{"id":1439,"date":"2023-02-27T11:31:47","date_gmt":"2023-02-27T10:31:47","guid":{"rendered":"https:\/\/www.drexcomedical.fr\/blog\/?p=1439"},"modified":"2023-02-27T11:31:48","modified_gmt":"2023-02-27T10:31:48","slug":"infirmiers-gynecologues-sages-femmes-la-delegation-des-soins-du-medecin-generaliste-en-questions","status":"publish","type":"post","link":"https:\/\/www.drexcomedical.fr\/blog\/infirmiers-gynecologues-sages-femmes-la-delegation-des-soins-du-medecin-generaliste-en-questions\/","title":{"rendered":"Infirmiers, gyn\u00e9cologues, sages-femmes : la d\u00e9l\u00e9gation des soins du m\u00e9decin g\u00e9n\u00e9raliste en questions."},"content":{"rendered":"\n

Fin 2022, pr\u00e8s de 6 millions de fran\u00e7ais ne trouvaient pas de m\u00e9decin traitant.<\/p>\n\n\n\n

Face \u00e0 une p\u00e9nurie grandissante de m\u00e9decins disponibles, l\u2019Assembl\u00e9e Nationale a adopt\u00e9 l\u2019ouverture d\u2019un acc\u00e8s direct des patients \u00e0 des \u201csupers infirmiers\u201d ce 19 janvier dernier.<\/p>\n\n\n\n

L\u2019objectif de cette mesure ? G\u00e9rer un double probl\u00e8me : d\u2019une part, les patients n\u2019\u00e9tant pas (encore) pris en charge, et de l\u2019autre, la surcharge de travail pour les m\u00e9decins en exercice.<\/p>\n\n\n\n

Faire renouveler une ordonnance, se faire vacciner ou encore obtenir une consultation m\u00e9dicale\u2026dans les zones sous-cot\u00e9es en m\u00e9decins, une nouvelle piste donnant le relai aux autres praticiens de sant\u00e9 pourrait \u00eatre prochainement envisag\u00e9e.<\/p>\n\n\n\n

Quelles sp\u00e9cialit\u00e9s m\u00e9dicales seront concern\u00e9es ? Quels examens pourront \u00eatre effectu\u00e9s par les param\u00e9dicaux ? <\/p>\n\n\n\n

Une pratique qui s\u2019est d\u00e9mocratis\u00e9e \u00e0 l\u2019aune du COVID-19 :<\/strong><\/h2>\n\n\n\n

Ce 19 janvier dernier, l\u2019Assembl\u00e9e Nationale a vot\u00e9 l\u2019ouverture d\u2019un acc\u00e8s direct des patients aux infirmiers en pratique avanc\u00e9e (IPA). Autrement dit, ce texte donnerait la possibilit\u00e9 pour les infirmiers de r\u00e9aliser certains actes et prescriptions dans un cadre pr\u00e9cis.<\/p>\n\n\n\n

Alors que les pharmaciens \u00e9taient d\u00e9j\u00e0 autoris\u00e9s \u00e0 vacciner, les sages-femmes, infirmiers, ou encore les kin\u00e9sith\u00e9rapeutes seraient d\u00e9sormais susceptibles de venir en renfort des m\u00e9decins dans les d\u00e9serts m\u00e9dicaux.<\/p>\n\n\n\n

Aujourd\u2019hui, consulter un kin\u00e9sith\u00e9rapeute ou un orthophoniste n\u00e9cessite un premier passage chez son m\u00e9decin traitant. Or, certaines affections plus urgentes ou graves n\u00e9cessitent une prise en charge rapide. D\u00e8s lors, attendre qu\u2019un m\u00e9decin soit disponible peut rapidement devenir probl\u00e9matique pour le patient concern\u00e9.<\/p>\n\n\n\n

Dans ce contexte de tension m\u00e9dicale est n\u00e9e l\u2019id\u00e9e de \u201cl\u2019acc\u00e8s direct\u201d, autrement dit la consultation aupr\u00e8s d\u2019un sp\u00e9cialiste param\u00e9dical sans consultation pr\u00e9alable. Toutefois, le m\u00e9decin devra toujours \u00eatre \u00e0 l\u2019origine de la demande de r\u00e9orientation vers un collaborateur.<\/p>\n\n\n\n

Concr\u00e8tement, comment cela va-t-il s\u2019organiser ? Quelles sp\u00e9cialit\u00e9s seront concern\u00e9es ?<\/strong><\/h2>\n\n\n\n

Les IPA,  alias \u201cinfirmiers en pratique avanc\u00e9e\u201d, d\u00e9tiendront en quelque sorte un statut de \u201csuper infirmiers\u201d experts dans un domaine en particulier.<\/p>\n\n\n\n

Via un \u201cprotocole d\u2019organisation sign\u00e9 avec le m\u00e9decin\u201d pour les pathologies chroniques, les infirmiers IPA pourront effectuer certains actes tels que les sutures, l’anesth\u00e9sie locale, ou encore renouveler des prescriptions m\u00e9dicales.<\/p>\n\n\n\n

Dans la m\u00eame logique, le texte renforce le r\u00f4le des assistants dentaires, avec un nouveau statut d\u2019assistants en m\u00e9decine bucco-dentaire. Les p\u00e9dicures podologues, eux, pourront prescrire des orth\u00e8ses plantaires, et les opticiens adapter une prescription des ophtalmologues.<\/p>\n\n\n\n

Le pharmacien, enfin, pourra pratiquer la vaccination et renouveler les traitements chroniques lorsque le m\u00e9decin prescripteur n\u2019est pas disponible.<\/p>\n\n\n\n

Le mot pour conclure\u2026<\/strong><\/p>\n\n\n\n

Si la d\u00e9cision divise dans le corps m\u00e9dical, les Ordres des infirmiers et des kin\u00e9s appuient, eux, la proposition de loi. Ils se disent \u201cfavorables aux transferts de comp\u00e9tence s\u2019ils ne sont pas synonymes de baisse de la qualit\u00e9 des soins\u201d. Dans tous les cas, cette mesure suscite de nombreux d\u00e9bats dans le corps m\u00e9dical. <\/p>\n\n\n\n

La question de la responsabilit\u00e9 en cas d\u2019erreur m\u00e9dicale, la r\u00e9mun\u00e9ration des IPA ou encore la formation de ces derniers suscitent la controverse. Toujours est-il qu\u2019un premier essai, temporaire ou non, sera bient\u00f4t test\u00e9 dans le cadre de la loi approuv\u00e9e \u00e0 l\u2019Assembl\u00e9e Nationale.<\/p>\n\n\n\n

Vous pouvez retrouver toutes nos actualit\u00e9s dans le domaine de la sant\u00e9 sur notre blog<\/a>, mais \u00e9galement en nous suivant sur les r\u00e9seaux sociaux !<\/p>\n","protected":false},"excerpt":{"rendered":"

Fin 2022, pr\u00e8s de 6 millions de fran\u00e7ais ne trouvaient pas de m\u00e9decin traitant. 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