SURVEY – 50% of surgeries performed on an outpatient basis, this is the government’s objective. But for the moment, the public sector only manages 30% of day hospital interventions. How to further improve the care and reception of patients? Why Doctor analyzes the strengths and the lags of this type of care.
Breast cancer is still relatively rarely operated on as an outpatient. This method of care mainly concerns lighter interventions, those affecting cataracts or the carpal tunnel mainly, according to a report by the Court of Accounts (PDF) published in 2013. The government has made outpatient care a priority, with a pricing incentive policy that enhances this care and reduces patient rates.
“The Cancer Plan has improved things, and in particular communication between the teams, adds Severine Alran. We now have a new, very structured treatment course. Outpatient care is the right care: we are in the right timing, and more so the quality of coordination with anesthetists, nurses… ”
At the Institut Mutualiste Montsouris, the transition took longer to take hold, but the team eventually got used to it.
Listen to Guylaine Rossel, health manager at IMM: “We had to bring the project. For some time, this has become part of the habits of the healthcare team. “
France is lagging behind
Like these two institutes, the private sector is far ahead of the public. In a report published in January 2015, the General Inspectorate of Social Affairs (Igas) underlines that one in two operations is performed on an outpatient basis in a clinic… against only 30% in the public. The measures supposed to promote this care have not really changed things.
But the delay is more general: where the countries of Northern Europe opt for outpatient care in 65% of cases, France is lagging behind at 43%. Perhaps it is necessary to ogle the side of pathologies operated on on an outpatient basis to better understand this. The 12 most common surgeries account for 70% of the operations performed in day hospitals.
Marisol Touraine’s goal (50% in 2016) is a little too ambitious for the Igas, but not unrealizable. According to inspectors, it should be reached in 2018.
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