“Other than monetary and structural measures, the State should settle for that our well being system is a nationwide jewel”
AFirstly of this century, there was no want for a “normal practitioner”: one may simply discover a normal practitioner referred to as a “household physician” who made residence visits, particularly for the aged – just like the physiotherapists in elsewhere. The French healthcare system was thought of one of the best on this planet by way of accessibility. We at the moment are near twentieth place (The Lancet, 2017).
Within the meantime got here the thirty-five hours, retirements not compensated by a Malthusian numerus clausus, and the Covid-19 hurricane. This led to an unthinkable scenario: medical deserts together with in Paris, beds closed for lack of nurses, emergencies in an anarchic scenario generally compelled to shut after having fought so a few years for an unconditional welcome.
The prospects for enchancment are slim, the Ségur plan having proved that upgrading was not every part and that international medical doctors wouldn’t be sufficient. The interim turns into a profession. It is arduous to not give in to defeatism; nevertheless, if the system will be unable to be fully upset, ideas might be made to treatment this example.
First, emergencies can now not and may now not be the gateway to hospitals. This group represents a big value in examinations that aren’t at all times helpful, aside from the logic of “sorting” to which emergency physicians are compelled beneath strain. There are profitable experiences of addressing sufferers (by way of opinion submission platforms, devoted strains, and many others.), that are simple to make use of for each medical doctors and customers.
A supply of financial savings
The spectacle of the lethal stranding of sufferers on stretchers isn’t tolerable: it’s essential to open beds of normal medication but additionally higher to “flip the beds”, the target is to not cut back in any respect prices the typical size of keep in hospital (DMS), which has turn out to be an absurd obsession, however to speed up the transition to cheaper constructions.
Entry into medium keep [c’est-à-dire en services de soins de suite et de réadaptation (SSR)] should be sooner, particularly for sufferers who don’t want technical care – this can be a supply of financial savings! It’s also essential to create in every division not less than one reception construction for sufferers whose issues are extra social than medical, and who occupy “medication” beds generally for months. And it’s pressing to simplify guardianship procedures to resolve sure inextricable conditions.
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