 0 0 9 522.7814 309.3535 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 298.5536 Tm [(outpa)-10(tient/primar)-18(y care\))]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 257.278 73.701 30.212 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 277.0641 Tm 0 0 0 1 k [(Na)-10(tional)]TJ ET EMC /P <>BDC BT 9 0 0 9 87.9449 277.0641 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 60.6929 266.2641 Tm (governance)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 257.278 133.228 30.212 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 277.0641 Tm 0 0 0 1 k (CNSA and department of social)Tj ET EMC /P <>BDC BT 9 0 0 9 237.8397 277.0641 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 266.2641 Tm (cohesion)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 257.278 141.732 30.212 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 277.0641 Tm 0 0 0 1 k (Department of social security)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 257.278 133.229 30.212 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 277.0641 Tm 0 0 0 1 k (Department of care provision)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 234.07 481.89 22.208 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 245.8517 Tm 0 0 0 1 k [(Regional/local governance:)37( )]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 202.853 73.701 31.217 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 223.6432 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 223.6432 Tm [(project valida)-10(tion)]TJ ET EMC /P <>BDC BT 9 0 0 9 126.0858 223.6432 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 212.8434 Tm [(and super)-18(vising)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 202.853 133.228 31.217 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 223.6432 Tm 0 0 0 1 k (ARS)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 202.853 141.732 31.217 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 223.6432 Tm 0 0 0 1 k (ARS)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 202.853 133.229 31.217 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 223.6432 Tm 0 0 0 1 k (ARS)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 155.114 73.701 47.739 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 192.4272 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 192.4272 Tm [(project initia)-10(tor )]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 155.114 133.228 47.739 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 192.4272 Tm 0 0 0 1 k (Health and social care actors \(both)Tj ET EMC /P <>BDC BT 9 0 0 9 249.6478 192.4272 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 181.6272 Tm (institutional actors and professionals\))Tj ET EMC /P <>BDC BT 9 0 0 9 258.3238 181.6272 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 170.8272 Tm [(from the territor)-18(y )]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 155.114 141.732 47.739 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 192.4272 Tm 0 0 0 1 k (Health and social care providers from)Tj ET EMC /P <>BDC BT 9 0 0 9 391.8581 192.4272 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 181.6272 Tm [(the territor)-18(y)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 155.114 133.229 47.739 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 192.4272 Tm 0 0 0 1 k [(Health actors from the territor)-18(y)]TJ ET EMC /P <>BDC BT 9 0 0 9 511.9183 192.4272 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 181.6272 Tm (\(previous health networks\))Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 129.571 73.701 24.543 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 143.6875 Tm 0 0 0 1 k (Funding authority)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 129.571 133.228 24.543 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 143.6875 Tm 0 0 0 1 k (CNSAFIR)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 129.571 141.732 24.543 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 143.6875 Tm 0 0 0 1 k (ONDAMFIR)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 129.571 133.229 24.543 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 143.6875 Tm 0 0 0 1 k (ONDAMFIR)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 55.589 73.701 72.982 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 118.1444 Tm 0 0 0 1 k (Cost )Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 55.589 133.228 72.982 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 118.1444 Tm 0 0 0 1 k [(P)18(er year / per scheme:)]TJ ET EMC /P <>BDC BT 9 0 0 9 209.8138 118.1444 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 104.5099 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 104.5099 Tm [( 100,000:)37( recruitment of the pilot)]TJ ET EMC /P <>BDC BT 9 0 0 9 253.3918 104.5099 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 93.7099 Tm [(and opera)-10(ting costs; )]TJ ET EMC /P <>BDC BT 9 0 0 9 204.2607 93.7099 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 80.0752 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 80.0752 Tm ( 60,000 per intensive case)Tj ET EMC /P <>BDC BT 9 0 0 9 231.5758 80.0752 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 69.2753 Tm [(mana)-10(ger)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 55.589 141.732 72.982 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 118.1444 Tm 0 0 0 1 k [( 150,000 to 300,000 per year / CT)55(A)]TJ ET EMC /P <>BDC BT 9 0 0 9 392.1913 118.1444 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 107.3445 Tm (plus funding of the schemes on which)Tj ET EMC /P <>BDC BT 9 0 0 9 394.0541 107.3445 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 96.5445 Tm [(P)37(AERP)37(A relies)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 55.589 133.229 72.982 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 118.1444 Tm 0 0 0 1 k (FIR for project actionsplus funding of)Tj ET EMC /P <>BDC BT 9 0 0 9 531.4573 118.1444 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 107.3445 Tm [(the schemes on which PT)55(A relies)]TJ ET EMC /Artifact <>BDC 0 0 0 0 K 0 J 0 j .25 w 10 M [] 0 d /GS1 gs q 1 0 0 1 56.693 639.638 cm 0 0 m 481.89 0 l S Q EMC /Artifact <>BDC 1 w q 1 0 0 1 56.693 616.93 cm 0 0 m 481.89 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 568.682 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 568.682 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 568.682 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 568.682 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 341.88 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 341.88 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 341.88 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 341.88 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 287.99 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 287.99 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 287.99 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 287.99 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 256.778 cm 0 0 m 481.89 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 154.614 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 154.614 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 154.614 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 154.614 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 129.071 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 129.071 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 129.071 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 129.071 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC .25 w q 1 0 0 1 56.693 55.464 cm 0 0 m 481.89 0 l S Q EMC Q endstream endobj 1795 0 obj <>/ExtGState<>>> endobj 1798 0 obj <> endobj 1811 0 obj <> endobj 1813 0 obj <> endobj 1819 0 obj <> endobj 1825 0 obj <> endobj 1810 0 obj <> endobj 1809 0 obj <> endobj 1833 0 obj <> endobj 1838 0 obj <> endobj 1843 0 obj <> endobj 1848 0 obj <> endobj 1855 0 obj <> endobj 1832 0 obj <> endobj 1861 0 obj <> endobj 1866 0 obj <> endobj 1875 0 obj <> endobj 1890 0 obj <> endobj 1860 0 obj <> endobj 1896 0 obj <> endobj 1901 0 obj <> endobj 1910 0 obj <> endobj 1915 0 obj <> endobj 1895 0 obj <> endobj 1923 0 obj <> endobj 1922 0 obj <> endobj 1929 0 obj <> endobj 1934 0 obj <> endobj 1939 0 obj <> endobj 1946 0 obj <> endobj 1928 0 obj <> endobj 1948 0 obj <> endobj 1953 0 obj <> endobj 1954 0 obj <> endobj 1959 0 obj <> endobj 1947 0 obj <> endobj 1831 0 obj <> endobj 1808 0 obj <> endobj 1970 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 571.4064 802.4034 Tm (21)Tj ET EMC /Artifact <>BDC .533 .114 .024 0 k 56.693 654.928 73.701 45.23 re f EMC /Artifact <>BDC 130.394 654.928 133.228 45.23 re f EMC /P <>BDC BT 9 0 0 9 134.3937 687.7315 Tm 0 0 0 0 k (MAIA - Method of action for the)Tj ET EMC /P <>BDC BT 9 0 0 9 238.6587 687.7315 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 676.9316 Tm [(integra)-10(tion of health and social)]TJ ET EMC /P <>BDC BT 9 0 0 9 236.9217 676.9316 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 666.1316 Tm [(ser)-18(vices in the eld of autonomy)]TJ ET EMC /Artifact <>BDC .533 .114 .024 0 k 263.622 654.928 141.732 45.23 re f EMC /P <>BDC BT 9 0 0 9 267.622 687.7315 Tm 0 0 0 0 k [(P)37(AERP)37(A … Elderly people a)-10(t)0( risk of loss)]TJ ET EMC /P <>BDC BT 9 0 0 9 395.6111 687.7315 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 676.9316 Tm (of autonomy)Tj ET EMC /Artifact <>BDC .533 .114 .024 0 k 405.354 654.928 133.229 45.23 re f EMC /P <>BDC BT 9 0 0 9 409.3543 687.7315 Tm 0 0 0 0 k [(PT)55(A)]TJ ET EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 640.1213 Tm 0 0 0 1 k [(DET)55(AILS )]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 570.233 73.701 58.934 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 618.7404 Tm 0 0 0 1 k (Who can enter the)Tj ET EMC /P <>BDC BT 9 0 0 9 121.4789 618.7404 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 60.6929 607.9404 Tm (scheme?)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 570.233 133.228 58.934 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 618.7404 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 618.7404 Tm ( Health and social care)Tj ET EMC /P <>BDC BT 9 0 0 9 214.6737 618.7404 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 607.9404 Tm (professionals )Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 570.233 141.732 58.934 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 618.7404 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 618.7404 Tm ( Users)Tj ET EMC /P <>BDC BT 9 0 0 9 292.939 618.7404 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 605.1057 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 605.1057 Tm ( Health and social care professionals)Tj ET EMC /P <>BDC BT 9 0 0 9 394.036 605.1057 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 594.3058 Tm (\(priority to frontline professionals and)Tj ET EMC /P <>BDC BT 9 0 0 9 391.5341 594.3058 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 583.5058 Tm (MG\))Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 570.233 133.229 58.934 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 618.7404 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 618.7404 Tm ( Health and social care)Tj ET EMC /P <>BDC BT 9 0 0 9 489.6343 618.7404 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 607.9404 Tm (professionals \(priority to frontline)Tj ET EMC /P <>BDC BT 9 0 0 9 518.7764 607.9404 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 597.1404 Tm (professionals and MG\))Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 346.265 73.701 222.968 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 558.8066 Tm 0 0 0 1 k (Components)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 346.265 133.228 222.968 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 558.8066 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 558.8066 Tm [( Consulta)-10(tion bodies a)-10(t)0( two)]TJ ET EMC /P <>BDC BT 9 0 0 9 229.1817 558.8066 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 548.0067 Tm [(interdependent levels:)37( institutional)]TJ ET EMC /P <>BDC BT 9 0 0 9 248.1628 548.0067 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 537.2067 Tm [(stra)-10(tegic meetings and tactical)]TJ ET EMC /P <>BDC BT 9 0 0 9 236.7597 537.2067 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 526.4067 Tm [(organiza)-10(tional meeting \(table)]TJ ET EMC /P <>BDC BT 9 0 0 9 230.7748 526.4067 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 515.6068 Tm (tactique\) )Tj ET EMC /P <>BDC BT 9 0 0 9 165.3807 515.6068 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 501.9721 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 501.9721 Tm [( Integra)-10(ted entr)-18(y point \(guichet)]TJ ET EMC /P <>BDC BT 9 0 0 9 241.4128 501.9721 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 491.1722 Tm (intégré\) )Tj ET EMC /P <>BDC BT 9 0 0 9 161.8797 491.1722 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 477.5376 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 477.5376 Tm [( Intensive case mana)-10(gement for)]TJ ET EMC /P <>BDC BT 9 0 0 9 245.5619 477.5376 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 466.7376 Tm (complex cases \(gestionnaire de cas\))Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 346.265 141.732 222.968 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 558.8066 Tm 0 0 0 1 k [(T)74(wo local governance bodies:)37( )]TJ ET EMC /P <>BDC BT 9 0 0 9 367.3782 558.8066 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 545.172 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 545.172 Tm [( )37(stra)-10(tegic decision-making and)]TJ ET EMC /P <>BDC BT 9 0 0 9 379.1501 545.172 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 534.372 Tm [(evalua)-10(tion bod)-10(y institutional and)]TJ ET EMC /P <>BDC BT 9 0 0 9 375.0641 534.372 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 523.5721 Tm (funding stakeholders)Tj ET EMC /P <>BDC BT 9 0 0 9 337.2552 523.5721 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 509.9375 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 509.9375 Tm [( )37(tactical bod)-10(y inc)20(luding all health,)]TJ ET EMC /P <>BDC BT 9 0 0 9 386.9622 509.9375 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 499.1375 Tm [(social and medico-social ser)-18(vices in the)]TJ ET EMC /P <>BDC BT 9 0 0 9 400.5341 499.1375 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 488.3375 Tm [(territor)-18(y and organized by the promoter)]TJ ET EMC /P <>BDC BT 9 0 0 9 398.1671 488.3375 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 477.5376 Tm [(of the local dedica)-10(ted territorial)]TJ ET EMC /P <>BDC BT 9 0 0 9 371.311 477.5376 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 466.7376 Tm [(coordina)-10(tion \(coordina)-10(tion territoriale)]TJ ET EMC /P <>BDC BT 9 0 0 9 390.4091 466.7376 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 455.9376 Tm [(da)-10(ppui,)37( CT)55(A\):)]TJ ET EMC /P <>BDC BT 9 0 0 9 313.5311 455.9376 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 442.303 Tm [(T)74(wo opera)-10(tional components:)37( )]TJ ET EMC /P <>BDC BT 9 0 0 9 367.1442 442.303 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 428.6684 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 428.6684 Tm [( CT)55(A:)37( informa)-10(tion for both)]TJ ET EMC /P <>BDC BT 9 0 0 9 356.9921 428.6684 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 417.8684 Tm (professionals and elderly people and)Tj ET EMC /P <>BDC BT 9 0 0 9 389.2031 417.8684 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 407.0685 Tm [(their rela)-10(tives:)37( orienta)-10(tion to a)-10(ppropria)-10(te)]TJ ET EMC /P <>BDC BT 9 0 0 9 401.0381 407.0685 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 396.2685 Tm (health or social care facility)Tj ET EMC /P <>BDC BT 9 0 0 9 358.7201 396.2685 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 382.6339 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 382.6339 Tm [( )37(c)20(lose c)20(linical coordina)-10(tion between)]TJ ET EMC /P <>BDC BT 9 0 0 9 394.4502 382.6339 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 371.8339 Tm [(front-line professionals \(coordina)-10(tion)]TJ ET EMC /P <>BDC BT 9 0 0 9 389.6531 371.8339 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 361.0339 Tm [(c)20(linique de proximité,)37( CCP\))]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 346.265 133.229 222.968 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 558.8066 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 558.8066 Tm [( Depending on resources a)-10(vailable)]TJ ET EMC /P <>BDC BT 9 0 0 9 528.3704 558.8066 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 548.0067 Tm [(in the territor)-18(y )]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 283.872 73.701 61.393 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 334.8388 Tm 0 0 0 1 k (Professionals)Tj ET EMC /P <>BDC BT 9 0 0 9 104.8289 334.8388 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 60.6929 324.0388 Tm (involved )Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 283.872 133.228 61.393 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 334.8388 Tm 0 0 0 1 k (MAIA team composed of:)Tj ET EMC /P <>BDC BT 9 0 0 9 217.6707 334.8388 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 321.2041 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 321.2041 Tm ( 1 MAIA pilot; and)Tj ET EMC /P <>BDC BT 9 0 0 9 199.8417 321.2041 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 307.5696 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 307.5696 Tm ( several \(2)Tj ET EMC /P <>BDC BT 9 0 0 9 175.6677 307.5696 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 180.1677 307.5696 Tm (3 to 5\) complex case)Tj ET EMC /P <>BDC BT 9 0 0 9 249.4138 307.5696 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 296.7696 Tm [(mana)-10(gers)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 283.872 141.732 61.393 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 334.8388 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 334.8388 Tm [( Multidisciplinar)-18(y team)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 283.872 133.229 61.393 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 334.8388 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 334.8388 Tm [( Multidisciplinar)-18(y team)]TJ ET EMC /P <>BDC BT 9 0 0 9 489.3193 334.8388 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 321.2041 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 321.2041 Tm [( Care pa)-10(thway coordina)-10(tors)]TJ ET EMC /P <>BDC BT 9 0 0 9 505.2943 321.2041 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 310.4042 Tm [(\(coordina)-10(teur de parcours\))]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 263.498 481.89 19.374 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 272.4454 Tm 0 0 0 1 k [(T)55(ypes of ser)-18(vices:)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 209.608 73.701 53.89 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 253.0717 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 253.0717 Tm (to users )Tj ET EMC /P <>BDC BT 9 0 0 9 97.9968 253.0717 Tm ( )Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 209.608 133.228 53.89 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 253.0717 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 253.0717 Tm [( Complex case mana)-10(gement)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 209.608 141.732 53.89 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 253.0717 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 253.0717 Tm [( Call ser)-18(vice \(in collabora)-10(tion with the)]TJ ET EMC /P <>BDC BT 9 0 0 9 396.7991 253.0717 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 242.2717 Tm (CLICs\))Tj ET EMC /P <>BDC BT 9 0 0 9 288.628 242.2717 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 228.6371 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 228.6371 Tm [( Informa)-10(tion on a)-10(vailable ser)-18(vices )]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 209.608 133.229 53.89 re f EMC /Artifact <>BDC 56.693 68.845 73.701 140.763 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 199.1822 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 199.1822 Tm (to professionals)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 68.845 133.228 140.763 re f EMC /Artifact <>BDC 263.622 68.845 141.732 140.763 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 199.1822 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 199.1822 Tm [( Dedica)-10(ted phone number)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 68.845 133.229 140.763 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 199.1822 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 199.1822 Tm [( Dedica)-10(ted phone number)]TJ ET EMC /P <>BDC BT 9 0 0 9 499.9033 199.1822 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 185.5476 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 185.5476 Tm [( Informa)-10(tion on resources a)-10(vailable)]TJ ET EMC /P <>BDC BT 9 0 0 9 530.6114 185.5476 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 174.7477 Tm [(in a territor)-18(y )]TJ ET EMC /P <>BDC BT 9 0 0 9 452.1314 174.7477 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 161.1131 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 161.1131 Tm ( Support for health care)Tj ET EMC /P <>BDC BT 9 0 0 9 492.4603 161.1131 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 150.313 Tm (professionals \(especially GPs\) for the)Tj ET EMC /P <>BDC BT 9 0 0 9 531.4303 150.313 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 139.5131 Tm [(organiza)-10(tion of complex health)]TJ ET EMC /P <>BDC BT 9 0 0 9 511.3784 139.5131 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 128.7131 Tm [(pa)-10(thways )]TJ ET EMC /P <>BDC BT 9 0 0 9 443.4103 128.7131 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 115.0785 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 115.0785 Tm [( Logistical and opera)-10(tional support)]TJ ET EMC /P <>BDC BT 9 0 0 9 528.5414 115.0785 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 104.2784 Tm [(for professional initia)-10(tives and)]TJ ET EMC /P <>BDC BT 9 0 0 9 509.0383 104.2784 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 93.4785 Tm [(practices improving coordina)-10(tion and)]TJ ET EMC /P <>BDC BT 9 0 0 9 532.5464 93.4785 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 82.6786 Tm (care continuity)Tj ET EMC /Artifact <>BDC 0 0 0 0 K 0 J 0 j .25 w 10 M [] 0 d /GS1 gs q 1 0 0 1 56.693 654.803 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 654.803 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 654.803 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 654.803 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 629.292 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 629.292 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 629.292 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 629.292 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC 1 w q 1 0 0 1 56.693 569.733 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 569.733 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 569.733 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 569.733 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 345.765 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 345.765 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 345.765 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 345.765 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 283.372 cm 0 0 m 481.89 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 68.345 cm 0 0 m 481.89 0 l S Q EMC Q endstream endobj 1971 0 obj <>/ExtGState<>>> endobj 1973 0 obj <> endobj 1986 0 obj <> endobj 1988 0 obj <> endobj 1993 0 obj <> endobj 1998 0 obj <> endobj 1985 0 obj <> endobj 1984 0 obj <> endobj 2005 0 obj <> endobj 2010 0 obj <> endobj 2011 0 obj <> endobj 2012 0 obj <> endobj 2004 0 obj <> endobj 2014 0 obj <> endobj 2019 0 obj <> endobj 2024 0 obj <> endobj 2033 0 obj <> endobj 2013 0 obj <> endobj 2043 0 obj <> endobj 2048 0 obj <> endobj 2055 0 obj <> endobj 2062 0 obj <> endobj 2042 0 obj <> endobj 2072 0 obj <> endobj 2077 0 obj <> endobj 2082 0 obj <> endobj 2087 0 obj <> endobj 2071 0 obj <> endobj 2095 0 obj <> endobj 2100 0 obj <> endobj 2105 0 obj <> endobj 2110 0 obj <> endobj 2094 0 obj <> endobj 2118 0 obj <> endobj 2123 0 obj <> endobj 2128 0 obj <> endobj 2135 0 obj <> endobj 2117 0 obj <> endobj 2141 0 obj <> endobj 2146 0 obj <> endobj 2151 0 obj <> endobj 2158 0 obj <> endobj 2165 0 obj <> endobj 2140 0 obj <> endobj 2171 0 obj <> endobj 2170 0 obj <> endobj 2003 0 obj <> endobj 1983 0 obj <> endobj 2176 0 obj <>stream /Artifact <>BDC q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n .533 .114 .024 0 k /GS1 gs 158.768 767.31 436.537 74.58 re f EMC /Artifact <>BDC 0 0 0 0 k 17.485 768.189 133.77 69.565 re f EMC /Figure <>BDC Q q 1 i 11.602 837.754 140.911 -69.561 re W n 17.485 837.754 133.77 -69.565 re 297.645 420.96 m W* n 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /F2 1 Tf 20.459 0 0 20.459 66.1632 778.7405 Tm 0 0 0 .59 k -.0204 Tc 0 Tw [(ne)9.8(t)-12.1(w)13.6(or)7.9(k)]TJ ET /GS2 gs BT 36.3827 0 0 36.3827 17.9031 803.264 Tm 0 0 0 1 k .0017 Tc [(CE)8.7(OU)10.1(A)]TJ ET .447 .145 0 0 k /GS1 gs q 1 0 0 1 67.228 793.967 cm 0 0 m -.1389 -.2473 -.324 -.5864 -.5399 -1.0339 c -1.2035 -2.3761 -2.16 -3.0399 -3.3944 -3.0399 c -4.4437 -3.0399 -5.0608 -2.7622 -5.6316 -2.006 c -6.1101 -1.3427 -6.4648 -.4319 -7.0202 1.6199 c -7.0512 1.6664 -7.0668 1.7587 -7.0819 1.8516 c -7.4061 2.9929 -7.5604 3.7029 -7.5604 3.9965 c -7.5604 5.1687 -5.8477 6.3412 -4.5053 6.3412 c -4.0734 6.3412 -3.8729 6.1718 -3.5179 5.3229 c -3.4097 5.0608 -3.2865 4.7212 -3.132 4.2739 c -2.7771 3.2863 -2.4842 2.7926 -2.2528 2.7926 c -2.052 2.7926 -1.2342 3.9189 .1854 6.1718 c 1.5429 8.3163 2.7157 10.122 3.6877 11.587 c 6.4188 15.676 7.5916 17.157 8.7485 18.099 c 9.7515 18.916 11.279 19.379 13.701 19.549 c 13.917 19.009 l 8.5941 13.069 3.9038 6.6809 0 0 c f Q BT 14.8328 0 0 14.8328 28.5324 778.5816 Tm 0 0 0 .59 k 0 Tc (L)Tj ET 0 0 0 .59 K 0 J 0 j .256 w 10 M [] 0 d q 1 0 0 1 29.956 778.582 cm 0 0 m 6.1556 0 l 6.1556 1.2756 l 1.4684 1.2756 l 1.4684 10.472 l 0 10.472 l s Q BT 8.1836 0 0 8.1836 36.3788 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 38.4819 778.5816 Tm (T)Tj ET q 1 0 0 1 42.146 778.582 cm 0 0 m 1.4684 0 l 1.4684 9.1964 l 5.058 9.1964 l 5.058 10.472 l -3.5896 10.472 l -3.5896 9.1964 l 0 9.1964 l s Q BT 6.6492 0 0 6.6492 47.2775 778.5816 Tm ( )Tj 14.8328 0 0 14.8328 48.9863 778.5816 Tm (C)Tj ET q 1 0 0 1 49.698 783.877 cm 0 0 m 0 -3.0704 2.2101 -5.4733 5.3546 -5.4733 c 7.98 -5.4733 9.4188 -3.812 y 8.6327 -2.7589 l 7.3719 -4.1235 5.3991 -4.1235 v 3.0704 -4.1235 1.513 -2.2249 1.513 .0148 c 1.513 2.2397 3.0407 4.0197 5.3843 4.0197 c 7.1939 4.0197 8.4102 2.8776 y 9.137 3.9752 l 7.8465 5.3544 5.325 5.3544 v 2.2843 5.3544 0 3.0407 0 0 c s Q EMC /P <>BDC Q q 1 i 0 841.89 595.276 -841.89 re 297.645 420.96 m W n .015015 841.89 595.29 -841.89 re W n /GS1 gs BT /TT5 1 Tf 14 0 0 14 194.7676 800.2154 Tm 0 0 0 0 k 0 Tc 0 Tw (in)Tj /TT4 1 Tf .981 0 TD (-)Tj /TT5 1 Tf .389 0 TD (depth)Tj /TT4 1 Tf 3.259 0 TD ( )Tj /TT5 1 Tf .278 0 TD (study)Tj /TT4 1 Tf 3.204 0 TD (: f)Tj /TT5 1 Tf 1.13 0 TD (rance)Tj ET EMC /P <>BDC BT /F1 1 Tf 10 0 0 10 571.4064 802.4034 Tm (22)Tj ET EMC /Artifact <>BDC .533 .114 .024 0 k 56.693 657.763 73.701 42.395 re f EMC /Artifact <>BDC 130.394 657.763 133.228 42.395 re f EMC /P <>BDC BT 9 0 0 9 134.3937 687.7315 Tm 0 0 0 0 k (MAIA - Method of action for the)Tj ET EMC /P <>BDC BT 9 0 0 9 238.6587 687.7315 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 676.9316 Tm [(integra)-10(tion of health and social)]TJ ET EMC /P <>BDC BT 9 0 0 9 236.9217 676.9316 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 666.1316 Tm [(ser)-18(vices in the eld of autonomy)]TJ ET EMC /Artifact <>BDC .533 .114 .024 0 k 263.622 657.763 141.732 42.395 re f EMC /P <>BDC BT 9 0 0 9 267.622 687.7315 Tm 0 0 0 0 k [(P)37(AERP)37(A … Elderly people a)-10(t)0( risk of loss)]TJ ET EMC /P <>BDC BT 9 0 0 9 395.6111 687.7315 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 676.9316 Tm (of autonomy)Tj ET EMC /Artifact <>BDC .533 .114 .024 0 k 405.354 657.763 133.229 42.395 re f EMC /P <>BDC BT 9 0 0 9 409.3543 687.7315 Tm 0 0 0 0 k [(PT)55(A)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k 56.693 637.795 73.701 19.718 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 647.0868 Tm 0 0 0 1 k [(T)74(ools:)37( )]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 637.795 133.228 19.718 re f EMC /Artifact <>BDC 263.622 637.795 141.732 19.718 re f EMC /Artifact <>BDC 405.354 637.795 133.229 19.718 re f EMC /Artifact <>BDC 56.693 558.425 73.701 79.37 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 627.3693 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 627.3693 Tm [(informa)-10(tion/)]TJ ET EMC /P <>BDC BT 9 0 0 9 109.6069 627.3693 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 616.5693 Tm [(orienta)-10(tion)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 558.425 133.228 79.37 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 627.3693 Tm 0 0 0 1 k (Depending on each scheme:)Tj ET EMC /P <>BDC BT 9 0 0 9 228.6778 627.3693 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 616.5693 Tm [(resource director)-18(y)55(,)37( professionals)]TJ ET EMC /P <>BDC BT 9 0 0 9 244.4638 616.5693 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 605.7693 Tm [(inter)-18(vention director)-18(y)55(,)37( benchmark for)]TJ ET EMC /P <>BDC BT 9 0 0 9 257.2888 605.7693 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 594.9694 Tm [(analysis,)37( coordina)-10(tion and orienta)-10(tion)]TJ ET EMC /P <>BDC BT 9 0 0 9 258.3238 594.9694 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 584.1694 Tm [(forms,)37( intensive case mana)-10(gement)]TJ ET EMC /P <>BDC BT 9 0 0 9 250.8898 584.1694 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 573.3694 Tm [(inc)20(lusion criteria,)37( IS)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 558.425 141.732 79.37 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 627.3693 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 627.3693 Tm [( Resources director)-18(y)]TJ ET EMC /P <>BDC BT 9 0 0 9 340.3961 627.3693 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 613.7347 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 613.7347 Tm [( Unique telephone number)37(-)]TJ ET EMC /P <>BDC BT 9 0 0 9 362.7522 613.7347 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 602.9347 Tm [(Informa)-10(tion pla)-10(tform)]TJ ET EMC /P <>BDC BT 9 0 0 9 335.5991 602.9347 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 589.3001 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 589.3001 Tm ( IS)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 558.425 133.229 79.37 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 627.3693 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 627.3693 Tm [( Dedica)-10(ted phone number)]TJ ET EMC /P <>BDC BT 9 0 0 9 499.9034 627.3693 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 613.7347 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 613.7347 Tm [( Resources director)-18(y)]TJ ET EMC /P <>BDC BT 9 0 0 9 482.1284 613.7347 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 600.1001 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 600.1001 Tm ( IS)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 499.398 73.701 59.027 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 547.9992 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 547.9992 Tm [(informa)-10(tion)]TJ ET EMC /P <>BDC BT 9 0 0 9 107.1049 547.9992 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 537.1993 Tm (sharing)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 499.398 133.228 59.027 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 547.9992 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 547.9992 Tm [( Secure messa)-10(ging system)]TJ ET EMC /P <>BDC BT 9 0 0 9 228.5787 547.9992 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 534.3647 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 534.3647 Tm ( Shared medical le \(DMP\))Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 499.398 141.732 59.027 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 547.9992 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 547.9992 Tm [( Secure messa)-10(ging system)]TJ ET EMC /P <>BDC BT 9 0 0 9 361.8071 547.9992 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 534.3647 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 534.3647 Tm ( Shared medical le \(DMP\))Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 499.398 133.229 59.027 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 547.9992 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 547.9992 Tm [( Standardized informa)-10(tion sheets)]TJ ET EMC /P <>BDC BT 9 0 0 9 523.5464 547.9992 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 534.3647 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 534.3647 Tm [( Secure messa)-10(ging system)]TJ ET EMC /P <>BDC BT 9 0 0 9 503.5393 534.3647 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 520.73 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 520.73 Tm ( Shared medical le \(DMP\))Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 451.209 73.701 47.189 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 487.9717 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 487.9717 Tm [(elderly person)55(s)]TJ ET EMC /P <>BDC BT 9 0 0 9 121.4869 487.9717 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 477.1717 Tm [(evalua)-10(tion)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 451.209 133.228 47.189 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 487.9717 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 487.9717 Tm [( Multidimensional evalua)-10(tion tool:)]TJ ET EMC /P <>BDC BT 9 0 0 9 250.0887 487.9717 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 477.1717 Tm (InterRAI Home Care; with existing)Tj ET EMC /P <>BDC BT 9 0 0 9 245.6608 477.1717 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 466.3718 Tm (ofcial common standard)Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 451.209 141.732 47.189 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 487.9717 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 487.9717 Tm [( Local tools:)37( personalized health plan)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 451.209 133.229 47.189 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 487.9717 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 487.9717 Tm ( Local tools)Tj ET EMC /P <>BDC BT 9 0 0 9 451.6543 487.9717 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 474.3371 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 474.3371 Tm [( Coordina)-10(tion IS)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 402.989 73.701 47.22 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 439.7827 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 439.7827 Tm [(follo)-10(w-up)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 402.989 133.228 47.22 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 439.7827 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 439.7827 Tm [( Individualized ser)-18(vice plan)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 402.989 141.732 47.22 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 439.7827 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 439.7827 Tm [( P)18(ersonalized health care plan jointly)]TJ ET EMC /P <>BDC BT 9 0 0 9 393.7122 439.7827 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 428.9828 Tm [(elabora)-10(ted under the scrutin)-10(y of the GP)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 402.989 133.229 47.22 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 439.7827 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 439.7827 Tm [( P)18(ersonalized health care plan)]TJ ET EMC /P <>BDC BT 9 0 0 9 513.6284 439.7827 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 426.1481 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 426.1481 Tm [( Individualized ser)-18(vice plan)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 340.595 73.701 61.394 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 391.5626 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 391.5626 Tm [(scheme)55(s)]TJ ET EMC /P <>BDC BT 9 0 0 9 100.6789 391.5626 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 69.1968 380.7626 Tm [(evalua)-10(tion tools)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 340.595 133.228 61.394 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 391.5626 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 138.8937 391.5626 Tm [( MAIA)55()55(s)0( specic follo)-10(w up tools)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 340.595 141.732 61.394 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 391.5626 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 391.5626 Tm [( )37(ANAP:)37( na)-10(tional trimestrial and annual)]TJ ET EMC /P <>BDC BT 9 0 0 9 397.4742 391.5626 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 380.7626 Tm [(indica)-10(tors pla)-10(tform)]TJ ET EMC /P <>BDC BT 9 0 0 9 330.2711 380.7626 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 367.128 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 272.122 367.128 Tm [( IRDES/DREES:)37( health economics)]TJ ET EMC /P <>BDC BT 9 0 0 9 381.9311 367.128 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 356.328 Tm [(evalua)-10(tion)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 340.595 133.229 61.394 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 391.5626 Tm 0 0 0 1 k (…)Tj ET EMC /P <>BDC BT 9 0 0 9 413.8543 391.5626 Tm [( PT)55(A follo)-10(w-up tools)]TJ ET EMC /Artifact <>BDC 0 0 0 0 k /GS1 gs 56.693 317.887 73.701 21.708 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 326.8149 Tm 0 0 0 1 k [(IMPLEMENT)55(A)55(TION)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 56.693 257.953 73.701 58.934 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 60.6929 306.4608 Tm 0 0 0 1 k [(T)74(erritorial covera)-10(ge)]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 130.394 257.953 133.228 58.934 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 134.3937 306.4608 Tm 0 0 0 1 k [(Designed to cover all the territor)-18(y)55(.)]TJ ET EMC /P <>BDC BT 9 0 0 9 246.7858 306.4608 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 292.8262 Tm (In December 2016 )Tj ET EMC /P <>BDC BT 9 0 0 9 198.3119 292.8262 Tm (…)Tj ET EMC /P <>BDC BT 9 0 0 9 202.8119 292.8262 Tm ( 352 MAIAs)Tj ET EMC /P <>BDC BT 9 0 0 9 240.9268 292.8262 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 134.3937 282.0262 Tm [(covering 98% of na)-10(tional territor)-18(y )]TJ ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 263.622 257.953 141.732 58.934 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 267.622 306.4608 Tm 0 0 0 1 k [(At least one for each )37(ARS regional)]TJ ET EMC /P <>BDC BT 9 0 0 9 380.3741 306.4608 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 295.6609 Tm [(territor)-18(y )]TJ ET EMC /P <>BDC BT 9 0 0 9 296.0801 295.6609 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 267.622 282.0262 Tm (17 territories )Tj ET EMC /Artifact <>BDC .101 .022 .004 0 k /GS1 gs 405.354 257.953 133.229 58.934 re f EMC /P <>BDC /GS2 gs BT 9 0 0 9 409.3543 306.4608 Tm 0 0 0 1 k [(Designed to cover all the territor)-18(y by)]TJ ET EMC /P <>BDC BT 9 0 0 9 530.0624 306.4608 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 295.6609 Tm (transforming the pre-existing health)Tj ET EMC /P <>BDC BT 9 0 0 9 528.9464 295.6609 Tm ( )Tj ET EMC /P <>BDC BT 9 0 0 9 409.3543 284.861 Tm [(networks to PT)55(A)]TJ ET EMC /P <>BDC BT 9 0 0 9 56.6929 243.3629 Tm [(Source:)37( )37(Authors ada)-10(pta)-10(tion from F)20(rench countr)-18(y report and templa)-10(tes and na)-10(tional administra)-10(tions documents)]TJ ET EMC /Artifact <>BDC 0 0 0 0 K 0 J 0 j .25 w 10 M [] 0 d /GS1 gs q 1 0 0 1 56.693 657.638 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 657.638 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 657.638 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 657.638 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC 1 w q 1 0 0 1 56.693 498.898 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 498.898 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 498.898 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 498.898 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 450.709 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 450.709 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 450.709 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 450.709 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 402.489 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 402.489 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 402.489 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 402.489 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 340.095 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 340.095 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 340.095 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 340.095 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 56.693 317.387 cm 0 0 m 73.701 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 130.394 317.387 cm 0 0 m 133.228 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 263.622 317.387 cm 0 0 m 141.732 0 l S Q EMC /Artifact <>BDC q 1 0 0 1 405.354 317.387 cm 0 0 m 133.229 0 l S Q EMC /Artifact <>BDC .25 w q 1 0 0 1 56.693 257.828 cm 0 0 m 481.89 0 l S Q EMC Q endstream endobj 2177 0 obj <>/ExtGState<>>> endobj 6 0 obj <> endobj 5 0 obj <> endobj 43 0 obj <>stream ÿØÿî Adobe d€ ÿÛ „ #"""#'''''''''' !! !!''''''''''ÿÀ §Ú" " ÿÄ¢ s !1AQa"q2‘¡±B#ÁRÑá3bð$r‚ñ%C4S’¢²csÂ5D'“£³6TdtÃÒâ&ƒ „”EF¤´VÓU(òãóÄÔäôeu…•¥µÅÕåõfv†–¦¶ÆÖæö7GWgw‡—§·Ç×ç÷8HXhxˆ˜¨¸ÈØèø)9IYiy‰™©¹ÉÙéù*:JZjzŠšªºÊÚêú m !1AQa"q‘2¡±ðÁÑá#BRbrñ3$4C‚’S%¢c²ÂsÒ5âDƒT“ &6E'dtU7ò£³Ã()Óã󄔤´ÄÔäôeu…•¥µÅÕåõFVfv†–¦¶ÆÖæöGWgw‡—§·Ç×ç÷8HXhxˆ˜¨¸ÈØèø9IYiy‰™©¹ÉÙéù*:JZjzŠšªºÊÚêúÿÚ ? çŠØ§L/Ô§Cž\úeqÝà9³fÅÉjc9žµÊ/\-Y!ÜìÙ³eºe†§\L¾&Ò`Ù®„7vlÙUÁBQLLË̘ÒÕÀdV\¶Í•\¬Qœ}8Ÿ,ilªäœ)HÛuÊÍ›. ôÄAÌ[eb¼ÙY±RÃZ¸™p1¦_®Y#];6lÙrb g®&NQ"‰ÑvlÙ±‡)aŽ¡Æž¹ž9;6lØÃšµë™Æ‘¾`eNÍ›6;è3Ømš¸8š¤mÙ³fÍ\¢Ûæ8Öð[±vlÙ³W7*ãk•‰dM»6lÙe±™g(ä»6lØÒr²Îl‰WfÍ›+6l¬P]›6lÙ³W0ÀÄ ìÙ³fÍ›6(%Ù³fÊÊ#.¸Ó‹vlÙ²²²óaWfÍ›++.™°)5ÍÙ³fÊ͛畀—Q–QŒ¸6ê|¶vlÙ³fÍ› ^g´{Kò¤Â$åÉιpž¤Êº÷fÍ›6lÕÍ\7håÉêှ‚&>ÿ Vÿ {³fÍ—•••†œc©Ë2eáž§Žæ~ÛvlÙ±ÕÊ®UsaqË$åꔸG^ÿ u»6lÙ³fÍ– .¹ûœ¨˜Ã\Vhˆÿ ¾%Ù³fÍ›‡±\Q¡4¿dôlº:n8ñC~ñ×û‘Ù±Ë5ÌÄ üëÉÙ³fÄr“ürÊÓ¨ËåN˜Œq‰õì>Õ1â9 ØWñy ìÙ³e¨PzTö®?‹þtûñ2õñÇQé^[øo™PœˆŽ 7ôú~÷?|@J8Ç@¿@á÷ÝÓ³fÍ”Q‰4ÜÞ™ÛÇ/F¡>ß×i r@0Œ1‘³ yWÙE/’28äd{Œ~ »6lØFÇÇ0_°b¢DxN½{-kþÞi¹Ó$š÷§O|FŠž!cœeÌ|ØÇ³°™`È· ÷nìÙ³`>&»c½3ý˜)mXŠ¨Þ•Åbµzބ޽éót4$ó‰6äC³£ÔY?g¹Ù³fÀ+Ð∓% ÷>X-ø°jUNÌ>X.Ð7§*†ŠM•ÎüIñ9~ʉàéca¿&ÌZ,KÒwO>®Í›,aH‹‡Ä§¿Óá”U6.I>a=¢¡xŠŠ¯B ûá{¡†£ç•fÀpŽC¥’/µäÃàÇ‚1#¥’/ÎÚ͘æÄä~d(Tvþ¹@•;Ôe”=FVÝÆÃ5Ùbe"f}G‘èàVQ—ÆŒƒ•“ÁÃÜkóvlÙ±`bI©÷Å•«ÓðÀŠH Ž C@)CãØåQ±Íê;'V2ïQ‰HG‹ÏsnÍ›6*1A‰öùãÁ®ã§ŽZz8÷ß“³fÍŠ ÏÓ˜PŠýñˆjÔ?gªŒ²ôío«(Ïn*7G¿ÞìÙ³c†8cTƒÐåâäcª±»³fÍËíõØamvlÙ³|óS.™tÛn7fÍ›Lp˦lœCh–îÍ›6V^V8dÀoÇ;4]›6l¬¾9²ë¶Û ³fÍâ+–aš¸ ݬc:vlÙ²éŽëŒuÛ&ìÙ³cö¥r‰ Û0'3d˜tìÙ³cIñÆeœ¬mªpÙÙ³fÊ9TÇÓ*™qN-Ý›6l¬¼¬Ääƒn1ÍÙ³fËÊÊ®l†\@»6lØìØÊ僈-øòìÙ³c«'19X l9'fÍ›1ÊÍ›*êÐH%Ù³fʦ4S*ž8ÓLáÑÙ³fÄéLî<ãp aóvlÙ²Ž0Šâ‡FYÏmÜìÙ³ch2²ò©¬svlÙ²ÀÌFPë—¹69;6lÙ‡L£š¹DäÈŒÅQ.Í›6QÆãºåS"Zò»6lØÜ¼¼£‘qB›6lÔÍLÙ‰ÉZKÍ›6VQË®Ui¸ù7Í›6U1ÀeeŒl4Â;Ó³fÍŽ.™@æ-’·25¾ÎÍ›6^^2¹u—‹, ìÙ³e×.¸ÚøöÊ'2ÎÝ›6lºãY¨2«‰¹Â‰9lK³fÍ”ÎNPb1¹°‚|õùÓ³f̓"CŠ)€£jÊ£C—ƒSÇ ù‡fÍ›1Æe“•\jË·fÍ›+,)9†øá¶ ¸ØñÜòvlÙ±Ê)¶_˜}p¹øDhäìÙ³eRƒ0ÜS/F7¦;;˜xuäìÙ³c†ÙEk•Zã¨Ä8„DšvlÙ²©A›lºÔÃIàÎÍ›6‚FQcZãÈÛ=s(ìì|#»6l¬T5srÄÁ#7,m æÊÍŽc‰œqÆ‹‹˜ì¬³••˜æÍ•“ÑÆ·fÍ›IÆ‚k#7àß¹¬ã³nÍ›6W,acŽ zcXS%Œâ@vlÙ±6lO–[ָ̨ºù̉lìÙ³b•9tÆÅ¶-Ù³fÊÆ¸ó¸Æ‘€³2vlÙ±¸›žØ1'S‘•ÓTɧfÍ›5ë•R1ôÆ•îÑ'fÍ›§Çccr@lvvlÙ±œQ°¸÷Ë).Í›6!LiñfØ™ìÙ³bdeS¦Q E;6lØÊcN+ÇWAÍ›6'›,ŒÙº »6lÙ[×6]3RFÎÍ›67+LÔÅ®‹³fͦo•N8ºcm¢|›6lgz혊cñ¬@ØâÇ'8™Hæ]›6le+¹é”zûe“þÖ7¦Dž;Ú}£CÂÆ8å-ä7^þàìÙ³f9UÍ]ò²/+“6Y™dÉ8ÆöÚ;WpîÍ›6jæÍß7L˜6Àš‰š@¨ïÉÙ³fÍ›6XÉ™åîãŽY‰Øž‘Í›6W\ÔË͹ˆ8Ž[—*1Äm¹ä}îÍ›6X üüU+×PNÞðc4ähGp2èc`yrrqàˆQ±FþýÝ›6lj‚»ÓnµÅ–wã@ª< û‡Lh*Gíãã™#-P …“í㙉Ç-ˆä9ßÁÊŒr@ˆãŸ¤Š¨í+÷ŽŽÍ›6&Ûý®¿IÆ·!Jýø·¦ *Qâ†4!©B7ñÊçŠG¿}¯Ïͧ&˜ÊÌlµÙ ûÇ#ïvlÙ±Š½›ðË«)ð#®YBGN~X¯¦YC¨¯càr0Ã#u±ØÚÿ hkÇ¥žäm!¿<^dw‡fÍ›4cm¶¯íuÅâàX‡$Ùaµ>²â³Õà€°Â¢ž õÁ¿³Õ´Úž•¥M<Žmtøg(uÒ¶vø1ÈÂ5F¹Š ìÙ²éy)<· S^ĸ‹¯>%¾» n