A month and a half after the launch of the first part of the National Council for Refoundation, dedicated to health, the first consultations took place in Vienne. Organized by the departmental delegation of ARS Nouvelle-Aquitaine and by the prefecture, they take the form of moments of exchange between caregivers, elected officials and citizens. Everyone is free totalk freely about solutions, not problems“, as indicated by the Minister of Health on October 3 – solutions to improve the system of access to care. A first meeting was held on November 4 in Montmorillon and a second on November 14 in Loudun.
At the opening of the latter, a presentation of the demographic basin and the healthcare offer was made. Unsurprisingly, the Loudunais is under-staffed with doctors, general practitioners and specialists. In particular, there is a lack of liberal nurses, speech therapists and midwives, as well as physiotherapists and dental surgeons, even more markedly. The territory has only 13 general practitioners, for nearly 25,000 inhabitants.
Attract new doctors
To fill these gaps, one of the priorities is to attract new professionals. Health Henri Dieulangard, President of the Council of the Order of Physicians of Vienne, relays the expectations of young doctors. “They want to work in groups, in nursing homes, with others, as “staff” as in the hospitalFewer and fewer doctors also want to make home visits, often due to a lack of time. Henri Dieulangard therefore advocates the development of patient transport.
For their part, the nurses propose a greater delegation of certain tasks. “A person who has a wound, we are quite capable of taking care of it without calling the doctor“, cites as an example Magalie Matuz, liberal nurse in Trois-Moutiers and representative of the “Santé en danger” collective. She also recommends that nurses be able to make prescriptions as a first intention – today they can prescribe but never without doctor’s prior approval.”It would help, because it would relieve the doctor of what is called bobology.”
All the participants insisted on the fact that better coordination of caregivers on the territory is necessary, in particular on the management of patient files. The creation, soon, of a Professional Territorial Community of Health (CPTS) in Vienne, should work towards this. The proposals resulting from these meetings are then sent from the departmental ARS to the regional ARS. Elected officials, deputies, mayors and senators are also present to listen to the proposed solutions.