{"id":220,"date":"2024-06-15T16:40:53","date_gmt":"2024-06-15T14:40:53","guid":{"rendered":"http:\/\/themenectar.com\/demo\/salient\/?p=84"},"modified":"2024-10-02T15:07:02","modified_gmt":"2024-10-02T13:07:02","slug":"article-le-quotidien-du-medecin","status":"publish","type":"post","link":"https:\/\/essrhumatologie.fr\/littoral\/article-le-quotidien-du-medecin\/","title":{"rendered":"Une premi\u00e8re \u00e9quipe de soins sp\u00e9cialis\u00e9s en rhumatologie dans les Bouches-du-Rh\u00f4ne"},"content":{"rendered":"[vc_row type=\u00a0\u00bbin_container\u00a0\u00bb full_screen_row_position=\u00a0\u00bbmiddle\u00a0\u00bb column_margin=\u00a0\u00bbdefault\u00a0\u00bb column_direction=\u00a0\u00bbdefault\u00a0\u00bb column_direction_tablet=\u00a0\u00bbdefault\u00a0\u00bb column_direction_phone=\u00a0\u00bbdefault\u00a0\u00bb scene_position=\u00a0\u00bbcenter\u00a0\u00bb top_padding=\u00a0\u00bb30″ text_color=\u00a0\u00bbdark\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb row_border_radius=\u00a0\u00bbnone\u00a0\u00bb row_border_radius_applies=\u00a0\u00bbbg\u00a0\u00bb overflow=\u00a0\u00bbvisible\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3″ gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb shape_divider_position=\u00a0\u00bbbottom\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][vc_column column_padding=\u00a0\u00bbno-extra-padding\u00a0\u00bb column_padding_tablet=\u00a0\u00bbinherit\u00a0\u00bb column_padding_phone=\u00a0\u00bbinherit\u00a0\u00bb column_padding_position=\u00a0\u00bball\u00a0\u00bb column_element_direction_desktop=\u00a0\u00bbdefault\u00a0\u00bb column_element_spacing=\u00a0\u00bbdefault\u00a0\u00bb desktop_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb tablet_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb phone_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb background_color_opacity=\u00a0\u00bb1″ background_hover_color_opacity=\u00a0\u00bb1″ column_backdrop_filter=\u00a0\u00bbnone\u00a0\u00bb column_shadow=\u00a0\u00bbnone\u00a0\u00bb column_border_radius=\u00a0\u00bbnone\u00a0\u00bb column_link_target=\u00a0\u00bb_self\u00a0\u00bb column_position=\u00a0\u00bbdefault\u00a0\u00bb gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3″ width=\u00a0\u00bb1\/1″ tablet_width_inherit=\u00a0\u00bbdefault\u00a0\u00bb animation_type=\u00a0\u00bbdefault\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb border_type=\u00a0\u00bbsimple\u00a0\u00bb column_border_width=\u00a0\u00bbnone\u00a0\u00bb column_border_style=\u00a0\u00bbsolid\u00a0\u00bb][vc_column_text text_direction=\u00a0\u00bbdefault\u00a0\u00bb]\n
Une \u00e9quipe de soins sp\u00e9cialis\u00e9s (ESS) en rhumatologie vient de se mettre en place dans les Bouches-du-Rh\u00f4ne. Elle accompagne les professionnels de sant\u00e9, du premier recours, pour trouver rapidement un rendez-vous chez un rhumatologue en ville ou \u00e0 l\u2019h\u00f4pital, pour les patients qui le n\u00e9cessitent. Explication avec le Dr \u00c9ric Senbel (rhumatologue \u00e0 Marseille), pr\u00e9sident de l\u2019ESS rhumatologie du Littoral.<\/strong><\/h5>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=\u00a0\u00bbin_container\u00a0\u00bb full_screen_row_position=\u00a0\u00bbmiddle\u00a0\u00bb column_margin=\u00a0\u00bbdefault\u00a0\u00bb column_direction=\u00a0\u00bbdefault\u00a0\u00bb column_direction_tablet=\u00a0\u00bbdefault\u00a0\u00bb column_direction_phone=\u00a0\u00bbdefault\u00a0\u00bb scene_position=\u00a0\u00bbcenter\u00a0\u00bb top_padding=\u00a0\u00bb50″ bottom_padding=\u00a0\u00bb50″ text_color=\u00a0\u00bbdark\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb row_border_radius=\u00a0\u00bbnone\u00a0\u00bb row_border_radius_applies=\u00a0\u00bbbg\u00a0\u00bb overflow=\u00a0\u00bbvisible\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3″ gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb shape_divider_position=\u00a0\u00bbbottom\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb shape_type=\u00a0\u00bb\u00a0\u00bb][vc_column column_padding=\u00a0\u00bbno-extra-padding\u00a0\u00bb column_padding_tablet=\u00a0\u00bbinherit\u00a0\u00bb column_padding_phone=\u00a0\u00bbinherit\u00a0\u00bb column_padding_position=\u00a0\u00bball\u00a0\u00bb column_element_direction_desktop=\u00a0\u00bbdefault\u00a0\u00bb column_element_spacing=\u00a0\u00bbdefault\u00a0\u00bb desktop_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb tablet_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb phone_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb background_color_opacity=\u00a0\u00bb1″ background_hover_color_opacity=\u00a0\u00bb1″ column_backdrop_filter=\u00a0\u00bbnone\u00a0\u00bb column_shadow=\u00a0\u00bbnone\u00a0\u00bb column_border_radius=\u00a0\u00bbnone\u00a0\u00bb column_link_target=\u00a0\u00bb_self\u00a0\u00bb column_position=\u00a0\u00bbdefault\u00a0\u00bb gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3″ width=\u00a0\u00bb1\/1″ tablet_width_inherit=\u00a0\u00bbdefault\u00a0\u00bb animation_type=\u00a0\u00bbdefault\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb border_type=\u00a0\u00bbsimple\u00a0\u00bb column_border_width=\u00a0\u00bbnone\u00a0\u00bb column_border_style=\u00a0\u00bbsolid\u00a0\u00bb][nectar_single_testimonial testimonial_style=\u00a0\u00bbsmall_modern\u00a0\u00bb color=\u00a0\u00bbAccent-Color\u00a0\u00bb quote=\u00a0\u00bbPUBLI\u00c9 LE 12\/05\/2023 – LE QUOTIDIEN DU M\u00c9DECIN\u00a0\u00bb name=\u00a0\u00bbPAR CHRISTINE FALLET\u00a0\u00bb][\/vc_column][\/vc_row][vc_row type=\u00a0\u00bbin_container\u00a0\u00bb full_screen_row_position=\u00a0\u00bbmiddle\u00a0\u00bb column_margin=\u00a0\u00bbdefault\u00a0\u00bb column_direction=\u00a0\u00bbdefault\u00a0\u00bb column_direction_tablet=\u00a0\u00bbdefault\u00a0\u00bb column_direction_phone=\u00a0\u00bbdefault\u00a0\u00bb scene_position=\u00a0\u00bbcenter\u00a0\u00bb bottom_padding=\u00a0\u00bb30″ text_color=\u00a0\u00bbdark\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb row_border_radius=\u00a0\u00bbnone\u00a0\u00bb row_border_radius_applies=\u00a0\u00bbbg\u00a0\u00bb overflow=\u00a0\u00bbvisible\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3″ gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb shape_divider_position=\u00a0\u00bbbottom\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb shape_type=\u00a0\u00bb\u00a0\u00bb][vc_column column_padding=\u00a0\u00bbno-extra-padding\u00a0\u00bb column_padding_tablet=\u00a0\u00bbinherit\u00a0\u00bb column_padding_phone=\u00a0\u00bbinherit\u00a0\u00bb column_padding_position=\u00a0\u00bball\u00a0\u00bb column_element_direction_desktop=\u00a0\u00bbdefault\u00a0\u00bb column_element_spacing=\u00a0\u00bbdefault\u00a0\u00bb desktop_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb tablet_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb phone_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb background_color_opacity=\u00a0\u00bb1″ background_hover_color_opacity=\u00a0\u00bb1″ column_backdrop_filter=\u00a0\u00bbnone\u00a0\u00bb column_shadow=\u00a0\u00bbnone\u00a0\u00bb column_border_radius=\u00a0\u00bbnone\u00a0\u00bb column_link_target=\u00a0\u00bb_self\u00a0\u00bb column_position=\u00a0\u00bbdefault\u00a0\u00bb gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3″ width=\u00a0\u00bb1\/1″ tablet_width_inherit=\u00a0\u00bbdefault\u00a0\u00bb animation_type=\u00a0\u00bbdefault\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb border_type=\u00a0\u00bbsimple\u00a0\u00bb column_border_width=\u00a0\u00bbnone\u00a0\u00bb column_border_style=\u00a0\u00bbsolid\u00a0\u00bb][vc_column_text text_direction=\u00a0\u00bbdefault\u00a0\u00bb]\n

LE QUOTIDIEN : Qu\u2019est-ce qu\u2019une \u00e9quipe de soins sp\u00e9cialis\u00e9s ?<\/strong><\/p>\n

Dr \u00c9RIC SENBEL :<\/p>\n

La notion d\u2019ESS a \u00e9t\u00e9 introduite dans la loi du 24 juillet 2019 relative \u00e0 l\u2019organisation et \u00e0 la transformation du syst\u00e8me de sant\u00e9 : \u00ab Une ESS est un ensemble de professionnels de sant\u00e9 constitu\u00e9 autour de m\u00e9decins sp\u00e9cialistes d\u2019une ou plusieurs sp\u00e9cialit\u00e9s, hors m\u00e9decine g\u00e9n\u00e9rale, choisissant d\u2019assurer leurs activit\u00e9s de soins de fa\u00e7on coordonn\u00e9e avec les acteurs de sant\u00e9 du territoire, avec les \u00e9quipes de soins primaires, les h\u00f4pitaux et les \u00e9tablissements m\u00e9dico-sociaux \u00bb. Les ESS viennent compl\u00e9ter les dispositifs d\u00e9j\u00e0 existants en mati\u00e8re de coordination des soins de sant\u00e9 sur les territoires : Maisons de sant\u00e9 pluri professionnelles, Communaut\u00e9s professionnelles territoriales de sant\u00e9 (CPTS)\u2026<\/p>\n

Pourquoi avoir cr\u00e9\u00e9 cette structure en rhumatologie sur Marseille-Aix en Provence ?<\/strong><\/p>\n

<\/p>\n

L\u2019ESS en rhumatologie du Littoral est la premi\u00e8re de France dans cette sp\u00e9cialit\u00e9. Dans notre r\u00e9gion, comme dans beaucoup d\u2019autres, le manque de rhumatologues se fait de plus en plus sentir et les d\u00e9lais d\u2019attente de consultation s\u2019allongent jusqu\u2019\u00e0 trois \u00e0 six mois, exposant les patients \u00e0 des pertes de chance. L\u2019ESS en rhumatologie que nous avons cr\u00e9\u00e9e, a pour principal objectif de fluidifier l\u2019acc\u00e8s au second recours pour des patients atteints de pathologies chroniques, telles que l\u2019ost\u00e9oporose et les rhumatismes inflammatoires chroniques (RIC). En effet, pour les RIC, il existe une fen\u00eatre d\u2019opportunit\u00e9, au tout d\u00e9but de la maladie, pour mettre en place le traitement. Quant \u00e0 l\u2019ost\u00e9oporose, seule 20 % des patients sont trait\u00e9s apr\u00e8s une hospitalisation pour une premi\u00e8re fracture, malgr\u00e9 un risque \u00e9lev\u00e9 de r\u00e9cidive de fractures dans l\u2019ann\u00e9e qui suit. Pour r\u00e9pondre \u00e0 ces besoins non couverts, nous avons ainsi d\u00e9cid\u00e9 de monter un projet pilote. Il n\u2019existe pas encore de cahier des charges formalis\u00e9 et nous avons d\u00fb mener un long travail de r\u00e9flexion. Nous nous sommes r\u00e9unis avec l\u2019Agence r\u00e9gionale de sant\u00e9 (ARS) Paca, pour qu\u2019elle valide notre dossier et nous apporte un financement dans le cadre du Fonds d\u2019intervention r\u00e9gional (FIR). Notre projet a \u00e9t\u00e9 valid\u00e9 mi-mars et a b\u00e9n\u00e9fici\u00e9 d\u2019un budget pour les 18 mois \u00e0 venir. Pour le moment, nous sommes dans une phase d\u2019exp\u00e9rimentation. Nous souhaitons mieux faire conna\u00eetre notre structure toute r\u00e9cente, partager notre exp\u00e9rience et aider des coll\u00e8gues d\u2019autres r\u00e9gions \u00e0 monter une ESS.<\/p>\n

Quelles sont ses principales missions ?<\/strong><\/p>\n

L\u2019ESS vise \u00e0 une meilleure coordination entre les professionnels de sant\u00e9 du d\u00e9partement. Elle vient renforcer et faciliter l\u2019acc\u00e8s \u00e0 des soins non programm\u00e9s, avec des d\u00e9lais de rendez-vous rapide en rhumatologie. Elle accompagne les m\u00e9decins g\u00e9n\u00e9ralistes qui ont besoin de recueillir rapidement l\u2019avis d\u2019un rhumatologue, parfois en urgence, et d\u2019obtenir un acc\u00e8s prioritaire \u00e0 un service hospitalier. Elle propose \u00e9galement des actions de destin\u00e9es \u00e0 des professionnels de sant\u00e9 (r\u00e9unions, webinaires\u2026). Nous avons aussi comme objectif de d\u00e9velopper des outils num\u00e9riques (t\u00e9l\u00e9consultation, t\u00e9l\u00e9-expertise\u2026).<\/p>\n

En pratique, comment cela fonctionne-t-il ?<\/strong><\/p>\n

L\u2019ESS du Littoral regroupe 35 rhumatologues lib\u00e9raux et hospitaliers, et cinq services hospitaliers (publics et priv\u00e9s), r\u00e9partis sur les Bouches-du-Rh\u00f4ne. Les m\u00e9decins g\u00e9n\u00e9ralistes du d\u00e9partement, confront\u00e9s \u00e0 des probl\u00e9matiques en rhumatologie, peuvent contacter l\u2019ESS via un num\u00e9ro de t\u00e9l\u00e9phone d\u00e9di\u00e9 et r\u00e9serv\u00e9 aux professionnels de sant\u00e9. La coordinatrice de l\u2019ESS, cheville ouvri\u00e8re du dispositif, examine les demandes. Elle v\u00e9rifie avec le m\u00e9decin g\u00e9n\u00e9raliste l\u2019\u00e9ligibilit\u00e9 du patient \u00e0 une prise en charge dans le cadre de l\u2019ESS, et d\u00e9finit le meilleur moyen de la mettre en \u0153uvre. L\u2019infirmi\u00e8re r\u00e9f\u00e9rente d\u00e9sign\u00e9e en tant que \u00ab coordinatrice d\u2019une structure d\u2019exercice coordonn\u00e9e \u00bb, elle a \u00e9galement re\u00e7u une formation sp\u00e9cifique et utilise des arbres d\u00e9cisionnels con\u00e7us par les rhumatologues de l\u2019ESS.<\/p>\n

Christine Fallet<\/strong><\/p>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=\u00a0\u00bbin_container\u00a0\u00bb full_screen_row_position=\u00a0\u00bbmiddle\u00a0\u00bb column_margin=\u00a0\u00bbdefault\u00a0\u00bb column_direction=\u00a0\u00bbdefault\u00a0\u00bb column_direction_tablet=\u00a0\u00bbdefault\u00a0\u00bb column_direction_phone=\u00a0\u00bbdefault\u00a0\u00bb scene_position=\u00a0\u00bbcenter\u00a0\u00bb text_color=\u00a0\u00bbdark\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb row_border_radius=\u00a0\u00bbnone\u00a0\u00bb row_border_radius_applies=\u00a0\u00bbbg\u00a0\u00bb overflow=\u00a0\u00bbvisible\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3″ gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb shape_divider_position=\u00a0\u00bbbottom\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][vc_column column_padding=\u00a0\u00bbno-extra-padding\u00a0\u00bb column_padding_tablet=\u00a0\u00bbinherit\u00a0\u00bb 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