In recent months, several emergency services have gone on strike to denounce their working conditions (lack of beds, staff …). And while professionals are already overwhelmed, the heat wave makes them fear that they will not be able to accommodate patients as well as possible. It is in this context that the Regional Health Agency (ARS) of Île de France is publishing this Wednesday, June 26 a list of proposals for “improve the situation”.
In Paris, the strike movement has continued since mid-March. The Minister of Health Agnès Buzyn announced on June 14 to release 70 million euros at the national level to unblock the movement. But the measure did not seem sufficient to calm the anger of caregivers, who work more and more difficult. The director general of the Ile-de-France ARS, Aurélien Rousseau, therefore offers more solutions to try to resolve the crisis. The human and material resources deployed to put them in place have not yet been detailed.
Five regional proposals
By the end of 2019, he first wants to develop a “zero stretcher contract in the corridors of the emergency services for patients awaiting hospitalization “, indicates the press release of the agency. The goal? Unclog emergencies and streamline their downstream. To do so, a “financial incentive” will be paid to establishments when the objective is reached, “at the latest within three years”.
From the start of the school year, ARS Île-de-France will also launch a survey after staff on “well-being at work in emergency structures”, in order to “make a shared diagnosis and identify priority actions, particularly in ergonomics at work”. By September, a regional nursing and emergency committee should also be created. Likewise, this entity made up of experts will be responsible for observing the practices and organizations of emergency services and acting accordingly.
Doctors Georges Siavellis and Patrick Pelloux were also commissioned to develop a territorial diagnosis of “the supply and use of unscheduled care (emergencies, editor’s note)“. They will have to define the places where there is a lack of structures, as well as support the experiments around the different support systems.
Finally, the Ile-de-France ARS wants harmonize the remuneration of temporary work. “The lack of personnel means the increasing use of short-term replacements, she notes. This recourse to temporary work, if it is necessary, must not result in an overbidding and competition between establishments. “ Currently, when a service is in shortage of caregivers, hospitals offer ever more advantageous remuneration to find replacements. An observatory of pricing practices will therefore be set up.
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