Contours des régions françaises sur OpenStreetMap

Name: Contours des régions françaises sur OpenStreetMap
Creator: OpenStreetMap
License: http://opendatacommons.org/licenses/odbl/summary/

Description

Exports du découpage administratif français au niveau régional (contours des régions) issu d'OpenStreetMap produit dans sa grande majorité à partir du cadastre.

Ces données sont issues du crowdsourcing effectué par les contributeurs au projet OpenStreetMap et sont sous licence ODbL qui impose un partage à l'identique et la mention obligatoire d'attribution doit être "© les contributeurs d'OpenStreetMap sous licence ODbL" conformément à http://osm.org/copyright

Il s'agit d'un export semi-automatique avec des géométries allégées et vérifiées topologiquement (pas de chevauchement). A partir de 2016, les géométries sont d'origine, non simplifiées.

Descriptif du contenu des fichiers "regions"

Origine

Les données proviennent de la base de données cartographiques OpenStreetMap.
Celles-ci ont été constituées à partir du cadastre mis à disposition par la DGFiP sur cadastre.gouv.fr.
En complément sur Mayotte où le cadastre n'est pas disponible sur cadastre.gouv.fr, le tracé des côtes a été fait à partir des images aériennes de Bing.

Plus d'infos: http://prev.openstreetmap.fr/36680-communes

Format

Ces fichiers sont proposés au format shapefile, en projection WGS84 avec plusieurs niveaux de détails (jusqu'en 2015):

simplification à 5m
simplification à 50m
simplification à 100m

La topologie est conservée lors du processus de simplification (cf: http://prev.openstreetmap.fr/blogs/cquest/limites-administratives-simplifiees)

Contenu

Ces fichiers contiennent l'ensemble des régions françaises, y compris les DOM et Mayotte.

Pour chaque région, les attributs suivants sont ajoutés:

code_insee: code INSEE à 2 chiffres de la région (ex: 42)
nom: nom de la région (ex: Alsace)
wikipedia: entrée wikipédia (code langue suivi du nom de l'article, ex: fr:Alsace)
wikidata: identifiant wikidata de la région
surf_km2: superficie de la région en km2 sur le sphéroid WGS84

Historique

01-01-2017 : version basée sur le découpage communal OSM au 01-01-2017 incluant la fusion de 566 communes en 178 communes nouvelles.
01-01-2018 : version basée sur le découpage communal OSM au 01-01-2018 (changement marginal de géométrie)

Versions prédécentes disponibles sur: http://osm13.openstreetmap.fr/~cquest/openfla/export/

Pour toute question concernant ces exports, vous pouvez contacter exports@openstreetmap.fr

Voir aussi:

Producer

OpenStreetMap

Latest update

January 4, 2018

License

Open Data Commons Open Database License (ODbL)

Metadata quality

88.88888888888889/100

Update frequency not followed

6 Main files

Export 2018

Updated on January 4, 2018

shp (wgs84)

1457 downloads

URL: https://osm13.openstreetmap.fr/~cquest/openfla/export/regions-20180101-shp.zip
Permalink: https://www.data.gouv.fr/en/datasets/r/aacf9338-8944-4513-a7b9-4cd7c2db2fa9
MIME Type: None

Created on: January 2, 2018
Modified on: January 4, 2018

Format shapefile, WGS84 (EPSG:4326), UTF8

Export 2017, incluant le changement de région d'une commune

Updated on January 2, 2017

shp (wgs84)

51 downloads

URL: http://osm13.openstreetmap.fr/~cquest/openfla/export/regions-20170102-shp.zip
Permalink: https://www.data.gouv.fr/en/datasets/r/2e93d8e1-898a-488c-9191-7fb985695139
MIME Type: None

Created on: January 2, 2017
Modified on: January 2, 2017

Version basée sur le découpage communal au 1/1/2017 incluant la fusion de 566 communes en 178 communes nouvelles donc la commune de Germicourt qui a changé de région.

Export 2016, incluant le nouveau découpage et les nouveaux noms (non simplifié)

Updated on November 21, 2016

shp (wgs84)

74 downloads

URL: http://osm13.openstreetmap.fr/~cquest/openfla/export/regions-20161121-shp.zip
Permalink: https://www.data.gouv.fr/en/datasets/r/d349294e-108e-40c0-8015-7e14c349754a
MIME Type: None

Created on: November 21, 2016
Modified on: November 21, 2016

Fichier shapefile non simplifié, en WGS84

Export de mars 2014 - vérifié et simplifié à 5m

Updated on March 6, 2014

shp (wgs84)

26 downloads

URL: https://osm13.openstreetmap.fr/~cquest/openfla/export/regions-20140306-5m-shp.zip
Permalink: https://www.data.gouv.fr/en/datasets/r/5703c9d4-b6ab-4190-b34e-6fc52f1fcb2b
MIME Type: None

Created on: May 7, 2014
Modified on: March 6, 2014

Export réalisé et vérifié le 6 mars 2014.

Les géométries sont simplifiées à 5m pour alléger le fichier sans perdre de détails.

Le processus de simplification est décrit sur http://openstreetmap.fr/blogs/cquest/limites-administratives-simplifiees

Export de mars 2014 - vérifié et simplifié à 50m

Updated on March 6, 2014

shp (wgs84)

16 downloads

URL: http://osm13.openstreetmap.fr/~cquest/openfla/export/regions-20140306-50m-shp.zip
Permalink: https://www.data.gouv.fr/en/datasets/r/ee97366e-5308-44e8-84c6-21b902b75ef6
MIME Type: None

Created on: May 7, 2014
Modified on: March 6, 2014

Export réalisé et vérifié le 6 mars 2014.

Les géométries sont simplifiées à 50m pour un usage à moyenne échelle.

Le processus de simplification est décrit sur http://openstreetmap.fr/blogs/cquest/limites-administratives-simplifiees

Export de mars 2014 - vérifié et simplifié à 100m

Updated on April 23, 2014

shp (wgs84)

24 downloads

URL: http://osm13.openstreetmap.fr/~cquest/openfla/export/regions-20140306-100m-shp.zip
Permalink: https://www.data.gouv.fr/en/datasets/r/c80259de-b310-45d3-8b3d-e9ec0861a2d8
MIME Type: None

Created on: May 7, 2014
Modified on: April 23, 2014

Export réalisé et vérifié le 6 mars 2014.

Les géométries sont simplifiées à 100m pour un usage à moyenne échelle.

Le processus de simplification est décrit sur http://openstreetmap.fr/blogs/cquest/limites-administratives-simplifiees

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10 Trends In Medical Devices And Their Economic Implications

Updated on February 7, 2023

txt

0 downloads

URL: https://medsitnexus.com/
Permalink: https://www.data.gouv.fr/en/datasets/r/8cb93c81-1a3a-4507-b4e9-f560f51676f3
MIME Type: None

Created on: February 7, 2023
Modified on: February 7, 2023

Our lives are impacted by medical equipment costs. Fortunately for customers, the cost of medical gadgets is frequently expected to remain stable or even go down.

However, the trend of hospital consolidation in the previous five years saw up to 100 consolidation deals, which reduced the number of people purchasing medical device items (Bean). Similar trends seem to be present among medical equipment manufacturers and providers of healthcare. Ironically, this implies hospitals will have substantially more negotiating leverage when buying medical devices, which will result in cheaper medical device costs.
Managing the billing process accurately is not easy as providers might face hurdles in revenue cycle management. Moreover, Net Collection Rate below 95% shows that your practice is facing troubles in the billing process. To eliminate all these hurdles and maintain your NCR up to 96%, MedsIT Nexus Medical Coding Services are around the corner for you so that your practice does not have to face a loss.
Although Law360 questions the FTC's enforcement authority due to some hospital consolidation cases in which the FTC failed to prevent the merger, the report holds that the agency would take steps to discourage hospital mergers. The Penn State Hershey Medical Center case on May 9, 2016, and the Advocate Health Care case on June 14, 2016, according to Leslie John et al in the article "FTC's Hospital Merger Enforcement Hangs In The Balance," "if not overturned, likely will have a significant impact on the FTC's efforts to slow the record pace of health care provider consolidation."

The fast growth, group buying hospitals are likely to set a ceiling on medical equipment pricing if FTC is unable to successfully stop hospital consolidation.
In addition to these two key factors, the purchasing power of individual patients, fierce rivalry among manufacturers of medical devices, and other factors are bringing the cost down.
Kolarama forecasts that the cost of medical devices will rise gradually despite FDA assistance to the industry in the form of significant fee reductions for premarket applications, premarket reports, efficacy supplements ($26893 less than in 2016 overall), and panel-track supplements (more than $20,000 less than in 2016). (Brennan).
Last but not least, Kolarama estimates that the medical devices sector will expand at a rate of 2.8 percent during the next five years (Bean).
Let's explore the medical device price in more detail by comprehending the impact that competition has on the sector. From a financial standpoint, it is explained in the Forbes article "US Health Care Costs Rise Faster than Inflation" why the consumer price index (CPI) for health care is greater than the CPI itself. Check out the graph below. Except for 2008, every year in the graph has a health care CPI that is higher than the CPI itself. This indicates that healthcare costs are rising faster than the rate of inflation.
What can be done to lower the expense of healthcare? Similar to other industries, the health care sector requires competition to drive down costs. (Patton)
Similar to what I predicted, Sandler from Modern Healthcare found evidence from the ECRI Institute showing "Device prices fall as hospitals' leverage grows." According to data from the ECRI Institute, a non-profit organization based in Plymouth Meeting, Pennsylvania, that assesses medical procedures, devices, medications, and processes, the overall median price for high-spend items decreased 1.5% from 2013 to 2014, from $144,278 to $142,072. (Sandler)

According to Carlson's story in the Star Tribune, "[m]any medical equipment prices have been declining at a time when US health care costs have been rising faster than inflation" (Carlson). Carlson thinks that some medical trends are waning, such as the practice of depending less and less on recurring purchases from doctors and a slight increase in the price of medical devices. Instead, fierce competition is lowering the cost (Carlson).
This is true and frequently applies when generic devices take the place of name-brand ones. Here is an illustration of how price reductions and competition were sparked by the purchasing power of individual patients. Numerous people rely on the EpiPen, which is frequently used for children, to stop serious allergic responses when they happen. The item's cost increased from $100 in 2007 to $600 in the summer of 2016. While there was a consumer uproar and movement to lower the price of Epicene, the brand was severely harmed. Doctors are already writing more prescriptions for Epicene substitutes as a result.
MedsDental is a renowned Dental Billing Company in the United States, equipped of the revenue cycle experts who are highly proficient in delivering fast and the error-free billing services to dental practices by using the cutting-edge technology.

Photo courtesy of Athena Research
Adrenaclick is a popular substitute for EpiPen that costs between $150 and $200 (depending on whether Good coupons are used). Sadly, Adrenaclick's cost isn't much lower either.
Despite the general trend of medical device prices falling, prescription costs and overall health care costs are expected to continue rising.
Comprehensive Medicare-related data, the consumer price index, real estate, electric utility firms, and other important data are all included in the Cost category of John Snow Lab.

Information

License

Open Data Commons Open Database License (ODbL)

ID

536991b2a3a729239d203d1a

Temporality

Creation

December 20, 2013

Frequency

Annual

Temporal coverage

2013/01/01 to 2017/01/02

Latest update

January 4, 2018

Spatial coverage

Territorial coverage

France

Territorial coverage granularity

French region

Actions

Embed

<div data-udata-dataset="536991b2a3a729239d203d1a"></div><script data-udata="https://www.data.gouv.fr/" src="https://static.data.gouv.fr/static/oembed.js" async defer></script>

Extras

datagouv_ckan_id

e6761cd4-ee38-4fa6-8ad2-943b052f1902

datagouv_ckan_last_sync

2014-09-17 03:58:21.045000

Contours des régions françaises sur OpenStreetMap

Description

Descriptif du contenu des fichiers "regions"

Historique

Producer

Latest update

License

Metadata quality:

Metadata quality

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