Crise à l’hôpital et dans les EHPAD, même combat : abattons les murs ! (notice n° 1004821)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03412cam a2200289 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250125135022.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Baudier, François |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Crise à l’hôpital et dans les EHPAD, même combat : abattons les murs ! |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2019.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 89 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | La crise dans les hôpitaux publics et les Etablissements d’hébergement pour personnes âgées (EHPAD) se focalise sur les problématiques de gouvernance et les moyens internes (notamment financiers), alors que les réponses se trouvent dans une fluidité organisée et consolidée entre le monde des institutions hospitalières ou médico-sociales et celui des lieux de vie habituelle de la population. Sur le plan hospitalier, les principales difficultés sont dues à un transfert régulièrement annoncé, mais non réalisé, entre les activités de ces établissements et la médecine ambulatoire. La solution se trouve certainement dans un pilotage unique de la politique de santé, actuellement partagé entre l’État et l’Assurance maladie. Pour les EHPAD, l’institutionalisation des personnes âgées fragiles et/ou en voie de dépendance, ainsi que la multiplication non aboutie de multiples expérimentations de leur prise en charge à domicile, conduisent, d’une part, à une offre de plus en plus complexe, peu lisible pour tout le monde, et d’autre part, à faire reposer principalement sur le généraliste la coordination de cette prise en charge. La solution se trouve certainement dans une offre universelle, relevant du droit commun et permettant aux personnes âgées de rester le plus longtemps possible chez elle, ce qu’elles souhaitent le plus. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | The crisis in public hospitals and accommodation facilities for the elderly (EHPAD) focuses on issues of governance and internal resources (including financial ones), while the responses should be found in an organized and consolidated fluidity between the world of hospital or medico-social institutions and the usual living spaces of the population. At the hospital level, the main difficulties are due to a regularly announced, but incomplete, transfer between the activities of these institutions and outpatient medicine. The solution is certainly in a single governance of health policy, currently shared between the state and health insurance. For the EHPAD, the institutionalization of frail elderly people and/or those in the process of dependence, as well as the unsuccessful proliferation of multiple experiments in their care at home, lead, on one hand, to an increasingly complex offer, not understandable for everyone, and secondly, to rely mainly on the general practitioner for the coordination of this care. The solution is certainly in a universal offer, under common law, which would allow the elderly population to stay as long as possible at home, which is what they wish the most. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | personnes âgées |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | établissement |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | gouvernance |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hôpital |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | médecine ambulatoire |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hospital |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | governance |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | ambulatory medicine |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | institution |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | elderly |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 31 | 2 | 2019-07-11 | p. 293-295 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-sante-publique-2019-2-page-293?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-sante-publique-2019-2-page-293?lang=fr&redirect-ssocas=7080</a> |
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