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[French national emergency department's crisis: The outcome of a growing gap between health resources and needs?] / Crise nationale des urgences : le résultat d'un déséquilibre croissant entre offre et demande de soins ?
Behr, Martin; Le Borgne, Pierrick; Baicry, Florent; Lavoignet, Charles-Eric; Berard, Lise; Tuzin, Nicolas; Oberlin, Mathieu; Bilbault, Pascal.
Afiliación
  • Behr M; Service d'Accueil des Urgences Adultes, Hôpitaux Universitaires de Strasbourg, 1 place de l'Hôpital, 67000 Strasbourg, France.
  • Le Borgne P; Service d'Accueil des Urgences Adultes, Hôpitaux Universitaires de Strasbourg, 1 place de l'Hôpital, 67000 Strasbourg, France; UMR 1260, Fédération de médecine translationnelle de Strasbourg (FMTS), Université de Strasbourg, 4 Rue Kirschleger, 67000 Strasbourg, France. Electronic address: pierrick.l
  • Baicry F; Service d'Accueil des Urgences Adultes, Hôpitaux Universitaires de Strasbourg, 1 place de l'Hôpital, 67000 Strasbourg, France.
  • Lavoignet CE; Service d'Accueil des Urgences Adultes, Hôpital Nord Franche-Comté, 100 route de Moval, 90400 Trévenans, France.
  • Berard L; Service d'Accueil des Urgences Adultes, Centre Hospitalier de Haguenau, 64 avenue du Professeur Leriche, 67504 Haguenau, France.
  • Tuzin N; Département de Santé Publique, Hôpitaux Universitaires de Strasbourg, 1 place de l'Hôpital, 67000 Strasbourg, France.
  • Oberlin M; Service d'Accueil des Urgences Adultes, Hôpitaux Universitaires de Strasbourg, 1 place de l'Hôpital, 67000 Strasbourg, France.
  • Bilbault P; Service d'Accueil des Urgences Adultes, Hôpitaux Universitaires de Strasbourg, 1 place de l'Hôpital, 67000 Strasbourg, France; UMR 1260, Fédération de médecine translationnelle de Strasbourg (FMTS), Université de Strasbourg, 4 Rue Kirschleger, 67000 Strasbourg, France.
Rev Med Interne ; 41(10): 684-692, 2020 Oct.
Article en Fr | MEDLINE | ID: mdl-32859437
Overcrowding in Emergency Departments is often considered as an outcome of insufficient access to hospital beds or primary care, therefore a potential lack of health resources. We sought to describe the quantitative evolution of health resources in the French health care system, in comparison with demographic and epidemiologic parameters that reflect health needs. Overall, in the last decade, parameters of capacity and human resources stagnated while activity and spending increased jointly, stimulated by ageing of the population and chronic diseases mostly. Nevertheless, recent official previsions have again recommended to proceed with hospital bed reduction until 2030. This has led to a dangerous saturation of emergency care and to the ongoing systemic health crisis. This situation will require ambitious health resources reinforcement plans in both hospital and primary care. Furthermore, ageing of the population and chronic diseases must lead society to deliberate on the fundamental goals and funding of our health care system.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aglomeración / Atención a la Salud / Servicio de Urgencia en Hospital / Necesidades y Demandas de Servicios de Salud Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: Europa Idioma: Fr Revista: Rev Med Interne Año: 2020 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aglomeración / Atención a la Salud / Servicio de Urgencia en Hospital / Necesidades y Demandas de Servicios de Salud Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: Europa Idioma: Fr Revista: Rev Med Interne Año: 2020 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia