Collaboration ville–aide médicale urgente–hôpital à l'épreuve de la crise Covid-19, l'expérience des Yvelines (notice n° 1134576)
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| fixed length control field | 04567cam a2200373 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250413035321.0 |
| 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 | Petit, A. |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Collaboration ville–aide médicale urgente–hôpital à l'épreuve de la crise Covid-19, l'expérience des Yvelines |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2020.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 4 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | The type and amount of the current demand for unplanned healthcare is evolving. Tasks of emergency services moved towards chronic diseases complications, and towards the increasing amount of medico-social issues. For two years, a collaborative approach between community medicine and emergency medical communication center in the Yvelines (78) has been undertaken. The stakeholders are the Samu 78, the Versailles Hospital, the Yvelines Medical Board and the territorial coordination association. This approach aims at preventing inappropriate hospitalization, promoting home care, and redirecting patients to community medicine after a hospital stay, thanks to multidisciplinary coordination teamwork. The health crisis due to COVID-19 boosted and strengthened community medicine—emergency medical communication center cooperation with specific goals, with the help of dedicated digital tools (among other things). The leading workstreams were to handle the health crisis urgency through the set-up of secured health care provision over the Yvelines area, to manage the course of the precarious patients during the lockdown period and finally to support the lifting of the lockdown with a dedicated backup team, and the follow-up of COVID-19 patients and their close relatives. Solutions to the organizational issues and issues related to the acceptance of the new monitoring and coordination digital tools were found, thanks to a supportive institutional environment, and to the committed leaders interested in the innovative projects. This collaboration should be a model for the new access to healthcare system. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | L'évolution actuelle de la demande de soins non programmés porte autant sur une augmentation de volume que sur sa nature. Les missions assurées par les structures d'urgence se sont décentrées vers la prise en charge des complications des pathologies chroniques et des problématiques médicosociales. Une démarche collaborative entre la médecine de ville et l'aide médicale urgente (AMU) a été initiée depuis deux ans dans les Yvelines, entre le Samu 78, l'hôpital de Versailles, le Conseil de l'ordre des médecins 78 et l'Association Plateforme territoriale d'appui 78. Ses objectifs visent, par un travail de coordination multidisciplinaire, à éviter les ruptures de parcours des patients complexes, à favoriser le maintien à domicile et à réorienter les patients vers la ville après un recours à l'hôpital. La crise sanitaire liée au Covid-19 a permis d'accélérer le processus de collaboration ville–AMU avec des objectifs propres à cette crise, notamment grâce à des outils numériques dédiés. Les principaux axes de travail ont été de répondre à l'urgence de la crise sanitaire en organisant une offre de soins sécurisée, d'organiser les parcours des patients fragiles pendant le confinement puis de préparer et d'accompagner le déconfinement grâce à une cellule d'appui et de suivi des cas positifs et de leurs contacts. Les difficultés organisationnelles ou liées à l'acceptabilité de ces nouveaux outils de surveillance et de coordination ont trouvé leurs solutions grâce à un environnement institutionnel favorable et l'implication de leaders intéressés par la conduite de projets innovants. Cette expérience peut préfigurer le futur service d'accès aux soins (SAS). |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Aide médicale urgente |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Approche collaborative |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Covid-19 |
| 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 de ville |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Parcours patient |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Collaborative approach |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Community medicine |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | COVID-19 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Emergency medical communication center |
| 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 | Patient's course |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Berton, L. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | de Bastard, L. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ben Hellal, A. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Prudhomme, F. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Richard, O. |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Annales françaises de médecine d’urgence | 10 | 4-5 | 2020-07-09 | p. 212-217 | 2108-6524 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-annales-francaises-de-medecine-d-urgence-2020-4-page-212?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-annales-francaises-de-medecine-d-urgence-2020-4-page-212?lang=fr&redirect-ssocas=7080</a> |
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