{"id":19445,"date":"2020-09-21T08:05:00","date_gmt":"2020-09-21T08:05:00","guid":{"rendered":"https:\/\/avoloi.eu\/?p=19445"},"modified":"2020-09-21T08:05:00","modified_gmt":"2020-09-21T08:05:00","slug":"cooperation-professionnels-sante","status":"publish","type":"post","link":"https:\/\/avoloi.fr\/blog\/cooperation-professionnels-sante\/","title":{"rendered":"Organiser la coop\u00e9ration entre les professionnels de sant\u00e9"},"content":{"rendered":"

Le dispositif de coop\u00e9ration entre professionnels de sant\u00e9 a \u00e9t\u00e9 modifi\u00e9 par la loi OTSS<\/a> – Organisation et transformation du syst\u00e8me de sant\u00e9 – du 24 juillet 2019. En son article 66, elle simplifie le dispositif initi\u00e9 en 2009 par la loi HPST – H\u00f4pital, patients, sant\u00e9, territoire. La coop\u00e9ration des professionnels de sant\u00e9 est un objectif majeur du Minist\u00e8re des solidarit\u00e9s et de la sant\u00e9. Dans son projet \u00ab Ma sant\u00e9 2022 \u00bb, il souhaite pouvoir redonner du temps aux m\u00e9decins afin d\u2019am\u00e9liorer la qualit\u00e9 de soins. Retour sur ce nouveau dispositif de coop\u00e9ration.<\/p>\n

Objectif du protocole de coop\u00e9ration entre professionnels de sant\u00e9<\/h2>\n

L\u2019optimisation du parcours de soins<\/h3>\n

L\u2019enjeu du dispositif de protocole de coop\u00e9ration entre professionnels de sant\u00e9 est de permettre l\u2019optimisation du parcours de soins. Il s\u2019agit d\u2019apporter une r\u00e9ponse concr\u00e8te aux attentes des patients et des professionnels. La collaboration permet d\u2019am\u00e9liorer la prise en charge du patient, lequel b\u00e9n\u00e9ficie d\u2019une offre de soins \u00e9largie et de d\u00e9lais r\u00e9duits. De son c\u00f4t\u00e9, le m\u00e9decin dispose de plus de temps effectif pour se centrer sur son c\u0153ur de m\u00e9tier, o\u00f9 son activit\u00e9 pr\u00e9sente une r\u00e9elle plus-value pour la patient\u00e8le.<\/p>\n

\u00c9tendre la coop\u00e9ration entre professionnels de sant\u00e9<\/h3>\n

La coop\u00e9ration repose sur la d\u00e9l\u00e9gation au personnel param\u00e9dical de certaines activit\u00e9s, jusqu\u2019alors exerc\u00e9es uniquement par des m\u00e9decins. Les professions param\u00e9dicales s\u2019en trouvent donc revaloris\u00e9es. Cela permet d\u2019accro\u00eetre leurs comp\u00e9tences et de rendre plus attractives les \u00e9volutions et perspectives de carri\u00e8re.<\/p>\n

La r\u00e9novation du dispositif vise \u00e0 \u00e9tendre les coop\u00e9rations entre professionnels de sant\u00e9 sur l\u2019ensemble du territoire. Deux types de protocoles sont ainsi pr\u00e9vus. Les protocoles d\u00e9ploy\u00e9s au niveau national sont autoris\u00e9s par arr\u00eat\u00e9 minist\u00e9riel. La loi pr\u00e9voit \u00e9galement le recours \u00e0 de nouvelles modalit\u00e9s de partage d\u2019activit\u00e9s. Ainsi, une \u00e9quipe de sant\u00e9 peut mettre en place un protocole local de collaboration. Cet accord doit alors respecter les modalit\u00e9s d\u00e9finies par d\u00e9cret.<\/p>\n

Validit\u00e9 du protocole de coop\u00e9ration : la qualit\u00e9 et la s\u00e9curit\u00e9<\/h2>\n

Le d\u00e9cret n\u00b0 2019-1482 du 29 d\u00e9cembre 2019<\/a> vient pr\u00e9ciser les conditions de qualit\u00e9 et de s\u00e9curit\u00e9 pour la mise en place des protocoles de coop\u00e9ration entre professionnels de sant\u00e9. Les \u00e9quipes m\u00e9dicales ont la possibilit\u00e9 d\u2019organiser un accord de coop\u00e9ration, afin de mieux r\u00e9pondre aux besoins des patients. Il peut ainsi s\u2019agir du transfert des actes de soins ou de la r\u00e9organisation des modes d\u2019intervention aupr\u00e8s du patient. Pour \u00eatre valable, le protocole doit imp\u00e9rativement r\u00e9pondre \u00e0 un certain nombre de crit\u00e8res.<\/p>\n

Les crit\u00e8res de validit\u00e9 du protocole<\/h3>\n

Voici les diff\u00e9rents crit\u00e8res de validit\u00e9 du protocole :<\/p>\n

    \n
  1. L\u2019information claire du patient pris en charge dans le cadre de ce protocole<\/li>\n
  2. Le respect des recommandations \u00e9mises par la Haute Autorit\u00e9 de Sant\u00e9<\/li>\n
  3. La stricte d\u00e9finition des nouvelles modalit\u00e9s d’intervention
    \nL\u2019accord doit d\u00e9tailler les actes et activit\u00e9s d\u00e9rogatoires concern\u00e9s par la collaboration. Il pr\u00e9cise \u00e9galement quels sont les patients concern\u00e9s et quelles sont les qualifications du professionnel recevant d\u00e9l\u00e9gation pour agir en lieu et place du     m\u00e9decin<\/a>. Le protocole doit ainsi pr\u00e9voir les conditions d’exp\u00e9rience professionnelle requises et, notamment, les formations compl\u00e9mentaires n\u00e9cessaires pour les actes et activit\u00e9s d\u00e9l\u00e9gu\u00e9s.<\/li>\n
  4. L’organisation du processus de prise en charge des patients
    \nLe protocole doit strictement pr\u00e9voir les modalit\u00e9s selon lesquelles les patients peuvent \u00eatre inclus dans le parcours de soin, ainsi que les conditions d\u2019intervention des divers professionnels aux diff\u00e9rentes \u00e9tapes. On utilise pour cela la m\u00e9thode de l\u2019arbre de d\u00e9cision. Ainsi, chaque situation identifi\u00e9e est associ\u00e9e \u00e0 une action, sans que le professionnel d\u00e9l\u00e9gu\u00e9 ait la possibilit\u00e9 d\u2019effectuer un choix th\u00e9rapeutique qui ne serait pas pr\u00e9vu par le protocole. Il convient \u00e9galement d\u2019identifier clairement les situations justifiant de r\u00e9orienter le patient vers le m\u00e9decin d\u00e9l\u00e9gant. La coop\u00e9ration repose sur la continuit\u00e9 des soins, en assurant au patient une prise en charge qualitative et la bonne transmission des informations \u00e0 l’ensemble des intervenants.<\/li>\n
  5. Les conditions d’organisation de l’\u00e9quipe
    \nLe protocole doit pr\u00e9voir la disponibilit\u00e9 des membres de l’\u00e9quipe de soins afin de pouvoir r\u00e9pondre au nombre de patients pris en charge. De m\u00eame, il organise la d\u00e9claration par les professionnels de sant\u00e9 de leur engagement dans cette d\u00e9marche de coop\u00e9ration aupr\u00e8s des compagnies d’    assurance<\/a> de responsabilit\u00e9 civile professionnelle ou aupr\u00e8s des \u00e9tablissements de sant\u00e9 dont ils rel\u00e8vent.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

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