Chemotherapy at home under the care of healthcare providers

Thick files under her arm and wheeled suitcase in hand, nurse Kezban Zengin Tanriverdi goes to see Juan Marques and Béatrice Rossier for the first time this December morning in a village in the Drôme. The staircase leading to the accommodation is narrow. Several cats, perched on cupboards, and the dog, Noisette, welcome the newcomer. In the living room transformed into a bedroom, Kezban Zengin Tanriverdi greets his future patient, lying on the sofa.

Aged 65, Béatrice Rossier is tired and worried. She was just diagnosed with advanced cancer and doesn’t want to go to the hospital. Kezban Zengin Tanriverdi is there to administer his medication and allow him to follow his chemotherapy treatment at home by liaising with the hospital and other health professionals. In the coming weeks, this home health provider will be there to support him. “My role is to make connections and give these people confidence. »

Suffering from cancer and being hospitalized at home… The trend, although very marginal in France (around 2% of sick people are affected, according to the Federation of Home Health Providers), is developing when chemotherapy can be administered orally or intravenously. In 2020, twenty-one thousand three hundred patients were treated simultaneously at their homes. But these systems, which require the coordination of many stakeholders, also rely on home health providers, a shadowy profession that is nevertheless essential.

Local health actors

Little recognized by the medical world, these professionals – who do not all have a health diploma and intervene both for sleep apnea and for the installation of a medical bed – have been waiting for years to be better considered.

“Our real fight is recognition by the public authorities, because the economic balance of our companies, most of the time small structures, is precarious even if we have become essential to the healthcare system, explains Nicolas Balmelle, spokesperson for the Union of Independent Home Health Providers (Upsadi). We were not even invited to the National Refoundation Council even though our employees are constantly crisscrossing the territory. When we talk about medical deserts, we can intervene at any time, anywhere in the country. »

Read also | Article reserved for our subscribers Medical franchises, medical deserts, hospitals… At the Ministry of Health, sensitive files, a delicate transition

In December, the union thought it had finally gotten the attention of the Minister of Health. “We were received by an advisor to Minister Aurélien Rousseau. He seemed to listen, understand our problems, continues Nicolas Balmelle. But… “ The minister resigned a few days later. “We’ll have to start again. » The other representative body in the sector, the Federation of Home Health Providers, also advocates for defining a status and their recognition in the public health code as local health actors.

You have 45% of this article left to read. The rest is reserved for subscribers.

source site-27