{"id":4723,"date":"2024-02-29T13:36:00","date_gmt":"2024-02-29T06:36:00","guid":{"rendered":"https:\/\/www.eurogroupconsulting.com\/?p=4723"},"modified":"2026-01-15T12:29:56","modified_gmt":"2026-01-15T11:29:56","slug":"permanence-des-soins-une-transformation-pour-ameliorer-lacces-aux-soins","status":"publish","type":"post","link":"https:\/\/www.eurogroupconsulting.com\/publications\/article\/permanence-des-soins-une-transformation-pour-ameliorer-lacces-aux-soins","title":{"rendered":"Permanence des soins, une transformation pour am\u00e9liorer l\u2019acc\u00e8s aux soins"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4723\" class=\"elementor elementor-4723\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5bebac3 e-con-full e-flex e-con e-parent\" data-id=\"5bebac3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7402bd1 elementor-widget elementor-widget-text-editor\" data-id=\"7402bd1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Dans un contexte o\u00f9 la d\u00e9mographie m\u00e9dicale est tr\u00e8s fragile voire pr\u00e9caire, les \u00e9tablissements publics de sant\u00e9 font face \u00e0 un vrai casse-t\u00eate.\u00a0<strong>Comment assurer une permanence des soins qui r\u00e9ponde aux besoins de la population tout en optimisant le temps m\u00e9dical et en r\u00e9pondant mieux aux exigences de qualit\u00e9 de vie au travail des soignants ?<\/strong>\u00a0C\u2019est \u00e0 ce dilemme que la r\u00e9cente proposition de loi\u00a0<a href=\"https:\/\/www.senat.fr\/dossier-legislatif\/ppl22-747.html\" target=\"_blank\" rel=\"nofollow noopener noreferrer\"><strong>\u00ab Am\u00e9liorer l\u2019acc\u00e8s aux soins par l\u2019engagement territorial des professionnels \u00bb<\/strong><\/a>, promulgu\u00e9e le 27 d\u00e9cembre dernier, tente de r\u00e9pondre. Il s\u2019agit, par-l\u00e0, de donner aux agences r\u00e9gionales de sant\u00e9 une plus grande flexibilit\u00e9 pour\u00a0<strong>organiser les structures sanitaires locales et r\u00e9\u00e9quilibrer les forces m\u00e9dicales en pr\u00e9sence.<\/strong>\u00a0Pour r\u00e9ussir cette restructuration majeure, il leur faudra toutefois prendre en compte certains imp\u00e9ratifs incontournables. Tour d\u2019horizon\u00a0<strong>des enjeux et des conditions de r\u00e9ussite de cette transformation n\u00e9cessaire\u00a0<\/strong>de notre syst\u00e8me de sant\u00e9.<\/p>\n<p>\u00a0<\/p>\n<h3 style=\"padding: 0px; margin: 0px; clear: both; color: #161616; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-size-adjust: none; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-variant-position: normal; font-variant-emoji: normal; font-stretch: normal; font-size: 28px; line-height: 34px; font-family: Montserrat, Helvetica, Arial, Verdana, sans-serif; letter-spacing: normal;\">La permanence des soins : une mission de service public indispensable pour r\u00e9pondre aux besoins de proximit\u00e9<\/h3>\n<hr size=\"2\" width=\"100%\" \/>\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p><strong><br \/>La permanence des soins (PDS)\u00a0est une mission de service public, destin\u00e9e \u00e0 r\u00e9pondre aux besoins de soins en sant\u00e9 non programm\u00e9s en dehors des heures d\u2019ouverture habituelles.\u00a0<\/strong>Elle se distingue de la continuit\u00e9 des soins qui est une obligation r\u00e9glementaire pour toutes les unit\u00e9s de soins d\u2019assurer la prise en charge des patients d\u00e9j\u00e0 hospitalis\u00e9s (sur ces m\u00eames p\u00e9riodes). La permanence des soins s\u2019organise et se r\u00e9partit entre secteurs public et lib\u00e9ral :<\/p>\n<\/div>\n<\/div>\n<div class=\"standard-arrow list-divider bullet-top\">\n<ul>\n<li>Dans le lib\u00e9ral, au travers de l\u2019organisation de la permanence des soins ambulatoires (PDSA)<\/li>\n<li>Dans les services d\u2019urgences (SU)<\/li>\n<li>Dans les \u00e9tablissements de sant\u00e9, au travers de la permanence des soins (PDSES)<\/li>\n<\/ul>\n<\/div>\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p><br \/>Pour renforcer l\u2019\u00e9quilibre et l\u2019efficacit\u00e9 globale du syst\u00e8me de sant\u00e9, une multitude d\u2019initiatives ont \u00e9merg\u00e9, aux c\u00f4t\u00e9s de la PDS, parmi lesquelles\u00a0<strong>le Service d\u2019Acc\u00e8s aux Soins (SAS), r\u00e9cemment d\u00e9ploy\u00e9 \u00e0 l\u2019\u00e9chelle nationale<\/strong>. Ce nouveau service a pour objectif d\u2019orienter la population dans son parcours de soins et de lui permettre d\u2019acc\u00e9der \u00e0 toute heure \u00e0 un professionnel de sant\u00e9, que ce soit dans le public ou en lib\u00e9ral.<\/p>\n<p>\u00a0<\/p>\n<\/div>\n<\/div>\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<h4><strong>L\u2019organisation, \u00e0 la maille des territoires, peine \u00e0 trouver sa juste \u00e9chelle<\/strong><\/h4>\n<\/div>\n<\/div>\n<div class=\"wpb_text_column wpb_content_element \">\n<div class=\"wpb_wrapper\">\n<p><br \/>Pour prendre en charge les soins qui rel\u00e8vent de son p\u00e9rim\u00e8tre, la PDSES doit mobiliser des ressources soignantes et des plateaux techniques \u00e0 l\u2019\u00e9chelle de la r\u00e9gion. La maille locale est n\u00e9cessaire pour r\u00e9pondre au besoin d\u2019un service de proximit\u00e9 et limiter les pertes de chance. C\u2019est ainsi qu\u2019un grand nombre d\u2019h\u00f4pitaux avec des services d\u2019urgence et des plateaux techniques disposent aujourd\u2019hui d\u2019une PDSES \u00e9toff\u00e9e dans un volume de sp\u00e9cialit\u00e9s important, et ce, parfois sur un m\u00eame territoire.<\/p>\n<p>Toutefois, compte tenu des contraintes impos\u00e9es par l\u2019augmentation des besoins de la population en mati\u00e8re de prise en charge m\u00e9dicale d\u2019une part et du d\u00e9ficit en ressources m\u00e9dicales d\u2019autre part, l\u2019organisation de la PDSES doit \u00e9voluer pour atteindre sa bonne \u00e9chelle.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7fca7baa e-con-full e-flex e-con e-parent\" data-id=\"7fca7baa\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51a83577 elementor-widget elementor-widget-text-editor\" data-id=\"51a83577\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h3 style=\"padding: 0px; margin: 0px; clear: both; color: #161616; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-size-adjust: none; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-variant-position: normal; font-variant-emoji: normal; font-stretch: normal; font-size: 28px; line-height: 34px; font-family: Montserrat, Helvetica, Arial, Verdana, sans-serif; letter-spacing: normal;\">Les raisons d\u2019un fonctionnement d\u00e9grad\u00e9 sont nombreuses<\/h3><hr size=\"2\" width=\"100%\" \/><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p><strong style=\"font-size: 16px;\"><br \/>La PDSES, \u00e9volue dans un environnement \u00ab disparate \u00bb et fragilis\u00e9<\/strong><\/p><div class=\"standard-arrow list-divider bullet-top\"><ul><li>Pression d\u00e9mographique croissante<\/li><li>P\u00e9nibilit\u00e9 au travail avec r\u00e9p\u00e9tition des astreintes et gardes sur place face \u00e0 une d\u00e9mographie m\u00e9dicale hospitali\u00e8re en tension<\/li><li>Attentes plus \u00e9lev\u00e9es des professionnels de sant\u00e9 en mati\u00e8re de qualit\u00e9 de vie au travail<\/li><li>Fragilit\u00e9 des organisations soignantes<\/li><li>H\u00e9t\u00e9rog\u00e9n\u00e9it\u00e9 des modalit\u00e9s de d\u00e9ploiement de la PDSES en r\u00e9gion<\/li><li>D\u00e9s\u00e9quilibre des contributions entre secteurs public et priv\u00e9<\/li><\/ul><p>\u00a0<\/p><\/div><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><h4><strong>Le d\u00e9s\u00e9quilibre entre public et priv\u00e9 se creuse<\/strong><\/h4><\/div><\/div><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p><br \/>Le ministre de la Sant\u00e9 et de la Pr\u00e9vention a saisi en 2023 l\u2019<a href=\"https:\/\/igas.gouv.fr\/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">inspection g\u00e9n\u00e9rale des affaires sociales<\/a>\u00a0(IGAS) pour r\u00e9aliser une mission relative au fonctionnement de la PDSES et aux d\u00e9fis \u00e0 relever afin de maintenir ce dispositif dans la dur\u00e9e. Les enqu\u00eates r\u00e9alis\u00e9es dans le cadre de cette mission mettent en exergue le r\u00f4le des \u00e9tablissements publics\u00a0qui assurent 82% des gardes et 77% des astreintes.<\/p><p>De fait, la PDSES constitue le \u00ab poids mort \u00bb des \u00e9quipes publiques. Ces derni\u00e8res doivent en effet composer avec cette charge qui impacte de fa\u00e7on significative la qualit\u00e9 de vie au travail. Il faut 5 m\u00e9decins temps plein pour assurer une permanence des soins soutenable pour les \u00e9quipes. Or, en moyenne ce sont plut\u00f4t 2 \u00e0 3 praticiens par discipline de sp\u00e9cialit\u00e9 qui composent les \u00e9quipes m\u00e9dicales actuelles dans les centres hospitaliers g\u00e9n\u00e9raux de taille petite \u00e0 moyenne.<\/p><p>Les organisations existantes qui reposent sur un nombre limit\u00e9 de praticiens entretiennent ainsi une d\u00e9pendance de la PDSES \u00e0 des ressources ext\u00e9rieures et \u00e0 des valorisations financi\u00e8res compl\u00e9mentaires alors m\u00eame que le contexte budg\u00e9taire et financier est particuli\u00e8rement tendu.<\/p><p>\u00a0<\/p><h3 style=\"padding: 0px; margin: 0px; clear: both; color: #161616; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-size-adjust: none; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-variant-position: normal; font-variant-emoji: normal; font-stretch: normal; font-size: 28px; line-height: 34px; font-family: Montserrat, Helvetica, Arial, Verdana, sans-serif; letter-spacing: normal;\">Il est urgent de refondre en profondeur ce dispositif phare<\/h3><hr size=\"2\" width=\"100%\" \/><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p><br \/>Fort de ces constats, le S\u00e9nat a adopt\u00e9 le 18 d\u00e9cembre dernier un projet de loi visant \u00e0\u00a0<a href=\"https:\/\/www.senat.fr\/travaux-parlementaires\/textes-legislatifs\/la-loi-en-clair\/proposition-de-loi-visant-a-ameliorer-lacces-aux-soins-par-lengagement-territorial-des-professionnels.html#:~:text=Lundi%2018%20d%C3%A9cembre%202023%2C%20le,le%20mercredi%2027%20d%C3%A9cembre%202023.\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Am\u00e9liorer l\u2019acc\u00e8s aux soins par l\u2019engagement territorial des professionnels.<\/a><\/p><\/div><\/div><div class=\"standard-arrow list-divider bullet-top\"><ul><li>Un nouveau sch\u00e9ma r\u00e9gional d\u2019organisation de la PDSES pour une plus grande homog\u00e9n\u00e9it\u00e9 et plus d\u2019\u00e9quit\u00e9<\/li><\/ul><\/div><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p><br \/>Compte tenu des difficult\u00e9s \u00e9prouv\u00e9es ces derni\u00e8res ann\u00e9es,\u00a0<strong style=\"color: #00b7ef;\">les ARS doivent pleinement s\u2019emparer du sujet pour redessiner le sch\u00e9ma r\u00e9gional d\u2019organisation et de fonctionnement de la PDSES<\/strong>. Celui-ci reposera sur 3 piliers structurants :<\/p><\/div><\/div><div class=\"standard-arrow list-divider bullet-top\"><ul><li>Une meilleure\u00a0<strong>prise en compte des besoins de chaque territoire<\/strong><\/li><li>Une\u00a0<strong>meilleure \u00e9valuation des forces m\u00e9dicales en pr\u00e9sence<\/strong><\/li><li>La compr\u00e9hension par l\u2019ensemble des professionnels de sant\u00e9 d\u2019une \u00ab\u00a0<strong>responsabilit\u00e9 collective\u00a0<\/strong>\u00bb<\/li><\/ul><\/div><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p><br \/>Ainsi, en r\u00e9partissant l\u2019effort entre toutes les structures et tous les m\u00e9decins d\u2019un territoire, l\u2019ambition gouvernementale est avant tout de r\u00e9tablir un meilleur \u00e9quilibre organisationnel, m\u00e9dical et financier entre les \u00e9tablissements publics et priv\u00e9s.<\/p><p>Il s\u2019agit \u00e9galement d\u2019homog\u00e9n\u00e9iser les modalit\u00e9s de mise en \u0153uvre de la PDSES en r\u00e9gion, tout en pr\u00e9servant une certaine souplesse permettant de prendre en compte certaines sp\u00e9cificit\u00e9s locales.<\/p><p><strong style=\"color: #00b7ef;\">Pour autant, la restructuration d\u2019un tel dispositif pour l\u2019am\u00e9lioration de notre syst\u00e8me de sant\u00e9, ne pourra r\u00e9ussir qu\u2019\u00e0 la condition d\u2019observer plusieurs lignes de conduite majeures.\u00a0<\/strong>Elles sont au nombre de cinq :<\/p><\/div><\/div><div class=\"standard-arrow list-divider bullet-top\"><ul><li>Tout d\u2019abord, partager au niveau territorial, entre plusieurs structures qu\u2019elles soient publiques ou priv\u00e9es, des lignes de gardes et d\u2019astreintes, afin\u00a0<strong>de renforcer la solidarit\u00e9<\/strong>\u00a0en situation de carence m\u00e9dicale<\/li><li>Fournir ensuite une r\u00e9ponse et une organisation adapt\u00e9es aux besoins exprim\u00e9s au sein de chaque structure<\/li><li>L\u2019effort devra porter sur une mutualisation de certaines comp\u00e9tences et profils au service de la PDSES, quelle que soit la structure de rattachement du professionnel de sant\u00e9<\/li><li>Le nouveau sch\u00e9ma r\u00e9gional devra permettre d\u2019assurer une meilleure ad\u00e9quation entre la dimension financi\u00e8re et la r\u00e9alit\u00e9 des missions assur\u00e9es\u00a0: stabilit\u00e9 et \u00e9quit\u00e9 entre gardes et astreintes, soutenabilit\u00e9 du syst\u00e8me, etc.<\/li><li>Enfin, la r\u00e9ussite de cette refonte ne pourra se faire, loin s\u2019en faut, sans la prise en compte de l\u2019humain \u00e0 la man\u0153uvre. D\u00e8s lors, il s\u2019agira d\u2019inventer les leviers d\u2019une meilleure reconnaissance et d\u2019un v\u00e9ritable accompagnement des praticiens mobilis\u00e9s de nuit, ainsi que les week-ends et jours f\u00e9ri\u00e9s.<\/li><\/ul><\/div><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><p><strong><br \/>Reste \u00e0 savoir si de telles ambitions seront op\u00e9rationnelles dans un contexte marqu\u00e9 par de fortes tensions sur la d\u00e9mographie m\u00e9dicale.<\/strong><\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Dans un contexte o\u00f9 la d\u00e9mographie m\u00e9dicale est tr\u00e8s fragile voire pr\u00e9caire, les \u00e9tablissements publics de sant\u00e9 font face \u00e0 un vrai casse-t\u00eate.\u00a0Comment assurer une permanence des soins qui r\u00e9ponde aux besoins de la population tout en optimisant le temps m\u00e9dical et en r\u00e9pondant mieux aux exigences de qualit\u00e9 de vie au travail des soignants ?\u00a0<\/p>\n","protected":false},"author":1,"featured_media":4733,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[32],"tags":[],"class_list":["post-4723","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Permanence des soins, une transformation pour am\u00e9liorer l\u2019acc\u00e8s aux soins - Eurogroup Consulting<\/title>\n<meta name=\"description\" content=\"Retrouvez notre dernier article : permanence des soins, une transformation pour am\u00e9liorer l\u2019acc\u00e8s aux soins\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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