Le 15 juillet 2026, six personnalit\u00e9s du monde hospitalier ont remis \u00e0 la ministre de la Sant\u00e9, de l\u2019Autonomie et des Personnes handicap\u00e9es, St\u00e9phanie Rist, un rapport sur les urgences intitul\u00e9 \u00ab Alternatives et aval des urgences : ou comment le syst\u00e8me de sant\u00e9 peut-il prendre le virage du vieillissement de la population et des polypathologies \u00bb. Ce rapport s\u2019inscrit dans la strat\u00e9gie minist\u00e9rielle pr\u00e9sent\u00e9e en juin 2026 visant \u00e0 r\u00e9duire de moiti\u00e9, soit de 4 millions, les 8 millions de passages annuels jug\u00e9s \u00ab \u00e9vitables \u00bb aux urgences, sur un total de 20 millions de passages.<\/p>\n
Les auteurs estiment que les difficult\u00e9s actuelles des services d\u2019urgences ne pourront pas \u00eatre r\u00e9solues par une simple optimisation de l\u2019offre existante. Ils concluent \u00e0 une \u00ab inad\u00e9quation structurelle \u00bb de l\u2019ensemble du syst\u00e8me de sant\u00e9 (hospitalier et ambulatoire, public et lib\u00e9ral) face aux effets du vieillissement de la population, \u00e0 l\u2019augmentation des multimorbidit\u00e9s et \u00e0 la forte progression des maladies chroniques. Ils rejoignent ainsi le constat d\u00e9j\u00e0 formul\u00e9 par d\u2019autres acteurs, notamment la F\u00e9d\u00e9ration hospitali\u00e8re de France.<\/p>\n
Le rapport souligne que le vieillissement a \u00e9t\u00e9 insuffisamment anticip\u00e9 dans les organisations et que l\u2019intrication croissante entre dimensions sanitaires et m\u00e9dico-sociales multiplie les ruptures de parcours, g\u00e9n\u00e9rant des points d\u2019engorgement et une perte de ma\u00eetrise des flux. Il met \u00e9galement en avant une inad\u00e9quation des ressources humaines : survalorisation d\u2019une m\u00e9decine hypersp\u00e9cialis\u00e9e au d\u00e9triment d\u2019une approche plus globale (dont la g\u00e9riatrie), diminution du temps m\u00e9dical disponible alors que les besoins augmentent, et manque de reconnaissance des m\u00e9tiers param\u00e9dicaux et d\u2019accompagnement autour du grand \u00e2ge.<\/p>\n
Face \u00e0 ces constats, la mission recommande de faire des parcours des personnes \u00e2g\u00e9es une priorit\u00e9 absolue, en rendant obligatoire, dans tous les territoires, l\u2019\u00e9laboration d\u2019un \u00ab projet territorial pour la personne \u00e2g\u00e9e \u00bb. Ce projet doit associer l\u2019ensemble des acteurs concern\u00e9s et s\u2019appuyer sur des outils partag\u00e9s, notamment pour la d\u00e9tection pr\u00e9coce des fragilit\u00e9s. Le rapport pr\u00e9conise de confier le fonctionnement op\u00e9rationnel de cette coordination territoriale aux communaut\u00e9s professionnelles territoriales de sant\u00e9 (CPTS), afin de renforcer leur r\u00f4le dans l\u2019organisation d\u2019ensemble de la prise en charge des personnes \u00e2g\u00e9es et la pr\u00e9vention du recours inadapt\u00e9 aux urgences.\u00a0(contenu r\u00e9sum\u00e9 en fran\u00e7ais par l’IA)Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" Le 15 juillet 2026, six personnalit\u00e9s du monde hospitalier ont remis \u00e0 la ministre de la Sant\u00e9, de l\u2019Autonomie et des Personnes handicap\u00e9es, St\u00e9phanie Rist, un rapport sur les urgences 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