L\u2019\u00e9tude porte sur la mise en place et le fonctionnement des \u00ab Acute Respiratory Infection (ARI) Hubs \u00bb en Angleterre durant l\u2019hiver 2022-2023. Ces structures ont \u00e9t\u00e9 cr\u00e9\u00e9es pour faire face \u00e0 une hausse plus importante que pr\u00e9vu de la demande de soins urgents li\u00e9e aux infections respiratoires (rhumes, grippe, COVID-19), en apportant une capacit\u00e9 suppl\u00e9mentaire de soins de premier recours en p\u00e9riode hivernale.<\/p>\n
L\u2019\u00e9valuation, conduite par RAND Europe entre mai 2025 et juin 2026, vise \u00e0 analyser l\u2019organisation et le fonctionnement des ARI Hubs, les r\u00e9sultats attendus, ainsi que la faisabilit\u00e9 de futures \u00e9tudes d\u2019impact plus approfondies (efficacit\u00e9, rapport co\u00fbt\u2011efficacit\u00e9). Elle s\u2019appuie sur plusieurs sources : une revue d\u2019\u00e9valuations locales pr\u00e9existantes, une enqu\u00eate couvrant 35 des 42 \u00ab Integrated Care Boards \u00bb (ICBs, organismes r\u00e9gionaux de planification et de financement du National Health Service \u2013 NHS \u2013 en Angleterre), 23 entretiens r\u00e9unissant 38 professionnels du NHS aux niveaux national, r\u00e9gional et local, trois groupes de discussion avec 28 usagers, et un atelier associant environ 20 professionnels du NHS et 3 repr\u00e9sentants du public.<\/p>\n
Les ARI Hubs pr\u00e9sentent une grande h\u00e9t\u00e9rog\u00e9n\u00e9it\u00e9 dans leurs modalit\u00e9s de d\u00e9livrance des services, selon les territoires. De mani\u00e8re g\u00e9n\u00e9rale, ils semblent avoir apport\u00e9 une capacit\u00e9 de soins primaires suppl\u00e9mentaire en hiver et les retours des patients sont d\u00e9crits comme positifs. En revanche, les \u00e9l\u00e9ments disponibles ne permettent pas encore de conclure de fa\u00e7on solide \u00e0 une r\u00e9duction de la pression sur les services d\u2019urgence. Cette limite est explicitement reconnue, et un travail d\u2019\u00e9valuation d\u2019impact ult\u00e9rieur est pr\u00e9vu pour documenter plus pr\u00e9cis\u00e9ment les effets sur les recours aux services d\u2019urgence et la valeur pour l\u2019argent public.<\/p>\n
Les enjeux de pilotage identifi\u00e9s pour les futures phases de d\u00e9ploiement des ARI Hubs portent sur l\u2019am\u00e9lioration de l\u2019accessibilit\u00e9 pour les patients, le renforcement de la capacit\u00e9 \u00e0 adapter rapidement le niveau d\u2019activit\u00e9 (mont\u00e9e ou diminution en charge selon la demande) et une prise de d\u00e9cision plus pr\u00e9coce concernant les financements. L\u2019\u00e9valuation rel\u00e8ve que ces choix rel\u00e8vent essentiellement du NHS (national, r\u00e9gional et local) et des ICBs, dans un cadre national britannique o\u00f9 la recherche conduite par RAND Europe est destin\u00e9e \u00e0 \u00e9clairer la d\u00e9cision publique. Les travaux sont soumis \u00e0 une proc\u00e9dure de relecture scientifique interne \u00e0 RAND visant \u00e0 garantir la qualit\u00e9 et l\u2019objectivit\u00e9, et les r\u00e9sultats publi\u00e9s ne refl\u00e8tent pas n\u00e9cessairement les positions des commanditaires ou des clients de la recherche.(contenu r\u00e9sum\u00e9 en fran\u00e7ais par l’IA)\u00a0Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" L\u2019\u00e9tude porte sur la mise en place et le fonctionnement des \u00ab Acute Respiratory Infection (ARI) Hubs \u00bb en Angleterre durant l\u2019hiver 2022-2023. Ces structures ont \u00e9t\u00e9 cr\u00e9\u00e9es pour faire […]<\/p>\n","protected":false},"author":1,"featured_media":10675,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[26],"tags":[234,227,226],"class_list":["post-21688","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-donnees-etudes-evaluation-et-prospective","tag-rand","tag-ia","tag-sources-etrangeres"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/21688","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=21688"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/21688\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/10675"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=21688"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=21688"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=21688"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}