To deal with the hospital crisis, let’s take inspiration from the hotlines for access to health care

by time news

After a historic and devastating health crisis, at a time when 20% of hospital beds are closed due to lack of staff, where emergency services are forced to close and where two thirds of medical students and interns are reporting signs burnout, there is an urgent need to rethink the model of the health system.

Indeed, care cannot be reduced to technical, technological or technocratic approaches. In a quest for meaning, it is urgent to put the human being back at the heart of care, by reconnecting with the idea that we are fundamentally bodies carrying intentionality and meaning. The human being at the heart of care means considering the individual in his unity, his flaws but also in all his capacities, in particular of inventiveness and capacity to enter into a link, with singular health criteria.

This paradigm shift could be based on the innovative approach of health care access hotlines (PASS), the expertise of the Human Factors in Health (FHS) group and the concrete approach to human-centered care. of a new collective, The Human being at the heart of care, whose inaugural conference takes place this Tuesday, June 14 at the Saint-Louis hospital (AP-HP).

By allowing access to care for the poor, the PASS offer a global approach that goes beyond structural, health-social, somatic-psychic, preventive-curative and city-hospital divisions in particular. There are around 400 in France, most often located in hospitals.

Bringing together professionals from various fields in the same unity of place, this model shakes up hospital and techno-centric approaches. The PASS thus constitute real observatories of the problems of the health system, a compartmentalised system with often too rigid procedures, preventing the appropriate management of unforeseen and complex situations.

Reduction of the administrative burden

The Human Factors in Health group has been developing a reflection on the risks attributable to humans in health for several years: cognitive biases, failing organization, etc. It proposes strategies to limit their impact and their consequences, by favoring a place for the human. in the restructuring of organizations, psychological security, shared decisions. This group includes health professionals, but also professionals from various backgrounds, and in particular in high-risk contexts such as aeronautics, nuclear, or even high mountains, where weight reduction has already been tested. administrative to allow a decision close to the field.

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