Urgent crisis a priority document for next health minister

2024-07-12 12:00:14

This is the most obvious symptom of a hospital system in crisis. Emergency rooms are overheated year following year. Not surprisingly, this is also one of the first issues facing future health ministers when the center government ends.

Doctors are in the habit of reminding us of this at every new appointment – and there have been five on the Boulevard Segur in the past two years: increasing strains and closures in emergency services, a lack of doctors, not just This is just the tip of the iceberg, and the crisis spans the entire health care system. As the gateway to the hospital, emergencies are at the crossroads of “upstream” treatment difficulties and “downstream” admission difficulties.

While these alerts are now routine, they began to resonate locally in early July, with new data released on Thursday, July 11, providing a national picture of how the emergency is operating. Strength in numbers: In this survey, which is conducted every ten years, the Department of Research, Evaluation and Statistics (Drees) managed to cover all 719 existing emergency reception points spread across 612 hospitals and clinics – potentially every There are two establishments, suitable for adults and children. This is on the same day when its activity is observed, June 13, 2023, that is, outside the most complex period, concentrated in the winter with the epidemic and the summer with the holidays.

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However, 54 emergency services (8%) reported having to close that day ” completely” They visited the home at least once, usually at night, in the three months before the investigation. Nearly a quarter (23%) must have so-called “supervised” channels in place, at least during certain periods of time, which include filtering channels for emergencies by requiring all patients to call the emergency room beforehand. 15

Attendance increases

Another number reflecting the tension: 19% of services showed ‘Lack of doctors to fill schedules’, one week before the survey. The nursing shortage affects all medical professions, but primarily emergency physicians. This vicious cycle is well known: The workload is extremely demanding and requires significant on-call responsibilities, and vacancies make the situation worse, leading to… new departures.

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