{"id":7952,"date":"2024-08-07T17:03:00","date_gmt":"2024-08-07T15:03:00","guid":{"rendered":"https:\/\/essrhumatologie.fr\/littoral\/?p=7952"},"modified":"2024-10-02T12:57:07","modified_gmt":"2024-10-02T10:57:07","slug":"concours-pluripro-article-avril-2023-2","status":"publish","type":"post","link":"https:\/\/essrhumatologie.fr\/littoral\/concours-pluripro-article-avril-2023-2\/","title":{"rendered":"Concours Pluripro article avril 2023"},"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]\r\n

L\u2019\u00e9quipe de soins sp\u00e9cialis\u00e9s rhumatologie, un\u00a0\u00ab\u00a0\u00e9chelon d\u2019organisation\u00a0\u00bb en lien avec les m\u00e9decins g\u00e9n\u00e9ralistes<\/strong><\/h3>\r\n\r\n\r\n\r\n

Depuis le d\u00e9but du mois d\u2019avril, l\u2019\u00c9quipe de soins sp\u00e9cialis\u00e9s (ESS) rhumatologie du Littoral (Bouches-du-Rh\u00f4ne) offre aux m\u00e9decins g\u00e9n\u00e9ralistes un acc\u00e8s \u00e0 des rhumatologues, pour des cas de prises en charge urgentes. Un exemple d\u2019organisation coordonn\u00e9e pour le second recours.<\/strong>[\/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 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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\u00bbArticle paru dans la revue Concours Pluripro du 17 avril 2023″ name=\u00a0\u00bbLaure Martin\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 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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]\u00ab\u00a0Lorsque nous avons pris connaissance d<\/em>e la possibilit\u00e9 de cr\u00e9er une \u00e9quipe de soins sp\u00e9cialis\u00e9s (ESS) afin de travailler en coordination, nous avons tout de suite souhait\u00e9 nous impliquer !\u00a0\u00bb<\/em>, lance Eric Senbel<\/strong>, m\u00e9decin rhumatologue, pr\u00e9sident de l\u2019ESS rhumatologie du Littoral et membre du groupe de travail sur l\u2019exercice coordonn\u00e9 au sein de l\u2019URPS m\u00e9decins Provence-Alpes-C\u00f4te d\u2019Azur. Bien que datant de la loi de 2019 relative \u00e0 l\u2019organisation et \u00e0 la transformation du syst\u00e8me de sant\u00e9, le dispositif d\u2019ESS ne d\u00e9tient pas, pour l\u2019heure, de cadre r\u00e9glementaire pr\u00e9cis.\u00a0\u00ab\u00a0Il s\u2019agit d\u2019un \u00e9chelon d\u2019organisation entre sp\u00e9cialit\u00e9s, hors m\u00e9decins g\u00e9n\u00e9ralistes,<\/em>\u00a0pr\u00e9cise Eric Senbel.\u00a0En revanche, nous nous devons de travailler en collaboration avec eux.\u00a0\u00bb<\/em><\/p>\r\n\r\n\r\n\r\n

Une solution qui a s\u00e9duit les rhumatologues des Bouches-du-Rh\u00f4ne, notamment parce que les sp\u00e9cialistes du second recours\u00a0\u00ab\u00a0ne se sentent pas toujours concern\u00e9s par les communaut\u00e9s professionnelles territoriales de sant\u00e9 (CPTS) et ils sont peu nombreux \u00e0 \u00eatre pr\u00e9sents au sein des maisons de sant\u00e9 pluriprofessionnelles (MSP)\u00a0\u00bb,\u00a0<\/em>pointe le rhumatologue qui reste convaincu que\u00a0\u00ab\u00a0l\u2019exercice coordonn\u00e9 \u00e0 l\u2019\u00e9chelon du second recours, pour des sp\u00e9cialit\u00e9s difficiles d\u2019acc\u00e8s comme la n\u00f4tre, est pourtant n\u00e9cessaire<\/em>.\u00ab\u00a0<\/em>\u00a0En effet, la rhumatologie est concern\u00e9e par la probl\u00e9matique de d\u00e9sertification m\u00e9dicale, avec des prises de rendez-vous s\u2019\u00e9talant entre trois et six mois en fonction des territoires.<\/p>\r\n\r\n

 <\/p>\r\n\r\n

Fluidifier les parcours patients<\/strong><\/h4>\r\n\r\n\r\n\r\n

L\u2019ESSrhumatologie du Littoral, qui rassemble \u00e0 ce jour 35 rhumatologues ainsi que 5 \u00e9tablissements hospitaliers (deux publics et trois \u00e9tablissement de sant\u00e9 priv\u00e9 d’int\u00e9r\u00eat collectif) sous un statut associatif loi 1901, a pour objectif de proposer \u00e0 des patients,\u00a0via<\/em>\u00a0leur m\u00e9decin traitant, un rendez-vous rapide avec un sp\u00e9cialiste.\u00a0\u00ab\u00a0Nous avons demand\u00e9 aux rhumatologues de l\u2019ESS de lib\u00e9rer en moyenne deux cr\u00e9neaux par mois dans leur agenda afin de proposer des rendez-vous \u00e0 moins de 15 jours, en sachant que certains en lib\u00e8rent deux par semaine\u00a0\u00bb<\/em>, pr\u00e9cise son pr\u00e9sident. Ainsi, lorsqu\u2019un m\u00e9decin g\u00e9n\u00e9raliste re\u00e7oit en consultation un patient pour lequel il estime qu\u2019une consultation urgente chez un rhumatologue est n\u00e9cessaire, il peut solliciter l\u2019ESS par t\u00e9l\u00e9phone ou la solliciter par l\u2019interm\u00e9diaire de la coordinatrice de sa structure. Au bout du fil, V\u00e9ronique Pipart, coordinatrice de l\u2019ESS<\/strong>, s\u2019assure de l\u2019\u00e9ligibilit\u00e9 des patients.\u00a0\u00ab\u00a0Les rhumatologues ont d\u00e9fini des cas pr\u00e9cis pour lesquels les rendez-vous peuvent \u00eatre pris sur les cr\u00e9neaux urgents\u00a0\u00e0 savoir l\u2019ost\u00e9oporose et les rhumatismes inflammatoires chroniques\u00a0\u00bb<\/em>, explique-t-elle. Le filtrage reste strict pour le moment.\u00a0\u00ab\u00a0Les rhumatologues sont vraiment satisfaits de la cr\u00e9ation de l\u2019ESS car eux-m\u00eames le disent\u00a0: en raison des d\u00e9lais pour les prises de rendez-vous, il leur est souvent difficile d\u2019identifier les patients \u00e0 voir plus rapidement\u00a0\u00bb<\/em>, rapporte Eric Senbel.<\/p>\r\n\r\n\r\n\r\n

Les liens avec les structures hospitali\u00e8res permettent \u00e9galement de pr\u00e9voir des hospitalisations urgentes si n\u00e9cessaire. V\u00e9ronique Pipart a d\u2019ailleurs instaur\u00e9 des syst\u00e8mes de communication avec des personnes ressources au sein des h\u00f4pitaux, notamment des interfaces de logiciel pour faciliter les hospitalisations.\u00a0\u00ab\u00a0Nous souhaiterions signer une convention avec ces structures, afin de d\u00e9finir l\u2019apport des deux parties,\u00a0<\/em>fait savoir Eric Senbel. Et nous voudrions faire de m\u00eame avec les CPTS.\u00a0\u00bb<\/em><\/p>\r\n\r\n

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