Tribune. Despite hundreds of thousands of human lives saved, despite two reforms (Health Plan 2022 and Ségur de la santé) and tens of billions of euros mobilized, make no mistake, the public hospital will emerge from this health crisis wracked.
The French public hospital as we know it today, was shaped following the Debré ordinances of 1958. This allowed us to have among the best hospitals in the world until the beginning of the 1990s under the aegis “mandarin” doctors (however disparaged). The research was internationally renowned and the best hospital interns hoped for a hospital career, as hospital practitioner (PH) or university professor-hospital practitioner (PU-PH). As early as the 2000s, a certain number of people with disabilities left the public hospital, which thus lost part of its kingpin. These departures were followed by the resignation of PU-PH from CHU in the direction of the private sector, an unimaginable event a few years earlier. Thus, the decline of the public hospital is not recent and has taken place gradually over the last twenty years.
All caregivers are unfortunately affected by this deplorable hospital situation. Evidenced by their virulent protest movement when they threw their blouses in front of the administrative directors during the wishes of January 2020. But these protests were inaudible. The term “hospital pleurniche” was even associated with their demands on March 12, 2020 by a journalist! Barely a week before the first confinement …
Vocations crisis
With the epidemic waves, physically and psychologically exhausting, caregivers hoped for a radical change in the health system. But the Ma santé 2022 plan (territorial professional health community, debt recovery, etc.) will only have an effect in the long term, while the Ségur de la santé is considered a failure by unions and medical collectives. .
However, the public hospital will benefit from a colossal financial effort unprecedented for decades: salary increase for non-medical staff, catching up in investments … But the Ségur de la santé insufficiently improves the remuneration of doctors and only marginally changes the organization. and the governance of the hospital (even if the few changes are positive). A guide “to better manage” is even distributed by the ministry … The hospital groups of territory (GHT) continue to deploy their administrative overlay and to undress the small centers.
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