{"id":5891,"date":"2021-03-12T15:59:32","date_gmt":"2021-03-12T14:59:32","guid":{"rendered":"https:\/\/www.profilmedecin.fr\/contenu\/?p=5891"},"modified":"2021-03-12T16:47:03","modified_gmt":"2021-03-12T15:47:03","slug":"democratie-sanitaire-le-point-de-vue-des-representants-des-usagers","status":"publish","type":"post","link":"https:\/\/www.profilmedecin.fr\/contenu\/democratie-sanitaire-le-point-de-vue-des-representants-des-usagers\/","title":{"rendered":"D\u00e9mocratie sanitaire : le point de vue des repr\u00e9sentants des usagers"},"content":{"rendered":"

Pour G\u00e9rard Raymond, pr\u00e9sident de l\u2019Union nationale des associations agr\u00e9\u00e9es d\u2019usagers du syst\u00e8me de sant\u00e9 (France Assos Sant\u00e9), il reste du chemin \u00e0 parcourir pour optimiser la collaboration entre m\u00e9decins et patients.<\/strong><\/p>\n

\u00ab La repr\u00e9sentation des usagers de sant\u00e9 au sein des instances du syst\u00e8me de sant\u00e9 et le travail associatif men\u00e9 pour am\u00e9liorer le parcours de soin forment, \u00e0 mon sens, le socle de la d\u00e9mocratie sanitaire. Si ces deux dimensions se d\u00e9veloppent dans le monde hospitalier avec la mise en place des commissions des usagers, elles sont encore balbutiantes en m\u00e9decine de ville. L\u2019exercice individuel me semble assez peu compatible avec la notion de groupe \u00e0 laquelle renvoie la d\u00e9mocratie sanitaire. Ceci \u00e9tant, l\u2019apparition des ARS notamment et la cr\u00e9ation d\u2019espace de discussion \u2013 comme les URPS, les CTS ou encore les CRSA \u2013 ont permis d\u2019\u00e9tablir un lien avec la m\u00e9decine de ville.<\/strong> De m\u00eame, nous voyons le colloque singulier se transformer, les patients experts intervenir dans la formation initiale des professionnels de sant\u00e9\u2026 Mais les rapports entre repr\u00e9sentants des usagers et professionnels de sant\u00e9 ne se d\u00e9veloppent pas de mani\u00e8re homog\u00e8ne selon les territoires et les acteurs.<\/strong> Il reste du chemin \u00e0 parcourir pour atteindre une r\u00e9elle collaboration voire un travail de co-construction avec les acteurs de la sant\u00e9. Nous avons gagn\u00e9 le droit \u00e0 la repr\u00e9sentation, il nous faut d\u00e9sormais gagner celui de la participation.<\/strong> Les plus grosses batailles sont \u00e0 mener sur le front de la m\u00e9decine de ville. Par exemple, les repr\u00e9sentants des usagers de sant\u00e9 devraient \u00eatre associ\u00e9s plus syst\u00e9matiquement \u00e0 la r\u00e9flexion sur les projets m\u00e9dicaux des Communaut\u00e9s professionnelles territoriales de sant\u00e9. Ce devrait \u00eatre obligatoire afin que nous puissions r\u00e9fl\u00e9chir ensemble \u00e0 la dynamique sanitaire, et ce \u00e0 l\u2019\u00e9chelle des territoires. Comment travailler sur la pr\u00e9vention, l\u2019\u00e9ducation en sant\u00e9 ? Il est n\u00e9cessaire de transformer les instances comme les CTS ou les CRSA qui restent des comit\u00e9s consultatifs en v\u00e9ritables parlements de la sant\u00e9 capables d\u2019imposer des d\u00e9cisions aux ARS. De leur c\u00f4t\u00e9, les associations de patients doivent prendre pleinement conscience de leurs missions et sortir de la confrontation pour \u00eatre force de proposition. Enfin, \u00e0 l\u2019h\u00f4pital, les commissions des usagers doivent \u00eatre renforc\u00e9es et impliqu\u00e9es dans l\u2019\u00e9volution et l\u2019\u00e9valuation des pratiques m\u00e9dicales. Par exemple, il est n\u00e9cessaire de r\u00e9fl\u00e9chir \u00e0 l\u2019int\u00e9gration homog\u00e8ne de l\u2019exp\u00e9rience patient dans les services, \u00e0 la mani\u00e8re de donner envie aux malades de participer \u00e0 l\u2019\u00e9valuation\u2026<\/strong> La participation du patient a son propre parcours de sant\u00e9 est un premier pas vers la d\u00e9mocratie en sant\u00e9. \u00bb<\/p>\n","protected":false},"excerpt":{"rendered":"Pour G\u00e9rard Raymond, pr\u00e9sident de l\u2019Union nationale des associations agr\u00e9\u00e9es d\u2019usagers du syst\u00e8me de sant\u00e9 (France Assos Sant\u00e9), il reste du chemin \u00e0 parcourir pour optimiser la collaboration entre m\u00e9decins et patients. \u00ab La repr\u00e9sentation des usagers de sant\u00e9 au sein des instances du syst\u00e8me de sant\u00e9 et le travail associatif men\u00e9 pour am\u00e9liorer le… Voir l’article<\/a>","protected":false},"author":1,"featured_media":5896,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[143,141],"class_list":["post-5891","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualite","tag-democratie-sanitaire","tag-dossier"],"yoast_head":"\nD\u00e9mocratie sanitaire : le point de vue des repr\u00e9sentants des usagers | Profil M\u00e9decin<\/title>\n<meta name=\"description\" content=\"Pour G\u00e9rard Raymond, pr\u00e9sident de l\u2019Union nationale des associations agr\u00e9\u00e9es d\u2019usagers du syst\u00e8me de sant\u00e9 (France Assos Sant\u00e9), il reste du chemin \u00e0\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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