The strike does not falter. This Friday, the Inter-Urgences collective announces 233 services on strike in France. He will also hold a general meeting in Paris on 10 September. For years, emergencies have been under tension. For what reasons ? And what are the solutions?
The number of people going to emergencies continues to increase: 21.4 million passages in 2017. And on average, an increase of 3.5% each year, since 1996. In 2015, one in six French returned to the emergency room.
In the 723 existing services, high inflows tend to become permanent and not seasonal. "These services are now under high tension for seven months a year, compared with two months in the past," noted a Senate report in 2017. The strike movement, launched several weeks ago, continued this summer and is growing according to the collective Inter-Emergency.
Who goes there?
Especially the extreme ages of life. Children under 18 represent 27% of emergency room visits. People over 75 years old are also highly cared for (12%).
However, the latter, in addition to the reason for their arrival in the emergency room, often suffer from chronic diseases or several other pathologies that may require additional examinations, likely to increase waiting times.
Too much "bobology"?
According to a study by the Department of Health Statistics Department (DREES), in 2013, 43% of emergency room visits were a simple medical consultation.
Heads of Service also observed that some people arriving at the emergency department, did not present "Medical seriousness", but were more in social distress.
For what reasons ?
More and more patients want an immediate response to a health problem. Either because they are anxious and they know that emergencies, they will be able to perform different exams in one place. Or because they have not found an answer from city doctors.
However, general practitioners are less and less numerous (-9.1% between 2007 and 2017). Since 2003, they are no longer subject to individual custody and their unions recognize a certain "disengagement" to take care of unscheduled care.
The collective Inter-Emergency calls for the recruitment of 10,000 health professionals. The ministry relies on the creation of the CPTS (territorial professional communities of health): in a sector, general practitioners, nurses, physiotherapists … get together and put in place actions to better work together and take care of the patients.
In a report, in 2018, MP (LERM) Thomas Mesnier (who must give another to the Minister in the fall) advocated "A massive information campaign" to remember simple actions to deal with benign problems. The unions of liberal doctors CSMF and MG France ask, them, the generalization of 116 117, number of call to find a doctor on duty.
Emergency services saturate even outside seasonal peaksOuest-France.fr