Tribune. The health crisis has not led to the implosion of our health system, but it legitimately brings regarding a crisis of meaning for many hospital workers. In two years, the relationship with the hospital has radically changed, moving from applause to violence, from general mobilization to collective fatigue. If the crisis has exacerbated the tensions, their origin is older and feeds on other sources, in particular that of a “bashing hospital” depressing for professionals and deleterious for users. In this period, we must remind the hospital and the hospital staff, without misery or heroism but with constancy and determination, of the recognition they deserve.
If the professionals are still and always present to manage the crisis, it is thanks to the people, whatever their functions, who, in the name of public action, place the general interest before their ambitions and their comfort. Despite the fact that this strength of resilience and adaptation of professionals is once once more strongly tested by a health crisis which is upsetting many fundamentals, the programs of the candidates for the presidential election do not seem to take sufficient hold specificities of the hospital, the backbone of our health system. However, building today the response to the health needs of the next generations is imperative and imposes to extract oneself, the time of a reflection, from a daily complex and difficult but which we must overcome.
The presidential election provides a high point for major societal debates, of which health is a primary chief. The conferences of establishment medical commission presidents, directors general and deans of faculties of medicine, representing the voice of front-line establishments such as university hospital centers (CHU), wanted to contribute to the debate for a solidarity hospital and accessible, innovative and ecological, sustainable and secure, meeting the challenges of the period. For the three hospital-university conferences, being a caregiver is good “refuse to submit and decide to act”, according to the expression of Claire Fourcade, doctor in palliative care, in a column published on January 4 in Le Monde. They call for a real presidential project in terms of health in order to maintain a high level of ambition for the CHUs.
Thinking regarding the organization of the health system
Within public hospitalization, the CHUs play a special role with the populations. The three conferences formulate, for the University Hospitals, eight proposals for the attention of candidates in the presidential election. These aim to reposition each player in the health system in their rightful place; to allow research in university hospitals, alongside the university, to contribute to inventing the therapies of tomorrow; to recruit more doctors and nurses; to develop the mission of the CHUs in the territories so that they remain a first-rate response in terms of research, care and education.
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