2024-05-28 12:10:47
analyze Philippe Leducphysician and health journalist, originally published On the Think Tank Economic Health website.
“For 20 years, the situation has been gradually and definitely getting worse. » This risk continues to worsen, demand is increasing and supply is declining. present New report on Primary Care District OrganizationsThe president of the Court of Auditors, Pierre Moscovici, famously painted a picture, calling for “putting pressure on public policy” by “clearly demonstrating the results to be achieved”. Faced with the urgency of the situation, the proposed measures only partially take into account the participation and motivation of health professionals (who are insufficient in number) and therefore run the risk of being insufficient again.
What is interesting about this report is the meticulous and in-depth work of the regional accounting bodies of Occitany and the Loire region, which demonstrates both successes and the scale of the challenges.
decision chain
Dr. Philippe Leduc, doctor, health journalist and author of the blog Think Tank Economie santé, Les Echos group.
In the South, effective measures were proposed, but it was immediately emphasized that ‘This requires working with health professionals’. The aid effects of ARS and health insurance relative to those of local authorities vary across regions: interventions are shown to be effective when they can be based on health programs developed by professionals.
The ARS 2023-2028 strategy aims to be more structured and ambitious, but the District Court regretted that the progress achieved has not yet made it possible to establish common governance capable of building territorial projects. The regional body recommends clarifying the contracted territory map, establishing a list of alerts felt by patients and at least an indicative list of available resources.
“A series of decisions must be made. » Once again we see a lack of geographical management of primary care services involving all stakeholders and based on accurate data.
Multi-professional practice culture
In the Loire region, medical society is characterized by “Very depraved.” These interventions were primarily aimed at placing GPs, but these “lacked rigor in implementation”. It is pointed out again that the most decisive condition for the success of the project is to obtain “Multi-professional practice culture”.
some progress (” confirm”) noted: Since the creation of the CPTS (Atlantique-Nord-Loire), coordination among participants has been strengthened, as has collaboration between community medicine and hospital medicine. Barriers here also include diversity of geographical scope, the quality of multiprofessional relationships, the need to develop a coordinated movement, and access to a multiprofessional movement culture.
More institutionalized coordination must be sought, “Factors for sustainability and continued progress in patient expectations in access to care”.
revitalization of territorial health committee
As we can see, it’s a lace job with a strong component of a new culture, a new way of doing nursing work, aided first by their training (desperate at this point) and then Well-designed help. Therefore, the overall conclusion of the Audit Court leaves one wanting to know more. This emphasizes even more ” Tense atmosphere” and caregiver support and training based on shared regional diagnosis.
The Territorial Health Council, strengthened by the law recently passed by the current Minister of Health, should no longer be a simple instrument of health democracy, but an armed body of the territorial organization, with an office with resources, in particular an Office of Initiative Resources.
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