{"id":35189,"date":"2009-11-01T17:07:00","date_gmt":"2009-11-01T16:07:00","guid":{"rendered":"https:\/\/gestions-hospitalieres.fr\/?p=35189"},"modified":"2023-10-26T12:57:30","modified_gmt":"2023-10-26T10:57:30","slug":"de-cooperation-a-communaute-hospitaliere","status":"publish","type":"post","link":"https:\/\/www.ricom-web8.com\/gestions\/de-cooperation-a-communaute-hospitaliere\/","title":{"rendered":"De la coop\u00e9ration \u00e0 la communaut\u00e9 hospitali\u00e8re"},"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><div class=\"page\" title=\"Page 4\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>D\u00e9j\u00e0 soucieux de renforcer leur efficacit\u00e9 en interne, les \u00e9tablissements de soins s\u2019ouvrent, parfois sous la contrainte tut\u00e9laire ou d\u00e9mographique, \u00e0 des rapprochements d\u2019entit\u00e9s. Au-del\u00e0 de la seule r\u00e9duction des co\u00fbts, la cr\u00e9ation de communaut\u00e9 hospitali\u00e8re de territoire (CHT) r\u00e9pond davantage \u00e0 un maillage \u00abintelligent\u00bb pour structurer et maintenir une offre compl\u00e8te de soins sur le territoire au service de tous les patients. Les enjeux sont strat\u00e9giques et la difficult\u00e9 r\u00e9side dans le fait qu\u2019il n\u2019existe pas de solution unique pour s\u2019assurer de la r\u00e9ussite de l\u2019op\u00e9ration. Axe majeur de la loi H\u00f4pital, patients, sant\u00e9 et territoires, la CHT recherche une taille critique pour g\u00e9n\u00e9rer les synergies pertinentes.<\/p>\n<p>De notre point de vue, le rapprochement doit donc \u00eatre bien orchestr\u00e9 et les facteurs cl\u00e9s de succ\u00e8s reposent sur un engagement et une \u00e9troite collaboration de chacun des \u00e9tablissements souhaitant se regrouper. Dans tous les cas, la pr\u00e9dominance d\u2019un \u00e9tablissement n\u2019a pas lieu d\u2019\u00eatre. Ainsi, un CHU ne peut \u00abvider\u00bb de leur activit\u00e9 les \u00e9tablissements de proximit\u00e9, mais se doit au contraire de fixer les patients dans leur bassin et ne pas cr\u00e9er plus d\u2019attractivit\u00e9 que n\u00e9cessaire. Cette notion de communaut\u00e9 doit \u00eatre \u00e9galement ressentie par le patient, qui peut y voir une logique de r\u00e9seau compl\u00e9mentaire et non antinomique, voire concurrent. La r\u00e9flexion peut porter sur les activit\u00e9s de soins, mais \u00e9galement sur les activit\u00e9s administratives, m\u00e9dico-techniques ou logistiques. L\u2019exemple de la mise en \u0153uvre \u00abplateforme mutualis\u00e9e\u00bb permet la professionnalisation des ressources, une augmentation du taux de service et des \u00e9conomies d\u2019\u00e9chelle. L\u2019analyse est complexe (choix des produits, contraintes de distribution&#8230;) et doit d\u00e9gager des compromis au b\u00e9n\u00e9fice de tous les acteurs de la communaut\u00e9.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>De fait, l\u2019efficience de la CHT rel\u00e8ve de la force de conviction des porteurs du projet. Elle tient \u00e9galement \u00e0 leur capacit\u00e9 \u00e0 d\u00e9finir des projets d\u2019\u00e9tablissements et m\u00e9dicaux coh\u00e9rents, lisibles tant en interne qu\u2019en externe.<\/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>D\u00e9j\u00e0 soucieux de renforcer leur efficacit\u00e9 en interne, les \u00e9tablissements de soins s\u2019ouvrent, parfois sous la contrainte tut\u00e9laire ou d\u00e9mographique, \u00e0 des rapprochements d\u2019entit\u00e9s. Au-del\u00e0 de la seule r\u00e9duction des co\u00fbts, la cr\u00e9ation de communaut\u00e9 hospitali\u00e8re de territoire (CHT) r\u00e9pond davantage \u00e0 un maillage \u00abintelligent\u00bb pour structurer et maintenir une offre compl\u00e8te de soins sur le territoire au service de tous les patients. Les enjeux sont strat\u00e9giques et la difficult\u00e9&hellip; <\/p>\n","protected":false},"author":23133,"featured_media":0,"comment_status":"open","ping_status":"closed","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":[2,6907],"tags":[],"class_list":["post-35189","post","type-post","status-publish","format-standard","hentry","category-gestions-hospitalieres","category-publiredactionnel"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>De la coop\u00e9ration \u00e0 la communaut\u00e9 hospitali\u00e8re - 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\/de-cooperation-a-communaute-hospitaliere\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"De la coop\u00e9ration \u00e0 la communaut\u00e9 hospitali\u00e8re - Gestions hospitali\u00e8res\" \/>\n<meta property=\"og:description\" content=\"Temps de lecture\u00a0:  2 minutesD\u00e9j\u00e0 soucieux de renforcer leur efficacit\u00e9 en interne, les \u00e9tablissements de soins s\u2019ouvrent, parfois sous la contrainte tut\u00e9laire ou d\u00e9mographique, \u00e0 des rapprochements d\u2019entit\u00e9s. Au-del\u00e0 de la seule r\u00e9duction des co\u00fbts, la cr\u00e9ation de communaut\u00e9 hospitali\u00e8re de territoire (CHT) r\u00e9pond davantage \u00e0 un maillage \u00abintelligent\u00bb pour structurer et maintenir une offre compl\u00e8te de soins sur le territoire au service de tous les patients. 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