Le Premier ministre a confi\u00e9 \u00e0 l\u2019Inspection g\u00e9n\u00e9rale des affaires sociales (IGAS) et \u00e0 l\u2019Inspection g\u00e9n\u00e9rale des finances (IGF) une mission d\u2019examen du temps de travail des m\u00e9decins exer\u00e7ant en lib\u00e9ral et \u00e0 l\u2019h\u00f4pital. Cette mission vise \u00e0 rassembler les donn\u00e9es disponibles, analyser l\u2019\u00e9volution du temps de travail m\u00e9dical, identifier les leviers d\u2019optimisation et examiner l\u2019organisation et la gestion du temps de travail dans les h\u00f4pitaux publics.<\/p>\n
Le rapport souligne en premier lieu un d\u00e9ficit de connaissance sur le temps de travail r\u00e9el des m\u00e9decins. Les donn\u00e9es existantes permettent de suivre les effectifs et l\u2019activit\u00e9, mais ne fournissent pas de mesure consolid\u00e9e du temps de travail prenant en compte l\u2019ensemble des activit\u00e9s et des modes d\u2019exercice (lib\u00e9ral, salari\u00e9, ou mixte). Cette lacune limite la capacit\u00e9 \u00e0 appr\u00e9cier pr\u00e9cis\u00e9ment le \u00ab temps m\u00e9dical \u00bb r\u00e9ellement disponible et \u00e0 adapter en cons\u00e9quence l\u2019organisation de l\u2019offre de soins.<\/p>\n
Les enqu\u00eates disponibles mettent en \u00e9vidence une baisse des heures de travail d\u00e9clar\u00e9es au cours des derni\u00e8res ann\u00e9es, particuli\u00e8rement marqu\u00e9e chez les m\u00e9decins lib\u00e9raux. L\u2019analyse par la mission des donn\u00e9es de l\u2019Assurance maladie montre qu\u2019entre 2021 et 2025, le nombre de jours travaill\u00e9s en exercice lib\u00e9ral a diminu\u00e9 de 3 % \u00e0 8 % selon les sp\u00e9cialit\u00e9s \u00e9tudi\u00e9es. Cette r\u00e9duction du nombre de jours travaill\u00e9s ne se traduit toutefois pas automatiquement par une baisse \u00e9quivalente de l\u2019offre de soins, dans la mesure o\u00f9 la charge de travail tend simultan\u00e9ment \u00e0 s\u2019intensifier et \u00e0 se concentrer sur un nombre plus limit\u00e9 de jours.<\/p>\n
Dans les h\u00f4pitaux publics, le rapport constate que la gestion du temps de travail m\u00e9dical reste peu structur\u00e9e et que la r\u00e9glementation n\u2019est pas appliqu\u00e9e de mani\u00e8re syst\u00e9matique. Parall\u00e8lement, les \u00e9tablissements recourent de plus en plus \u00e0 des dispositifs de compensation des d\u00e9ficits de temps m\u00e9dical, notamment les heures suppl\u00e9mentaires et l\u2019int\u00e9rim m\u00e9dical. La mission insiste sur la n\u00e9cessit\u00e9 d\u2019am\u00e9liorer l\u2019organisation et le pilotage des ressources m\u00e9dicales, tant au niveau de chaque h\u00f4pital qu\u2019\u00e0 l\u2019\u00e9chelle r\u00e9gionale.<\/p>\n
Les propositions formul\u00e9es s\u2019articulent autour de trois axes principaux : am\u00e9liorer la connaissance du temps de travail des m\u00e9decins par un meilleur usage et une consolidation des donn\u00e9es ; renforcer la planification et la gestion des ressources m\u00e9dicales, en particulier dans les h\u00f4pitaux publics et au niveau r\u00e9gional ; \u00e9valuer et d\u00e9velopper des organisations, des formes de coop\u00e9ration professionnelle et des outils num\u00e9riques susceptibles d\u2019augmenter le temps clinique effectivement consacr\u00e9 aux patients. Le rapport met en avant ces orientations comme leviers potentiels d\u2019optimisation du temps m\u00e9dical, tout en soulignant les limites actuelles de la connaissance statistique et de la mise en \u0153uvre des r\u00e8gles existantes.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" Le Premier ministre a confi\u00e9 \u00e0 l\u2019Inspection g\u00e9n\u00e9rale des affaires sociales (IGAS) et \u00e0 l\u2019Inspection g\u00e9n\u00e9rale des finances (IGF) une mission d\u2019examen du temps de travail des m\u00e9decins exer\u00e7ant en 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