Deux d\u00e9crets publi\u00e9s au Journal officiel du 2 ao\u00fbt 2026 renforcent l\u2019\u00e9chelon d\u00e9partemental des agences r\u00e9gionales de sant\u00e9 (ARS), dans un contexte de r\u00e9examen de leur organisation sans suppression de ces agences. Ils s\u2019inscrivent dans la continuit\u00e9 des d\u00e9bats engag\u00e9s \u00e0 l\u2019automne 2025 autour d\u2019une r\u00e9forme des ARS et succ\u00e8dent au retrait du projet de loi \u00ab \u00c9tat local \u00bb, qui contenait plusieurs mesures de r\u00e9organisation.<\/p>\n
Le premier d\u00e9cret pr\u00e9cise les missions des directeurs des d\u00e9l\u00e9gations d\u00e9partementales des ARS. Ceux-ci sont charg\u00e9s d\u2019animer la politique r\u00e9gionale de sant\u00e9 \u00e0 l\u2019\u00e9chelle du d\u00e9partement, en particulier en mati\u00e8re d\u2019acc\u00e8s aux soins de proximit\u00e9, de sant\u00e9 environnementale et d\u2019offre m\u00e9dico-sociale. Ils organisent le dialogue avec les collectivit\u00e9s territoriales et leurs groupements, en lien avec le pr\u00e9fet de d\u00e9partement, et coordonnent la pr\u00e9paration et la n\u00e9gociation des contrats conclus avec ces collectivit\u00e9s, notamment les contrats locaux de sant\u00e9. Le texte pr\u00e9voit \u00e9galement la cr\u00e9ation d\u2019une d\u00e9l\u00e9gation territoriale de l\u2019ARS \u00e0 Saint-Barth\u00e9lemy et \u00e0 Saint-Martin, plac\u00e9e sous l\u2019autorit\u00e9 de l\u2019ARS de Guadeloupe, Saint-Barth\u00e9lemy et Saint-Martin.<\/p>\n
Ce m\u00eame d\u00e9cret institue un \u00ab comit\u00e9 de l\u2019acc\u00e8s aux soins de premier recours \u00bb dans chaque d\u00e9partement, copr\u00e9sid\u00e9 par le pr\u00e9fet de d\u00e9partement, le pr\u00e9sident du conseil d\u00e9partemental et le directeur d\u00e9partemental de l\u2019ARS. R\u00e9uni au moins une fois par an, ce comit\u00e9 contribue \u00e0 identifier les besoins de soins de premier recours et \u00e0 d\u00e9finir l\u2019offre de soins adapt\u00e9e sur le territoire. Il participe \u00e0 la mise en \u0153uvre de dispositifs d\u2019incitation \u00e0 l\u2019installation de professionnels de sant\u00e9 et au d\u00e9veloppement de l\u2019offre de soins de premier recours, notamment dans le cadre du r\u00e9seau des structures \u00ab France Sant\u00e9 \u00bb. Il pilote \u00e9galement la mise en \u0153uvre du guichet unique d\u00e9partemental d\u2019accompagnement des professionnels de sant\u00e9.<\/p>\n
Le second d\u00e9cret renforce le r\u00f4le des directeurs d\u00e9partementaux des ARS en leur permettant de se voir confier, par les directeurs g\u00e9n\u00e9raux d\u2019ARS, l\u2019\u00e9valuation annuelle des directeurs d\u2019\u00e9tablissements publics de sant\u00e9 et des directeurs d\u2019\u00e9tablissements sociaux et m\u00e9dico-sociaux, \u00e0 l\u2019exception des directeurs g\u00e9n\u00e9raux de centres hospitaliers r\u00e9gionaux ou universitaires. Ces mesures traduisent un recentrage op\u00e9rationnel au niveau d\u00e9partemental et une association renforc\u00e9e du pr\u00e9fet et du conseil d\u00e9partemental \u00e0 la gouvernance de l\u2019acc\u00e8s aux soins de premier recours.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" Deux d\u00e9crets publi\u00e9s au Journal officiel du 2 ao\u00fbt 2026 renforcent l\u2019\u00e9chelon d\u00e9partemental des agences r\u00e9gionales de sant\u00e9 (ARS), dans un contexte de r\u00e9examen de leur organisation sans suppression de 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