{"id":55904,"date":"2023-01-16T14:50:55","date_gmt":"2023-01-16T14:50:55","guid":{"rendered":"https:\/\/www.msdconnect.be\/fr\/?p=55904"},"modified":"2023-01-19T16:13:50","modified_gmt":"2023-01-19T16:13:50","slug":"reflechir-au-temps-de-travail-des-medecins","status":"publish","type":"post","link":"https:\/\/www.msdconnect.be\/fr\/2023\/01\/16\/reflechir-au-temps-de-travail-des-medecins\/","title":{"rendered":"\u00abRe\u0301fle\u0301chir au temps de travail des me\u0301decins\u00bb"},"content":{"rendered":"\n
\"\"
\u00a9 Jerry De Brie<\/figcaption><\/figure>\n\n\n\n

Les d\u00e9fis pour les m\u00e9decins et les h\u00f4pitaux en 2023 seront nombreux. Les<\/strong> responsables de l\u2019Inami, Beno\u00eet Colin et Pedro Facon, dans une interview exclusive<\/strong> pour le Sp\u00e9cialiste<\/em>, ont notamment abord\u00e9 la question du temps de travail des<\/strong> m\u00e9decins.<\/strong><\/p>\n\n\n\n

Pour Pedro Facon, \u00abdans un syst\u00e8me de planification de l\u2019offre m\u00e9dicale, on doit tenir compte du fait que le temps de travail \u00e9volue: travailler 80 heures par semaine n\u2019est pas responsable. Toute la discussion sur les quotas est extr\u00eamement complexe. Elle se politise rapidement. Nous craignons de ne pas avoir suffisamment de force de travail (m\u00e9decins, infirmiers,…) sur le terrain. Le ministre a d\u2019ailleurs indiqu\u00e9 qu\u2019il avait demand\u00e9 au comit\u00e9 de planification d\u2019analyser encore mieux ce temps de travail en concertation avec les associations de m\u00e9decins. Les m\u00e9decins eux-m\u00eames ont demand\u00e9 d\u2019aborder ce th\u00e8me ensemble. Il existe un certain nombre d\u2019enqu\u00eates sur ce sujet que nous aimerions interpr\u00e9ter afin de mettre en \u0153uvre une meilleure politique. Il faut oser nommer certaines choses<\/em>\u00bb.<\/p>\n\n\n\n

Le bien-\u00eatre des soignants<\/strong><\/p>\n\n\n\n

De son co\u0302te\u0301, Benoi\u0302t Collin souligne que la productivite\u0301 n\u2019est pas un gros mot. \u00abLa charge de travail non plus. Cette charge de travail est souvent insoutenable pour les ge\u0301ne\u0301ralistes et les spe\u0301cialistes. Le bien-e\u0302tre des me\u0301decins n\u2019est pas qu\u2019une question de revenus. Bien entendu, nous devons encore re\u0301duire la charge administrative. A\u0300 titre d\u2019exemple, le syste\u0300me Multi-eMediatt de nume\u0301risation des certificats d\u2019incapacite\u0301 de travail commencera a\u0300 fonctionner tre\u0300s prochainement.\u00bb<\/em><\/p>\n\n\n\n

Changement de syst\u00e8me?<\/strong><\/p>\n\n\n\n

De nombreux m\u00e9decins s\u2019inqui\u00e8tent d\u2019un syst\u00e8me o\u00f9 la pratique lib\u00e9rale de la m\u00e9decine deviendrait de plus en plus une m\u00e9decine au forfait ou de style National Health Service (NHS), excluant les pratiques solo en m\u00e9decine g\u00e9n\u00e9rale ou les sp\u00e9cialistes extra-hospitaliers. Pour Beno\u00eet Collin, \u00abla plupart des m\u00e9decins travaillent sous statut d\u2019ind\u00e9pendant. Pourtant, le travail des m\u00e9decins, m\u00eame \u00e0 l\u2019h\u00f4pital, \u00e9volue vers une pratique de groupe afin de mieux r\u00e9partir la charge de travail, notamment les gardes ou la gestion des urgences ou des cong\u00e9s. Ici, personne ne pr\u00f4ne la m\u00e9decine d\u2019\u00c9tat, mais il ne faut pas non plus perdre de vue le mode de financement du syst\u00e8me: environ 80% proviennent de l\u2019\u00c9tat (assurance soins de sant\u00e9, cotisations sociales, interventions ou subsides f\u00e9d\u00e9raux ou f\u00e9d\u00e9r\u00e9s) et 20% du patient. Les m\u00e9decins doivent en tenir compte. Enfin, les tarifs, les suppl\u00e9ments et la facturation doivent \u00e9galement \u00eatre plus transparents<\/em>\u00bb.<\/p>\n\n\n\n

De son c\u00f4t\u00e9, Pedro Facon souligne qu\u2019il ne faut pas \u00abcataloguer les m\u00e9decins ayant unepratique solo comme \u00e9tant moins int\u00e9ress\u00e9s \u00e0 travailler ensemble. Les jeunes souhaitent travailler davantage en cabinet de groupe pour toutes sortes de raisons (conciliation travail-famille, secr\u00e9tariat commun, \u00e9change d\u2019expertise,…). Par ailleurs, les m\u00e9decins en solo peuvent eux aussi se coordonner avec d\u2019autres dispensateurs de soins. La tendance globale va vers plus de pratique de groupe<\/em>\u00bb.<\/p>\n\n\n\n

La commercialisation des donn\u00e9es<\/strong><\/p>\n\n\n\n

Lors de cette interview, ils sont revenus sur l\u2019\u00e9pineuse question de la commercialisation des donn\u00e9es de sant\u00e9. Pour Beno\u00eet Collin, \u00ables donn\u00e9es sensibles doivent donc \u00eatre anonymis\u00e9es. Tout doit \u00eatre conforme au R\u00e8glement G\u00e9n\u00e9ral sur la Protection des Donn\u00e9es (RGPD). En ce qui concerne la vente de telles donn\u00e9es, c\u2019est autre chose. Nous savons que les h\u00f4pitaux vendent leurs donn\u00e9es \u00e0 Intercontinental Medical Statistics (IMS) ou \u00e0 d\u2019autres parties, mais nous n\u2019y sommes pas favorables. Surveiller tout cela n\u2019est pas le travail de l\u2019Inami. D\u2019autres autorit\u00e9s peuvent v\u00e9rifier cela. Nous soutenons une data democratie et donc l\u2019acc\u00e8s public aux donn\u00e9es s\u00e9curis\u00e9es conform\u00e9ment au RGPD. Dans ce cas, cet acc\u00e8s s\u00e9curis\u00e9 devrait \u00eatre gratuit ou prix-co\u00fbtant, et non commercial<\/em>\u00bb.<\/p>\n\n\n\n

Enfin, ils ont abord\u00e9 la question de l\u2019intelligence artificielle dans les h\u00f4pitaux. Pour Pedro Facon, la r\u00e9ponse est claire: \u00abNous aurons toujours besoin des professionnels de sant\u00e9. L\u2019intelligence artificielle ne pourra pas les remplacer. Cela reste un outil qui ne peut pas remplacer l\u2019humain.\u00bb<\/em><\/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":"

Les d\u00e9fis pour les m\u00e9decins et les h\u00f4pitaux en 2023 seront nombreux. Les responsables de l\u2019Inami, Beno\u00eet Colin et Pedro Facon, dans une interview exclusive pour le Sp\u00e9cialiste, ont notamment abord\u00e9 la […]<\/p>\n","protected":false},"author":60701,"featured_media":55909,"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-55904","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"\n\u00abRe\u0301fle\u0301chir au temps de travail des me\u0301decins\u00bb - 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\/reflechir-au-temps-de-travail-des-medecins\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00abRe\u0301fle\u0301chir au temps de travail des me\u0301decins\u00bb - MSD Belgium - FR\" \/>\n<meta property=\"og:description\" content=\"Les d\u00e9fis pour les m\u00e9decins et les h\u00f4pitaux en 2023 seront nombreux. 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