Accelerate the ambulatory shift, a necessity to unclog the hospital


In France, while some treatments are less expensive outside the hospital, the current pricing system does not encourage people to use them. 520966924/Pcess609 – stock.adobe.com

The Institut Montaigne calls for a rethinking of patient care, by strengthening city care and financing the coordination of actors.

Reducing the length of stay, relieving the hospital of everything that could be done in city medicine, in short, accelerating the “outpatient shift” that France has been trying to take for twenty years is a necessity, says the Institut Montaigne in a report released Thursday. The objective is twofold: both to improve the quality of care for patients and to make health expenditure more efficient.

“We are at a breaking point. The hospital, faced with a shortage of caregivers, is struggling to meet the demand. He must delegate some of the tasks to city medicine and home care actors, which will allow him to refocus on his real mission.s»explains Laure Millet, head of the social and territorial cohesion unit at the Institut Montaigne.

Before the Covid, Agnès Buzyn, then Minister of Health, wanted to increase outpatient medicine from 43% to 55% of the care offer in 2022 and outpatient surgery from 54% to 70%. The health crisis has put this…

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