{"id":199,"date":"2020-04-09T14:56:23","date_gmt":"2020-04-09T12:56:23","guid":{"rendered":"https:\/\/syndicoop.fr\/ufmict\/?p=199"},"modified":"2020-04-09T14:56:45","modified_gmt":"2020-04-09T12:56:45","slug":"effet-boomerang","status":"publish","type":"post","link":"https:\/\/syndicoop.fr\/ufmict\/effet-boomerang\/","title":{"rendered":"Sortie de la crise Covid-19 \u00e0 l&rsquo;H\u00f4pital : vers un effet boomerang ?"},"content":{"rendered":"<p>Le monde hospitalier public a d\u00fb brutalement s\u2019adapter, courant f\u00e9vrier 2020, \u00e0 l\u2019irruption brutale de l\u2019\u00e9pid\u00e9mie de COVID-19. Cette crise est survenue alors que le syst\u00e8me hospitalier public \u00e9tait d\u00e9j\u00e0 brutalis\u00e9, malmen\u00e9 par la gestion manag\u00e9riale et budg\u00e9taire impos\u00e9e par les choix politiques et \u00e9conomiques constants depuis trois d\u00e9cennies. Les personnels hospitaliers, y compris de plus en plus de m\u00e9decins, manifestaient massivement depuis plus d\u2019un an pour certains contre ces choix. Les circonstances ont valid\u00e9, malheureusement par le pire, la pertinence de ces revendications.<br \/>\nSans qu\u2019aucune directive ne l\u2019impose, toutes les \u00e9quipes se sont spontan\u00e9ment impos\u00e9es de nouvelles r\u00e8gles de fonctionnement afin d\u2019aider \u00e0 mieux faire face \u00e0 l\u2019afflux de patients COVID, se\u00a0sont auto-form\u00e9es par compagnonnage et \u00e9changes d\u2019exp\u00e9rience, avec ou sans l\u2019appui des directions.<\/p>\n<p>Dans de nombreux h\u00f4pitaux, les activit\u00e9s non-COVID;se sont trouv\u00e9es \u00e0 l\u2019arr\u00eat ou en fort ralentissement par la conjonction de trois ph\u00e9nom\u00e8nes :<\/p>\n<ul>\n<li>\u202fd\u00e9programmation d\u2019un certain nombre d\u2019activit\u00e9s dites \u00ab non-urgentes \u00bb, notamment en chirurgie, mais aussi de la quasi-totalit\u00e9 des consultations de sp\u00e9cialit\u00e9s m\u00e9dicales dans tous les domaines\u202f;<\/li>\n<li>moindre recours aux services d\u2019urgence ou au SAMU, sans que l\u2019on comprenne r\u00e9ellement si cela tient \u00e0 une diminution spontan\u00e9e de certaines situations m\u00e9dicales aigu\u00ebs (ainsi a-t-on vu la r\u00e9duction importante du nombre d\u2019infarctus ou d\u2019AVC) ou \u00e0 une forme d\u2019autocensure des demandes sanitaires de la population. Des analyses ult\u00e9rieures permettront probablement d\u2019interpr\u00e9ter correctement ces ph\u00e9nom\u00e8nes ;<\/li>\n<li>\u202fmoindre incidence de la traumatologie d\u2019ext\u00e9rieur du fait du confinement.<\/li>\n<\/ul>\n<p>Il importe de souligner l\u2019extraordinaire altruisme et sens des responsabilit\u00e9s de tous les personnels de toutes les cat\u00e9gories professionnelles, soignants, m\u00e9decins, techniciens, administratifs, provisoirement sous-occup\u00e9s qui se sont spontan\u00e9ment mis au service des unit\u00e9s COVID, sans compter les heures, les week-ends, les f\u00e9ri\u00e9s.<\/p>\n<p>L\u2019auteur de ces lignes anime l\u2019unit\u00e9 COVID en compagnie d\u2019un chirurgien orthop\u00e9diste, d\u2019un stomatologue, d\u2019une pneumologue, d\u2019une interne d\u2019anesth\u00e9sie et d\u2019un interne d\u2019h\u00f4pital de jour (structure actuellement ferm\u00e9e).<\/p>\n<p>Globalement, n\u2019ont poursuivi leur activit\u00e9 que certaines unit\u00e9s sp\u00e9cifiques : obst\u00e9trique, canc\u00e9rologie, h\u00e9modialyse et bien entendu tout le secteur g\u00e9riatrique, lourdement plomb\u00e9 par l\u2019irruption du COVID.<\/p>\n<p>Il plane de lourdes interrogations sur la sortie du confinement et, plus g\u00e9n\u00e9ralement, sur la sortie de l\u2019\u00e9pid\u00e9mie.<\/p>\n<p>Dans certaines sp\u00e9cialit\u00e9s, les coll\u00e8gues nous alertent sur les dangers intrins\u00e8ques de la d\u00e9programmation et du confinement. Il en est ainsi des IVG et de la psychiatrie.<\/p>\n<p>Toutes les interventions d\u00e9programm\u00e9es devront \u00eatre r\u00e9investies et, dans certains cas, sur des situations m\u00e9dicales ou chirurgicales, auront \u00e9volu\u00e9 du fait du retard de prise en charge. On pense \u00e0 la diab\u00e9tologie, \u00e0 la chirurgie orthop\u00e9dique, urologique ou digestive. Un certain nombre de patients auront \u00e9t\u00e9 touch\u00e9s par le coronavirus et l\u2019on ignore encore tout d\u2019une possible fragilit\u00e9 suppl\u00e9mentaire induite par l\u2019infection r\u00e9cente.<\/p>\n<p>Il faut donc s\u2019attendre \u00e0 ce qu\u2019\u00e0 la surcharge professionnelle et \u00e9motionnelle de tout le personnel hospitalier li\u00e9e au coronavirus, succ\u00e8de une surcharge li\u00e9e \u00e0 la reprise et au rattrapage de l\u2019activit\u00e9 d\u00e9programm\u00e9e.<\/p>\n<p><strong><em>Soutenir l\u2019h\u00f4pital public par un appui budg\u00e9taire massif, une revue \u00e0 la hausse de l\u2019ONDAM, un plan d\u2019embauche et de formation d\u2019ampleur in\u00e9gal\u00e9e, comme le demande la CGT depuis des ann\u00e9es, ne suffira plus aujourd\u2019hui. C\u2019est une remise en cause des fondements m\u00eames de notre soci\u00e9t\u00e9 qui est n\u00e9cessaire. Il faut cesser de tout soumettre aux int\u00e9r\u00eats des plus riches. Cette logique d\u2019\u00e9conomie \u00e0 outrance dans les services publics nous a conduits \u00e0 la catastrophe. Par leurs luttes, les travailleurs peuvent, seuls, mettre fin \u00e0 cette situation. Les salari\u00e9s de la sant\u00e9 doivent prendre toute leur place dans ce mouvement collectif.<\/em><\/strong><\/p>\n<p><strong><em>Docteur Jean-Jacques PIK<\/em><\/strong><\/p>\n<p><em>PH honoraire M\u00e9decine Interne<\/em><\/p>\n<p>&nbsp;<\/p>\n<p><em>09\/04\/2020<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>  Les circonstances ont valid\u00e9, malheureusement par le pire, la pertinence de ces revendications.<\/p>\n","protected":false},"author":1,"featured_media":145,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[175],"tags":[],"class_list":["post-199","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ufmict","featuring-alaune","perimetre-medecins","themes-covid-19","documents-tracts","secteur-fph"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Sortie de la crise Covid-19 \u00e0 l&#039;H\u00f4pital : vers un effet boomerang ? 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