The first feedback from the field has an air of deja vu. “We think the situation is going to be tense to very tense”, indicates Ms. Verdier who is counting on a “capacity to offer care comparable to last summer, that is to say difficult, but not worse”, at two exceptions.
On the one hand, she “apprehends tensions in Seine-Saint-Denis”, a department notoriously deprived. On the other, she has “stronger questions about maternity” where “we see a priori that there are a little more difficulties in general”.
For the latter, the ARS “has already initiated actions with liberal midwives to see how they can come in a reinforced way in the establishments”.
Overall, “the subject is vacancies and how we organize ourselves to deal with them,” she explains. This also applies to emergencies where “the tensions concern the entire supply, including private clinics which have recurring difficulties”.
In this sector, the ARS relies both on the “reinforcement of external personnel, of the type students in the last year” and on the thirty existing “geriatric sectors” which avoid passages to the emergencies of the elderly. She also wants to “rely on the healthcare access service” (SAS) experienced in the Yvelines and see “how to speed it up in other territories”.
Beyond these “action plans” targeted at the hospital, “we need to have measures that concern the city” because “we cannot reason only on one link in the chain”, adds Ms. Verdier .
This involves “very concrete things, for example extending the opening hours of on-call medical centers”, which will mean finding “motivated and available city doctors”.