{"id":15561,"date":"2010-11-01T00:00:00","date_gmt":"2010-10-31T23:00:00","guid":{"rendered":"http:\/\/ricom-web.com\/gestions-hospitalieres\/racines-du-present-semence-de-lavenir\/"},"modified":"2018-03-09T14:45:12","modified_gmt":"2018-03-09T13:45:12","slug":"racines-du-present-semence-de-lavenir","status":"publish","type":"post","link":"https:\/\/www.ricom-web8.com\/gestions\/racines-du-present-semence-de-lavenir\/","title":{"rendered":"Racines du pr\u00e9sent, semence de l\u2019avenir"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Temps de lecture\u00a0: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p><img decoding=\"async\" class=\"alignright size-medium wp-image-33554\" src=\"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2010\/11\/Capture-d\u2019\u00e9cran-2017-04-14-\u00e0-15.09.54-265x300.png\" alt=\"Capture d\u2019\u00e9cran 2017-04-14 \u00e0 15.09.54\" width=\"265\" height=\"300\" srcset=\"https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2010\/11\/Capture-d\u2019\u00e9cran-2017-04-14-\u00e0-15.09.54-265x300.png 265w, https:\/\/www.ricom-web8.com\/gestions\/wp-content\/uploads\/2010\/11\/Capture-d\u2019\u00e9cran-2017-04-14-\u00e0-15.09.54.png 600w\" sizes=\"(max-width: 265px) 100vw, 265px\" \/>En cette d\u00e9cennie 2000, l\u2019h\u00f4pital vit-il une \u00ab\u00a0mutation g\u00e9n\u00e9tique\u00a0\u00bb, comme l\u2019affirme dans ce num\u00e9ro Alain Halbout avec le recul que permet un demi-si\u00e8cle de vie hospitali\u00e8re ? Cinquante ans de progr\u00e8s et de transformations forment comme un tourbillon. Cinquante ans de r\u00e9formes hospitali\u00e8res conduisent certains \u00e0 attendre la suivante. Ce serait manquer de lucidit\u00e9 !\u00a0Car l\u2019h\u00f4pital est le miroir des besoins et des d\u00e9sirs d\u2019une soci\u00e9t\u00e9 elle-m\u00eame en perp\u00e9tuelle \u00e9volution. Une soci\u00e9t\u00e9 postmoderne o\u00f9 la sant\u00e9 est une pr\u00e9occupation centrale : la pr\u00e9servation d\u2019un corps jeune, la procr\u00e9ation choisie, la lutte contre la d\u00e9pendance, le refus de la maladie concernent chaque citoyen. Et chacun demande \u00e0 l\u2019h\u00f4pital de reculer les limites de l\u2019esp\u00e8ce, avec tous les moyens intellectuels et mat\u00e9riels disponibles.<\/p>\n<p>En cinquante ans, les technologies ont plus transform\u00e9 l\u2019exercice de la m\u00e9decine que durant le demi-si\u00e8cle pr\u00e9c\u00e9dent. Le patient d\u2019antan, respectueux de l\u2019Acad\u00e9mie, s\u2019est mu\u00e9 en consommateur surinform\u00e9. La prise en charge personnalis\u00e9e et la qualit\u00e9 \u00e9valu\u00e9e se sont g\u00e9n\u00e9ralis\u00e9es, renvoyant la confiance aveugle et l\u2019endurance face \u00e0 la souffrance aux rayons des antiquit\u00e9s.\u00a0Pour autant, la vie hospitali\u00e8re pr\u00e9sente aussi des constantes, au-del\u00e0 du bouillonnement quotidien.<\/p>\n<p><em>Primo<\/em>, il n\u2019y a jamais assez d\u2019argent pour la sant\u00e9. Les chartes des h\u00f4tels-Dieu le soulignaient d\u00e9j\u00e0. Chaque responsable de la sant\u00e9 en France, quel que soit son r\u00f4le, doit aujourd\u2019hui conjuguer \u00e9thique de responsabilit\u00e9 et convictions humanistes pour faire les meilleurs choix.<\/p>\n<p><em>Deuxio<\/em>, les nombreux professionnels qui concourent aux soins ont des approches diff\u00e9rentes et compl\u00e9mentaires des m\u00eames probl\u00e8mes. Le souci premier du patient, un management efficient et le respect r\u00e9ciproque doivent permettre de surmonter les divergences in\u00e9vitables dans un syst\u00e8me en mutation.<\/p>\n<p><em>Tertio<\/em>, les vagues de fond de la soci\u00e9t\u00e9, les co\u00fbts croissants des soins, la d\u00e9mat\u00e9rialisation de l\u2019information, la prodigieuse inventivit\u00e9 m\u00e9dicale et scientifique, le vieillissement in\u00e9luctable de la population continueront de transformer l\u2019h\u00f4pital dans les prochaines d\u00e9cennies. Peut-\u00eatre plus profond\u00e9ment encore que depuis cinquante ans ? L\u2019avenir le dira\u2026<\/p>\n<p>\u00c0 l\u2019origine, l\u2019objectif de ce 500e num\u00e9ro \u00e9tait de retracer cinquante ans d\u2019\u00e9volutions hospitali\u00e8res : souligner les ruptures et les continuit\u00e9s, d\u00e9celer les innovations et les permanences. Au fil des contributions re\u00e7ues \u2013 anciens directeurs des h\u00f4pitaux du minist\u00e8re, directeurs g\u00e9n\u00e9raux de CHU, jeunes plumes de l\u2019EHESP \u2013, il s\u2019est av\u00e9r\u00e9 que regarder le pass\u00e9 r\u00e9cent est indispensable pour construire l\u2019h\u00f4pital \u00e0 venir. Avec s\u00e9r\u00e9nit\u00e9 et lucidit\u00e9. Les racines du pr\u00e9sent sont la semence de l\u2019avenir.<\/p>\n<p>Les lecteurs de <em>Gestions hospitali\u00e8res<\/em> sont des acteurs hospitaliers tr\u00e8s diversifi\u00e9s. Notre revue, r\u00e9alis\u00e9e par des professionnels en activit\u00e9, a pour ambition d\u2019aider chacun \u00e0 construire l\u2019h\u00f4pital de demain. Un h\u00f4pital efficace, cr\u00e9atif et ouvert \u00e0 tous.\u00a0Que chaque auteur de ce num\u00e9ro sp\u00e9cial soit chaleureusement remerci\u00e9 pour y avoir, chacun \u00e0 sa place, contribu\u00e9 avec g\u00e9n\u00e9rosit\u00e9.<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-33560\" src=\"https:\/\/gestions-hospitalieres.fr\/wp-content\/uploads\/2010\/11\/Capture-d\u2019\u00e9cran-2017-04-14-\u00e0-15.17.15.png\" alt=\"Capture d\u2019\u00e9cran 2017-04-14 \u00e0 15.17.15\" width=\"150\" height=\"99\" \/><\/p>\n<script>function PlayerjsAsync(){} if(window[\"Playerjs\"]){PlayerjsAsync();}<\/script>","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Temps de lecture\u00a0: <\/span> <span class=\"rt-time\"> 2<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>En cette d\u00e9cennie 2000, l\u2019h\u00f4pital vit-il une \u00ab\u00a0mutation g\u00e9n\u00e9tique\u00a0\u00bb, comme l\u2019affirme dans ce num\u00e9ro Alain Halbout avec le recul que permet un demi-si\u00e8cle de vie hospitali\u00e8re ? Cinquante ans de progr\u00e8s et de transformations forment comme un tourbillon. Cinquante ans de r\u00e9formes hospitali\u00e8res conduisent certains \u00e0 attendre la suivante. Ce serait manquer de lucidit\u00e9 !\u00a0Car l\u2019h\u00f4pital est le miroir des besoins et des d\u00e9sirs d\u2019une soci\u00e9t\u00e9 elle-m\u00eame en perp\u00e9tuelle \u00e9volution.&hellip; <\/p>\n","protected":false},"author":1202,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[2,5321],"tags":[],"class_list":["post-15561","post","type-post","status-publish","format-standard","hentry","category-gestions-hospitalieres","category-les-mots-de-la-redaction"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Racines du pr\u00e9sent, semence de l\u2019avenir - Gestions hospitali\u00e8res<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ricom-web8.com\/gestions\/racines-du-present-semence-de-lavenir\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Racines du pr\u00e9sent, semence de l\u2019avenir - Gestions hospitali\u00e8res\" \/>\n<meta property=\"og:description\" content=\"Temps de lecture\u00a0:  2 minutesEn cette d\u00e9cennie 2000, l\u2019h\u00f4pital vit-il une \u00ab\u00a0mutation g\u00e9n\u00e9tique\u00a0\u00bb, comme l\u2019affirme dans ce num\u00e9ro Alain Halbout avec le recul que permet un demi-si\u00e8cle de vie hospitali\u00e8re ? 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Ce serait manquer de lucidit\u00e9 !\u00a0Car l\u2019h\u00f4pital est le miroir des besoins et des d\u00e9sirs d\u2019une soci\u00e9t\u00e9 elle-m\u00eame en perp\u00e9tuelle \u00e9volution.&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ricom-web8.com\/gestions\/racines-du-present-semence-de-lavenir\/\" \/>\n<meta property=\"og:site_name\" content=\"Gestions hospitali\u00e8res\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/gestionshospitalieres\/\" \/>\n<meta property=\"article:published_time\" content=\"2010-10-31T23:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-03-09T13:45:12+00:00\" \/>\n<meta name=\"author\" content=\"yann Le Sager\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@revue_GH\" \/>\n<meta name=\"twitter:site\" content=\"@revue_GH\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"yann Le Sager\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/racines-du-present-semence-de-lavenir\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/racines-du-present-semence-de-lavenir\/\"},\"author\":{\"name\":\"yann Le Sager\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/810c9671279c5f5a094f6f0a42237516\"},\"headline\":\"Racines du pr\u00e9sent, semence de l\u2019avenir\",\"datePublished\":\"2010-10-31T23:00:00+00:00\",\"dateModified\":\"2018-03-09T13:45:12+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/racines-du-present-semence-de-lavenir\/\"},\"wordCount\":557,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#organization\"},\"articleSection\":[\"Gestions Hospitali\u00e8res\",\"les mots de la r\u00e9daction\"],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.ricom-web8.com\/gestions\/racines-du-present-semence-de-lavenir\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/racines-du-present-semence-de-lavenir\/\",\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/racines-du-present-semence-de-lavenir\/\",\"name\":\"Racines du pr\u00e9sent, semence de l\u2019avenir - 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