Vers un plafonnement de l’activité des hôpitaux français ?La direction générale de l’offre de soins (DGOS) propose le plafonnement de l’activité des hôpitaux français concernant certaines interventions et cela afin de réduire la différence de réalisation de certains actes entre les établissements.En fonction des différentes régions françaises, il apparait que certains hôpitaux réalisent beaucoup d’actes chirurgicaux spécifiques, tandis que d’autres établissements n’en pratiquent aucun ou très peu. Pour réduire ces différences de fréquence pour certaines interventions, la DGOS du ministère de la Santé propose la mise en place d’un quota d’activité qui serait sanctionné en cas de dépassement, explique Le Figaro. Cette proposition a été baptisée “Objectifs quantifiés de l’offre de soins” et a pour but de faire face à “l’évolution très dynamique des volumes hospitaliers” depuis 3 ans, qui est plus importante que prévue.Ainsi, la DGOS propose qu’un contrat soit établi entre l’Etat et chaque Agence régionale de santé, cette dernière déclinant alors ses principaux objectifs en fonctions des établissements hospitaliers. Le “volume de séjours par activité et la part de prise en charge ambulatoire” et le “volume de séjours et d’actes pour certaines prises en charge ciblées (comme l’endoscopie ou l’appendicectomie)” devraient notamment être plafonnés, précise le quotidien national. De son côté, la Fédération hospitalière de France s’est déjà opposée au projet, mettant en avant que le budget de chaque hôpital augmente en fonction de son activité et que cela pourrait pousser certains patients à se tourner davantage vers le secteur privé.Le 25 janvier 2011 à 18:09 • Emmanuel Perrin
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