{"id":55901,"date":"2023-01-16T14:06:02","date_gmt":"2023-01-16T14:06:02","guid":{"rendered":"https:\/\/www.msdconnect.be\/fr\/?p=55901"},"modified":"2023-01-20T13:18:55","modified_gmt":"2023-01-20T13:18:55","slug":"ce-qui-attend-les-hopitaux-en-2023","status":"publish","type":"post","link":"https:\/\/www.msdconnect.be\/fr\/2023\/01\/16\/ce-qui-attend-les-hopitaux-en-2023\/","title":{"rendered":"Ce qui attend les ho\u0302pitaux en 2023"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n

Apr\u00e8s la pand\u00e9mie et la guerre en Ukraine, les chocs s\u2019additionnent pour le secteur des soins de sant\u00e9. Leurs impacts sur les m\u00e9decins et les h\u00f4pitaux se poursuivront en 2023.<\/p>\n\n\n\n

Les finances<\/strong><\/p>\n\n\n\n

Pour Paul d\u2019Otreppe, vice-pr\u00e9sident de l\u2019Association Belge des Directeurs d\u2019H\u00f4pitaux, tant les m\u00e9decins que les h\u00f4pitaux seront encore impact\u00e9s en 2023. \u00abLe d\u00e9fi va \u00eatre de retrouver un nouvel \u00e9quilibre: le Covid et la crise en Ukraine ont d\u00e9stabilis\u00e9 le mod\u00e8le qui existait. Aujourd\u2019hui, les indexations notamment ont amen\u00e9 des co\u00fbts indirects… La r\u00e9alit\u00e9 dans les h\u00f4pitaux, c\u2019est que le bilan \u00e9conomique s\u2019effrite d\u2019ann\u00e9e en ann\u00e9e.\u00bb<\/em><\/p>\n\n\n\n

Cette hausse des co\u00fbts, le CEO de Santh\u00e9a, Yves Smeets, ne les voit pas non plus s\u2019arr\u00eater tout de suite: \u00abL\u2019inflation a fait flamber tous les co\u00fbts: personnel, \u00e9nergie, la buanderie, la construction, l\u2019alimentation… En plus, les factures vont \u00eatre plus lourdes en 2023. En effet, il ne faut pas oublier que certains contrats d\u2019\u00e9nergie vont seulement arriver \u00e0 \u00e9ch\u00e9ance et que les factures vont s\u2019alourdir pour de nombreuses institutions.<\/p>\n\n\n\n

Le personnel<\/strong><\/p>\n\n\n\n

Outre la question financi\u00e8re, le manque de personnel, la fermeture de certains services par manque de bras qui am\u00e8ne une perte de revenus pour les m\u00e9decins et les h\u00f4pitaux, sera au centre de toutes les attentions. Le Dr Gilbert Bejjani, vice-pr\u00e9sident de l’Absym, Association belge des syndicats m\u00e9dicaux, rappelle de son c\u00f4t\u00e9 que \u00able probl\u00e8me de manque de ressources humaines est toujours une priorit\u00e9 \u00e0 r\u00e9soudre en 2023. Il faut des solutions \u00e0 long terme pour permettre aux m\u00e9decins et aux infirmi\u00e8res de travailler dans les meilleures conditions pour le patient et pour eux-m\u00eames. Il y a aujourd\u2019hui une dilution \u00e9norme des moyens et des ressources, avec tout le monde qui fait tout et partout!\u00bb<\/em><\/p>\n\n\n\n

Paul d\u2019Otreppe ajoute qu\u2019il faut \u00eatre tr\u00e8s attentifs \u00e0 \u00abla question du manque de personnel mais aussi \u00e0 la fatigue et \u00e0 la douleur des soignants. Tant les infirmiers que les m\u00e9decins souffrent d\u2019un mal-\u00eatre. Leur stress n\u2019est pas li\u00e9 qu\u2019au Covid et en plus ce stress post-traumatique dure longtemps…\u00bb<\/em>. Toutefois, il ne suffit pas de mettre de l\u2019argent sur la table pour am\u00e9liorer le bien-\u00eatre de ses soignants, comme l\u2019explique St\u00e9phane Lefebvre, directeur g\u00e9n\u00e9ral CHR Verviers East: \u00abOutre l\u2019impact du Covid, nous devons aussi faire face \u00e0 la grande d\u00e9mission qui touche l\u2019ensemble des h\u00f4pitaux. \u00c9videmment, pour pouvoir assurer le bien-\u00eatre de notre personnel, nous devons pouvoir avoir des staffs au complet. Le manque de personnel p\u00e8se sur le bien-\u00eatre. On tire sur la corde par manque d\u2019effectifs.\u00bb<\/em><\/p>\n\n\n\n

Sur Bruxelles, Dieter Goemaere, Directeur \u00abH\u00f4pitaux G\u00e9n\u00e9raux\u00bb de GIBBIS, demande que l\u2019on tienne compte du fait que \u00ables exigences en termes de bilinguisme ou les questions de mobilit\u00e9 compliquent encore le recrutement. Le financement de mesures telles que l\u2019augmentation des frais de d\u00e9placement pourrait contribuer \u00e0 renforcer l\u2019attractivit\u00e9 de la profession, m\u00eame si d\u2019autres aspects doivent aussi \u00eatre envisag\u00e9s.\u00bb<\/em><\/p>\n\n\n\n

La loi qualit\u00e9<\/strong><\/p>\n\n\n\n

Pour le Dr Manfredi Ventura, directeur m\u00e9dical du GHdC (Grand H\u00f4pital de Charleroi) et pr\u00e9sident de l\u2019AFMC (Association Francophone des M\u00e9decins Chefs), il y a encore toutefois beaucoup de travail \u00e0 ce niveau en 2023: \u00abNous n\u2019avons toujours pas de nouvelles pour le portfolio. Nous attendons aussi des avanc\u00e9es pour les commissions qui remplacent les commissions m\u00e9dicales provinciales. C\u2019est un probl\u00e8me quand nous devons mettre \u00e0 l\u2019\u00e9cart un m\u00e9decin (entre-temps, la commission de contr\u00f4le de la loi qualit\u00e9 a \u00e9t\u00e9 install\u00e9e, ndlr<\/em>). Avec l\u2019association des m\u00e9decins-chefs nous sommes pr\u00eats \u00e0 participer \u00e0 ce genre de commission et \u00e0 \u00eatre consult\u00e9s pour la mise en \u0153uvre des portfolios des m\u00e9decins sp\u00e9cialistes.\u00bb <\/em>Enfin, il ajoute \u00abattendre \u00e9videmment des avanc\u00e9es d\u00e9finitives pour les statuts des m\u00e9decins chefs\u00bb.<\/em><\/p>\n\n\n\n

Cybersecurit\u00e9<\/strong><\/p>\n\n\n\n

Les r\u00e9seaux cherchent \u00e0 trouver la meilleure parade pour leur s\u00e9curit\u00e9 informatique, comme le reconna\u00eet M. Lefebvre: \u00abNous sommes confront\u00e9s \u00e0 toute une s\u00e9rie d\u2019exigences qui ont un co\u00fbt, comme les co\u00fbts de cybers\u00e9curit\u00e9, la cotisation de responsabilisation, les pensions, les investissements pour rester aux normes… Un moment donn\u00e9, on nous demande des choses impossibles. Nous sommes \u00e9videmment oblig\u00e9s d\u2019investir dans la cybers\u00e9curit\u00e9. Nous devons penser \u00e0 plus mutualiser les ressources et multiplier les partenariats.\u00bb <\/em>\u00c0 ce niveau, le f\u00e9d\u00e9ral a d\u00e9gag\u00e9 75 millions pour la cybers\u00e9curit\u00e9.<\/p>\n\n\n\n

Les MACS<\/strong><\/p>\n\n\n\n

La question des m\u00e9decins en formation restera pleinement d\u2019actualit\u00e9 en 2023, avec sans doute l\u2019arriv\u00e9e du syst\u00e8me de comptage du temps de travail fourni par l\u2019administration et un autre fourni par la D\u00e9l\u00e9gation des m\u00e9decins en formation. L\u2019avenir nous dira lequel sera retenu. Par ailleurs, apr\u00e8s que les M\u00e9decins Assistants Candidats Sp\u00e9cialiste (MACS) aient re\u00e7u 5 millions pour l\u2019\u00e9volution de leur statut social en 2022, ils entendent poursuivre leurs diff\u00e9rents combats. \u00ab\u00c0 moyen et long terme, nous allons continuer le travail sur le contr\u00f4le qualit\u00e9 de notre formation, le d\u00e9couplage du statut employeur- formateur gr\u00e2ce \u00e0 une structure de r\u00e9mun\u00e9ration des MACS ind\u00e9pendante ainsi que la r\u00e9forme de notre statut social (i.e. le ch\u00f4mage et la pension).\u00bb<\/em><\/p>\n\n\n\n

T\u00e9l\u00e9m\u00e9decine<\/strong><\/p>\n\n\n\n

Depuis le 1er ao\u00fbt 2022, les consultations de t\u00e9l\u00e9m\u00e9decine sont inscrites dans la nomenclature. Les codes actuels, pr\u00e9vus au d\u00e9but de la crise du Covid, pour le triage et le conseil dans le cadre de la continuit\u00e9 des soins, seront remplac\u00e9s (pour l’instant) par de nouveaux codes de nomenclature pour les consultations par vid\u00e9o ou par t\u00e9l\u00e9phone, mais de mani\u00e8re temporaire: une r\u00e9glementation d\u00e9finitive est en cours d’\u00e9laboration par le groupe de r\u00e9flexion de l\u2019Inami dirig\u00e9 par Ann Van den Bruel et Jean-Luc Belche. Ces travaux devraient \u00eatre termin\u00e9s \u00e0 la fin du mois de mars 2023.<\/p>\n\n\n\n

<\/a><\/p>\n\n\n\n

Ce num\u00e9ro a \u00e9t\u00e9 r\u00e9alis\u00e9 gr\u00e2ce au support de MSD. Son contenu refl\u00e8te l\u2019opinion des auteurs mais pas n\u00e9cessairement celle de MSD.<\/mark><\/p>\n","protected":false},"excerpt":{"rendered":"

Apr\u00e8s la pand\u00e9mie et la guerre en Ukraine, les chocs s\u2019additionnent pour le secteur des soins de sant\u00e9. Leurs impacts sur les m\u00e9decins et les h\u00f4pitaux se poursuivront en 2023. Les finances Pour Paul d […]<\/p>\n","protected":false},"author":60701,"featured_media":55902,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mhh_sticky_footer_settings":{"entityId":0},"_mhh_sticky_footer_posts":"","_mhh_sticky_footer_expanded":false,"_mhh_mcn_text_direction":"","_mhh_mcn_language":"","_mhh_mcn_left_sidebar_settings":{"entityId":0},"_mhh_mcn_sidebar_settings":{"entityId":0},"mhh_mcn_side_navigation_style":{"fontSize":{"l":"","m":"","s":""},"lineHeight":{"l":1.5,"m":1.5,"s":1.5},"itemColor":"","hoverItemColor":"","currentItemColor":"","borderItemColor":"","backgroundItemHoverColor":"","themeColor":""},"_mhh_mcn_child_page_navigation":{"isActive":false,"isSticky":false},"hide_header":false,"show_top_bar":false,"hide_footer":false,"full_width_layout":false,"icon":null,"job_code":"","hide_featured_image":true,"primary_tag":0,"editor_notices":[],"footnotes":"","sidebar_toogle":0,"sidebar_toogle_notification_warning":true,"sidebar_toogle_notification_alert":true,"content_expiration_sidebar_date":"","content_expiration_sidebar_expired_post_status":"","content_expiration_sidebar_redirection":""},"categories":[1],"tags":[],"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[],"ga4_page_customer_journey_stage":[],"ga4_page_customer_specialty":[],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[1533],"ga4_page_product":[],"ga4_page_region":[],"ga4_page_therapeuticarea":[],"tx-therapeutic-area":[],"tx-product":[],"tx-pathology":[],"tx-content-type":[629],"tx-active-ingredient":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"user_role":[],"class_list":["post-55901","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"\nCe qui attend les ho\u0302pitaux en 2023 - MSD Belgium - FR<\/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.msdconnect.be\/fr\/2023\/01\/16\/ce-qui-attend-les-hopitaux-en-2023\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ce qui attend les ho\u0302pitaux en 2023 - MSD Belgium - FR\" \/>\n<meta property=\"og:description\" content=\"Apr\u00e8s la pand\u00e9mie et la guerre en Ukraine, les chocs s\u2019additionnent pour le secteur des soins de sant\u00e9. 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