{"id":30728,"date":"2016-12-01T15:31:09","date_gmt":"2016-12-01T14:31:09","guid":{"rendered":"https:\/\/gestions-hospitalieres.fr\/?p=30728"},"modified":"2018-03-06T14:14:07","modified_gmt":"2018-03-06T13:14:07","slug":"territorialite-en-sante","status":"publish","type":"post","link":"https:\/\/www.ricom-web8.com\/gestions\/territorialite-en-sante\/","title":{"rendered":"D\u00e9fendre et d\u00e9velopper la recherche et l\u2019innovation dans les centres hospitaliers"},"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\"> 3<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><h2>Les CH, ni concurrents ni subordonn\u00e9s aux CHU, mais compl\u00e9mentaires<\/h2>\n<p>Le<strong> Dr Pascale Cony Makhoul<\/strong>, pr\u00e9sidente de la DRCI du CH Annecy-Genevois, a partag\u00e9 le retour d\u2019exp\u00e9rience de la cr\u00e9ation de la DRCI, issue de la fusion du centre de recherche clinique et du comit\u00e9 scientifique, il y a un an. Cette nouvelle structure est n\u00e9e de la conviction que chacun a sa place dans la recherche clinique. Le d\u00e9veloppement de la recherche clinique dans les CH non universitaires est en effet porteur de multiples b\u00e9n\u00e9fices pour les professionnels, les patients et l\u2019\u00e9tablissement lui-m\u00eame. La recherche au lit du malade contribue notamment \u00e0 l\u2019am\u00e9lioration des pratiques et \u00e0 un meilleur acc\u00e8s \u00e0 l\u2019innovation\u2009; elle est \u00e9galement une source d\u2019attractivit\u00e9 pour les patients et les professionnels. D\u00e8s lors, les enjeux \u00e0 venir r\u00e9sident dans le d\u00e9veloppement d\u2019une culture de la recherche clinique au sein des CH et la facilitation de leur participation gr\u00e2ce \u00e0 la lisibilit\u00e9 des financements et la valorisation des publications.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/E-LUh_tHSOA?list=PLM1k6w2-ZfsfRF1eKYcu3CaOMLz8Uhl6z\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2>En parlant d\u2019une seule voix, nous sommes plus forts<\/h2>\n<p><strong>Marie Lang<\/strong>, directrice du CNCR, a dress\u00e9 l\u2019\u00e9tat des lieux des travaux de ce groupement de coop\u00e9ration sanitaire qui f\u00e9d\u00e8re d\u00e9sormais les six grandes Conf\u00e9rences nationales, depuis l\u2019int\u00e9gration de la Conf\u00e9rence des CH au dispositif de gouvernance en 2014. Le CNCR compte 32 CHU, membres fondateurs, et 22 CH et EPSM, nouveaux membres depuis janvier\u202f2016. Ces adh\u00e9sions massives en l\u2019espace de six mois traduisent la confiance que placent les CH non universitaires dans les missions du CNRC, qui reposent sur la valorisation d\u2019une identit\u00e9 collective de la recherche et de l\u2019innovation dans les EPS, via la promotion de la \u00ab\u2009marque\u2009\u00bb Recherche hospitali\u00e8re, ainsi que sur le d\u00e9veloppement et l\u2019am\u00e9lioration des missions confi\u00e9es aux EPS en mati\u00e8re de soin, d\u2019enseignement et de recherche et innovation. Le CNCR offre ainsi un support de d\u00e9veloppement aux projets de recherche de ses membres, notamment par le biais de formations et de propositions communes de r\u00e9partition de l\u2019enveloppe Merri et de l\u2019organisation territoriale.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/IEQInBeTblw?list=PLM1k6w2-ZfsfRF1eKYcu3CaOMLz8Uhl6z\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2>Investigation, promotion et organisation<\/h2>\n<p>Le <strong>Dr J\u00e9r\u00f4me Dimet<\/strong>, responsable de la cellule recherche du CHD Vend\u00e9e, a replac\u00e9 les \u00e9l\u00e9ments du d\u00e9bat en termes de recherche et d\u2019innovation dans les CH et t\u00e9moign\u00e9 des possibilit\u00e9s offertes aux CH. L\u2019investigation (participation d\u2019un service clinique \u00e0 une \u00e9tude) et la promotion (le fait d\u2019\u00eatre initiateur de la mise en place d\u2019une \u00e9tude) sont les deux activit\u00e9s de recherche clinique que peuvent d\u00e9velopper les CH. Cependant, si l\u2019investigation est une activit\u00e9 qui peut \u00eatre mise en place relativement rapidement, avec des moyens mod\u00e9r\u00e9s et une relative autonomie, la promotion n\u00e9cessite des comp\u00e9tences particuli\u00e8res et une organisation plus avanc\u00e9e, ainsi que des collaborateurs externes. D\u00e8s lors, le degr\u00e9 de maturit\u00e9 de l\u2019organisation du CH, s\u2019appuyant sur une \u00e9quipe pluriprofessionnelle structur\u00e9e et coordonn\u00e9e, a un impact direct sur le type d\u2019\u00e9tudes qui pourront y \u00eatre men\u00e9es. La modalit\u00e9 de gouvernance et la coordination m\u00e9dico-administrative entre les cliniciens et la direction est d\u00e9terminante, car elles permettent de mettre \u00e0 disposition les moyens et le temps n\u00e9cessaires en fonction du degr\u00e9 de complexit\u00e9 des \u00e9tudes r\u00e9alis\u00e9es<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/GkjaINZOVPQ?list=PLM1k6w2-ZfsfRF1eKYcu3CaOMLz8Uhl6z\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2>La recherche clinique en CH, d\u00e9j\u00e0 une r\u00e9alit\u00e9<\/h2>\n<p>C\u2019est ce que d\u00e9montre l\u2019enqu\u00eate men\u00e9e en 2015 par la Conf\u00e9rence des pr\u00e9sidents de CME. Le <strong>Dr Philippe Feigel<\/strong>, pr\u00e9sident de la CME du CHD Vend\u00e9e, a pr\u00e9sent\u00e9 les r\u00e9sultats de cette enqu\u00eate r\u00e9alis\u00e9e aupr\u00e8s des pr\u00e9sidents de CME des 60 \u00e9tablissements les plus importants. Le taux de participation de 62\u2009% permet de dresser un panorama encourageant de l\u2019activit\u00e9 de recherche clinique en CH. Celle-ci se porte majoritairement vers l\u2019investigation. En ce qui concerne la promotion, un peu moins de la moiti\u00e9 des CH r\u00e9pondants ont une activit\u00e9 de ce type. Cette r\u00e9partition, sp\u00e9cifique aux CH, est \u00e0 mettre en relation avec l\u2019\u00e9tat de maturit\u00e9 de leur organisation, en termes de personnels d\u00e9di\u00e9s, de perception des financements et de formalisation de leur organisation. Quels que soient les freins identifi\u00e9s dans ces domaines, les r\u00e9sultats de l\u2019enqu\u00eate traduisent une prise de conscience de la part des directions quant aux b\u00e9n\u00e9fices de la recherche clinique au sein des CH et attestent l\u2019existence d\u2019une dynamique d\u00e9j\u00e0 bien engag\u00e9e.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/FMeIsIHsSh8?list=PLM1k6w2-ZfsfRF1eKYcu3CaOMLz8Uhl6z\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2>Vers une organisation territoriale de la recherche plus efficiente<\/h2>\n<p><strong>Marc Penaud<\/strong>, directeur du CH de Mulhouse, est revenu sur deux \u00ab\u2009nerfs de la guerre\u2009\u00bb en mati\u00e8re de recherche clinique\u2009: le financement et l\u2019organisation. L\u2019activit\u00e9 de recherche en CH est essentiellement tourn\u00e9e vers l\u2019investigation et peu vers la promotion, qui n\u00e9cessite une comp\u00e9tence tr\u00e8s sp\u00e9cifique. M\u00eame si le nombre de CH b\u00e9n\u00e9ficiant de financements Merri est en augmentation (115 en 2016), 82,8\u2009% des cr\u00e9dits restent allou\u00e9s aux CHU. Plusieurs freins sont avanc\u00e9s, tels que la p\u00e9nurie d\u2019internes, le manque de formation ou encore l\u2019absence d\u2019acc\u00e8s \u00e0 des plateaux techniques d\u2019appui \u00e0 la recherche. Or, la recherche en CH est une r\u00e9elle opportunit\u00e9 au niveau national, car les pathologies chroniques, l\u2019\u00e9pig\u00e9n\u00e9tique et les cancers sont tr\u00e8s fortement repr\u00e9sent\u00e9s en CH. Les CH sont de plus tr\u00e8s concern\u00e9s par la recherche non clinique, telle que la recherche soignante, la recherche m\u00e9dico-organisationnelle et la recherche en efficience organisationnelle. Ainsi, afin d\u2019\u00e9viter la concurrence aux cr\u00e9dits et aux comp\u00e9tences rares, la loi Sant\u00e9 invite les CH \u00e0 s\u2019organiser autour de leur CHU, condition d\u2019une organisation territoriale de la recherche plus efficiente.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/oiytKAX5Ac0?list=PLM1k6w2-ZfsfRF1eKYcu3CaOMLz8Uhl6z\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/WjQSdIBprjc?list=PLM1k6w2-ZfsfRF1eKYcu3CaOMLz8Uhl6z\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><strong>Toutes les vid\u00e9os sont \u00e0 retrouver sur\u00a0<a href=\"https:\/\/www.youtube.com\/channel\/UCyQDUkDIVYbAp-TsM-qJTLA\" target=\"_blank\" rel=\"noopener noreferrer\">notre cha\u00eene Youtube Gestions hospitali\u00e8res<\/a><\/strong><\/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\"> 3<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>Les CH, ni concurrents ni subordonn\u00e9s aux CHU, mais compl\u00e9mentaires Le Dr Pascale Cony Makhoul, pr\u00e9sidente de la DRCI du CH Annecy-Genevois, a partag\u00e9 le retour d\u2019exp\u00e9rience de la cr\u00e9ation de la DRCI, issue de la fusion du centre de recherche clinique et du comit\u00e9 scientifique, il y a un an. Cette nouvelle structure est n\u00e9e de la conviction que chacun a sa place dans la recherche clinique. Le d\u00e9veloppement&hellip; <\/p>\n","protected":false},"author":23133,"featured_media":0,"comment_status":"closed","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":[26,2],"tags":[4784,4904,1809,4903,4905],"class_list":["post-30728","post","type-post","status-publish","format-standard","hentry","category-dossier","category-gestions-hospitalieres","tag-4784","tag-conference-des-ch","tag-ght","tag-la-rochelle","tag-territorialite"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>D\u00e9fendre et d\u00e9velopper la recherche et l\u2019innovation dans les centres hospitaliers - 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\/territorialite-en-sante\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"D\u00e9fendre et d\u00e9velopper la recherche et l\u2019innovation dans les centres hospitaliers - Gestions hospitali\u00e8res\" \/>\n<meta property=\"og:description\" content=\"Temps de lecture\u00a0:  3 minutesLes CH, ni concurrents ni subordonn\u00e9s aux CHU, mais compl\u00e9mentaires Le Dr Pascale Cony Makhoul, pr\u00e9sidente de la DRCI du CH Annecy-Genevois, a partag\u00e9 le retour d\u2019exp\u00e9rience de la cr\u00e9ation de la DRCI, issue de la fusion du centre de recherche clinique et du comit\u00e9 scientifique, il y a un an. 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Le d\u00e9veloppement&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ricom-web8.com\/gestions\/territorialite-en-sante\/\" \/>\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=\"2016-12-01T14:31:09+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-03-06T13:14:07+00:00\" \/>\n<meta name=\"author\" content=\"Gestions hospitali\u00e8res\" \/>\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=\"Gestions hospitali\u00e8res\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 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\/territorialite-en-sante\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/territorialite-en-sante\/\"},\"author\":{\"name\":\"Gestions hospitali\u00e8res\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#\/schema\/person\/3ba9fe913190dfe9507feb621e902c1f\"},\"headline\":\"D\u00e9fendre et d\u00e9velopper la recherche et l\u2019innovation dans les centres hospitaliers\",\"datePublished\":\"2016-12-01T14:31:09+00:00\",\"dateModified\":\"2018-03-06T13:14:07+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/territorialite-en-sante\/\"},\"wordCount\":1027,\"publisher\":{\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/#organization\"},\"keywords\":[\"2016\",\"Conf\u00e9rences des CH\",\"GHT\",\"La Rochelle\",\"territorialit\u00e9\"],\"articleSection\":[\"dossier\",\"Gestions Hospitali\u00e8res\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ricom-web8.com\/gestions\/territorialite-en-sante\/\",\"url\":\"https:\/\/www.ricom-web8.com\/gestions\/territorialite-en-sante\/\",\"name\":\"D\u00e9fendre et d\u00e9velopper la recherche et l\u2019innovation dans les centres hospitaliers - 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