Addressing Medical Desertification: How Health Professionals in Normandy Work Together to Provide Quality Care

2023-07-31 06:00:02

In Normandy, medical desertification affects almost the entire territory. To maintain a quality care offer, health professionals work as a team.

Whether in the Cotentin or in the heart of the Pays d’Auge, the lack of doctors has the same effects. If patients always end up finding a caregiver to treat emergencies, doctors lack the time to ensure follow-up, carry out preventive actions or simply take the time to listen to patients. In the field, medical and paramedical professionals work in perfect symbiosis to provide quality care to residents despite the lack of human resources.

Throughout the summer, discover Normans who are mobilizing to maintain a health offer in all territories. Articles to be found every Monday on our website.

Élise Lemaître has been working for the Asalée association in Cherbourg-en-Cotentin for several years now. This structure establishes close collaboration between doctors and nurses. For Élise, there is no doubt that this approach greatly improves patient care. However, twenty years ago, when the association was born, the idea was rather innovative. At the time, doctors were used to working alone, and teamwork was far from obvious.

If it is to better take care of diabetic patients that the device was set up, it is now open to other pathologies, such as cardiovascular risks, asthma or sleep disorders. Today, the Asalée network has more than 7,000 doctors and nearly 1,700 nurses throughout France.

At the center of the concerns of the actors of this network, we find education and prevention. When the doctor lacks time to properly accompany the patients, nurse Asalée takes over. She can receive the patient, listen to him, answer most of his questions and can give a report of these interviews to the doctor.

Doctors appreciate the second look I can provide. The patients see me as part of the treatment team. When they have a question, they don’t hesitate to contact us between two appointments.

Elise Lemaitre

Nurse Asalea

Sometimes, the intervention of these nurses goes beyond the walls of the consulting room. Élise Lemaître recounts, for example, the creation of a “getting moving” group for her diabetic patients: “Patients are often told to move more, to get off the couch. But, alone, it is difficult to find the motivation. In a group, it’s easier and it creates social ties.”

Watch Élise Lemaître’s interview on video below:

video duration: 00h02mn37s

Élise Lemaître is an Asalée nurse in Cherbourg-en-Cotentin, she works closely with general practitioners. • ©France Televisions

To find more information regarding the Asalée nurses, meet here.

In Seine-Maritime, around Lillebonne and Bolbec, the situation is the same as in most rural areas: there are fewer and fewer doctors and the problem is likely to increase over time. To maintain and even improve the care offer, health professionals have chosen to meet and work together.

Here, it is Marion Chatigny who has the heavy responsibility of coordinating the 103 professionals that make up the Caux Seine Liberal Ambulatory Health Center. She explains that caregivers meet frequently at lunchtime to talk regarding complex patient cases they share. In this way, the various healthcare players got to know each other and were able to set up care protocols that would not have existed without the union of their skills. For Marion, this is one of the most important axes of the approach: working together and getting to know each other better to go further.

It has totally revitalized the territory and people are working with great enthusiasm. We have developed various actions such as therapeutic education, yoga adapted for chronic low back pain or women with breast cancer.

Marion Chatigny

Coordinator of PSLA Caux Seine

Find Marion Chatigny’s interview in full and in video below:

video duration: 00h02mn40s

Marion Chatigny is coordinator of the Caux Seine Liberal Ambulatory Health Center • ©France Télévisions

A close-knit and confident team is also a team that can carry out experiments. The health center team has decided to set up new professions such as medical assistants or advanced practice nurses.

To find out more regarding the Liberal Ambulatory Health Center Caux Seine, You can visit their website by clicking here or contact us by email: contact@psla-caux-seine.fr

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