Evening of the “Point” hospitals – What responses to the crisis?


VSow to rebuild the hospital? The question was at the heart of the debates this Wednesday, September 28, during the fourth “Evening of hospitals” organized in the large amphitheater of the University of Paris Cité, on the occasion of the list of doctors, to be published at the end of the year. in Point. Ten medical professionals and specialists from our hospital system have thus made their diagnosis of our health system, proposed responses to the crisis of access to care, and discussed the solutions that are already emerging.

Among them, Mathias Wargon, head of the emergency and Smur department of the Delafontaine hospital in Saint-Denis (93) and author of Hospital: a masterpiece in peril (Fayard), opened the evening with an uncompromising inventory. Even though emergencies receive 22 million patients a year (twice as many as ten years ago), “our functioning is not adapted to modern society”, alerted the professional, who calls for a major consultation that looks like an x-ray: human resources, equipment, salaries, management…

Working conditions

And for good reason, “doctors who leave public hospitals do so less because of the attraction for liberal practice than because of the working conditions prevailing there”exposed to the public of the event – ​​and after a survey of his readership – Matthieu Durand, founder of the magazine What’s up Docuniversity hospital practitioner, surgeon-urologist at the University Hospital of Nice and head of GHT 06 for urology in the Alpes-Maritimes.

“Many feel they have to do more with less”testified Zaynab Riet, general delegate of the French Hospital Federation (FHF), inviting the profession to think outside the sole question of personnel (now the first budget item) to rethink the attractiveness of the exercise in emergency services.

Treatment time

And because innovation is one of the remedies for bottlenecks in the latter, new technologies were at the heart of this evening of introspection. Thereby Marianne Binst, general manager of the network of professionals Santéclair, to draw our attention to teleconsultation, a practice that is still timid in France. France being the last OECD country to use it – 23% of French people practice it, compared to 45% of all OECD members. Or on remote symptom analysis tools, powered by artificial intelligence, “too little known”.

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So many means, tomorrow, of “free up care time”. A “rare resource that must be protected”as pointed out by Delphine Mallet, Director of Health and Autonomy at La Poste Group, the leading bank financier of public hospitals and a major transporter of medicines to pharmacies. “In France, 7% of dialysis patients do so at home, compared to 20% in Europe”she pointed out, underlining our country’s resistance to out-of-hospital care and the importance of involving non-caregivers to relieve it.

Partnerships

And especially industrialists. “Personalized and precision medicine is impossible without their collaboration”thus recalled Agathe Seguin-Givelet, head of the thoracic surgery department at the Institut mutualiste Montsouris (IMM), 98% of whose activity concerns lung cancer. And to insist on the importance of developing cutting-edge tools to limit the invasive nature of operations (“We resort less and less to the scalpel and more and more to robots and cameras”), but also imaging to detect cancers at an operable stage.

Because it takes “do everything possible to identify diseases as soon as possible”data was also at the center of the debates: “A lot of data is not used, even though it can help us with prevention, diagnosis and care”thus mentioned Laurence Comte-Arassus, general manager in the imaging company GE Healthcare, which encourages the sharing of data from MRIs, scanners, medical diagnostics and laboratories…

So many possible responses to the severe diagnosis placed on the hospital and to the crisis that is going through it. A fundamental issue, at a time when “our life expectancy is increasing”. “Because, if we live longer, the question is also and above all to be able to do so in good healththen insisted Zaynab Riet, general delegate of the French Hospital Federation (FHF). And health actors have, as such, an obligation of result… »


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Evening of the “Point” hospitals – What responses to the crisis?


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