{"id":1903,"date":"2010-10-01T01:00:00","date_gmt":"2010-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/"},"modified":"2018-10-20T18:39:55","modified_gmt":"2018-10-20T16:39:55","slug":"impact-de-la-loi-hpst-sur-le-praticien-hospitalier","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/","title":{"rendered":"Impact de la Loi HPST sur le Praticien Hospitalier"},"content":{"rendered":"<p><strong>2010<\/strong><\/p>\n<p><em>JP Dupuychaffray<br \/>\nPr\u00e9sident de l\u2019Organisme Agr\u00e9\u00e9 EA-HGE<br \/>\nH\u00e9pato-Gastroent\u00e9rologie CH Angoul\u00eame<\/em><\/p>\n<p><strong>Vie Professionnelle <\/strong>&#8211; \u00a02010-09-04 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Chaque praticien hospitalier a bien compris les enjeux de la nouvelle gouvernance mise en place dans les h\u00f4pitaux par les dispositions de la Loi HPST (h\u00f4pital patients sant\u00e9 territoire) qui concentrent le pouvoir d\u00e9cisionnaire sur un axe vertical passant par le ministre de la sant\u00e9, le directeur g\u00e9n\u00e9ral d\u2019ARS (agence r\u00e9gionale de sant\u00e9), et le directeur d\u2019\u00e9tablissement de sant\u00e9. Pourtant, la mise sous tutelle des m\u00e9decins ne s\u2019arr\u00eate pas l\u00e0 puisque la prise en charge des patients, qui repr\u00e9sente le c\u0153ur de m\u00e9tier de la profession, fait \u00e9galement l\u2019objet de contraintes en terme de qualit\u00e9 et de s\u00e9curit\u00e9 des soins.<br \/>\nEn plus des sollicitations dont il fait l\u2019objet pour participer \u00e0 la certification de son \u00e9tablissement, le praticien sera \u00e9galement confront\u00e9 aux contraintes inscrites dans les missions confi\u00e9es aux ARS et les contrats d\u2019objectifs et de moyens des \u00e9tablissements, et qui sont not\u00e9es dans les nouvelles attributions des CME. Ces mesures encore peu connues, s\u2019ajoutent les unes aux autres sans concertation avec les professionnels et sont mises en place sans coh\u00e9rence avec la d\u00e9marche individuelle de  DPC (d\u00e9veloppement professionnel continu) impos\u00e9e \u00e0 tout m\u00e9decin.<br \/>\nFace \u00e0 ces mesures, la profession commence \u00e0 s\u2019organiser : chaque sp\u00e9cialit\u00e9 m\u00e9dicale et chirurgicale, \u00e0 partir de ses diff\u00e9rentes composantes, va constituer un Conseil National Professionnel, qui pilotera la r\u00e9flexion et les actions relevant du DPC, adh\u00e9rera \u00e0 la FSM (f\u00e9d\u00e9ration des sp\u00e9cialit\u00e9s m\u00e9dicales) et repr\u00e9sentera la sp\u00e9cialit\u00e9 \u00e0 la future CSI (commission scientifique ind\u00e9pendante).<br \/>\nEn parall\u00e8le, une action coll\u00e9giale des 21 sp\u00e9cialit\u00e9s concern\u00e9es par l\u2019accr\u00e9ditation individuelle des m\u00e9decins se met en place avec l\u2019appui de la HAS (Haute Autorit\u00e9 de Sant\u00e9). Cette action devrait avoir un impact majeur pour tous les m\u00e9decins exer\u00e7ant en \u00e9tablissements de sant\u00e9 qu\u2019ils soient publics ou priv\u00e9s. Car, bien que la version d\u00e9finitive du d\u00e9cret d\u2019application du DPC ne soit pas encore publi\u00e9e, il est aujourd\u2019hui act\u00e9 que l\u2019accr\u00e9ditation est une d\u00e9marche validant l\u2019obligation de DPC. Un groupe de travail s\u2019est donc constitu\u00e9 pour \u00e9largir la notion d\u2019accr\u00e9ditation individuelle \u00e0 celle d\u2019accr\u00e9ditation des \u00e9quipes ce qui apportera du sens \u00e0 l\u2019activit\u00e9 quotidienne des praticiens dans leur service.<br \/>\nEnfin, un canal d\u2019information va \u00eatre mis en place par la HAS pour inciter les directeurs d\u2019\u00e9tablissement et les pr\u00e9sidents de CME  \u00e0 consulter le site de la HAS et ceux des Organismes Agr\u00e9\u00e9s-Accr\u00e9ditation (OA-A). Ces donn\u00e9es seront \u00e9galement transmises aux ARS pour leur montrer l\u2019int\u00e9r\u00eat qu\u2019elles auraient \u00e0 b\u00e2tir leurs actions r\u00e9gionales par l\u2019interm\u00e9diaire des OA-A.<br \/>\nEn dehors de l\u2019accr\u00e9ditation, les autres d\u00e9marches ne sont pas encore clairement d\u00e9finies, les m\u00e9decins restent vigilants car ils redoutent de se voir imposer des contrats individuels ou collectifs de normalisation de leurs pratiques sous couvert de validation gracieuse de leur obligation de DPC.<br \/>\nL\u2019objectif pour la profession est simple, permettre aux m\u00e9decins de garder la ma\u00eetrise des d\u00e9marches de qualit\u00e9 et de s\u00e9curit\u00e9 des soins car ils sont les mieux plac\u00e9s pour les d\u00e9finir en terme de pertinence dans chaque sp\u00e9cialit\u00e9 ; ces d\u00e9marches, si elles sont suffisamment structur\u00e9es devraient \u00e9galement satisfaire les exigences locales et r\u00e9gionales \u00e9vitant ainsi aux praticiens de les subir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2010 JP Dupuychaffray Pr\u00e9sident de l\u2019Organisme Agr\u00e9\u00e9 EA-HGE H\u00e9pato-Gastroent\u00e9rologie CH Angoul\u00eame Vie Professionnelle &#8211; \u00a02010-09-04 &#8211;\u00a0CO &#8211; ________________________________ Chaque praticien hospitalier a bien compris les enjeux de la nouvelle gouvernance mise en place dans les h\u00f4pitaux par les dispositions de la Loi HPST (h\u00f4pital patients sant\u00e9 territoire) qui concentrent le pouvoir d\u00e9cisionnaire sur un axe [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[5],"tags":[21],"class_list":["post-1903","post","type-post","status-publish","format-standard","hentry","category-professionnel","tag-21"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Impact de la Loi HPST sur le Praticien Hospitalier - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Impact de la Loi HPST sur le Praticien Hospitalier - Abstracts des congr\u00e8s de l&#039;ANGH\" \/>\n<meta property=\"og:description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta property=\"og:url\" content=\"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/\" \/>\n<meta property=\"og:site_name\" content=\"Abstracts des congr\u00e8s de l&#039;ANGH\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ANGH-2136322560030484\/\" \/>\n<meta property=\"article:published_time\" content=\"2010-10-01T00:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-10-20T16:39:55+00:00\" \/>\n<meta name=\"author\" content=\"abstracts\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"abstracts\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/\"},\"author\":{\"name\":\"abstracts\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1\"},\"headline\":\"Impact de la Loi HPST sur le Praticien Hospitalier\",\"datePublished\":\"2010-10-01T00:00:00+00:00\",\"dateModified\":\"2018-10-20T16:39:55+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/\"},\"wordCount\":626,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\"},\"keywords\":[\"2010\"],\"articleSection\":[\"Vie Professionnelle\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/\",\"url\":\"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/\",\"name\":\"Impact de la Loi HPST sur le Praticien Hospitalier - Abstracts des congr\u00e8s de l&#039;ANGH\",\"isPartOf\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#website\"},\"datePublished\":\"2010-10-01T00:00:00+00:00\",\"dateModified\":\"2018-10-20T16:39:55+00:00\",\"description\":\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\",\"breadcrumb\":{\"@id\":\"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/angh.net\/abstracts\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Impact de la Loi HPST sur le Praticien Hospitalier\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/angh.net\/abstracts\/#website\",\"url\":\"https:\/\/angh.net\/abstracts\/\",\"name\":\"Abstracts des congr\u00e8s de l&#039;ANGH\",\"description\":\"Base de donn\u00e9es des abstracts du congr\u00e8s depuis 2003\",\"publisher\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/angh.net\/abstracts\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\",\"name\":\"ANGH\",\"url\":\"https:\/\/angh.net\/abstracts\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg\",\"contentUrl\":\"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg\",\"width\":48,\"height\":18,\"caption\":\"ANGH\"},\"image\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/ANGH-2136322560030484\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1\",\"name\":\"abstracts\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g\",\"caption\":\"abstracts\"},\"url\":\"https:\/\/angh.net\/abstracts\/author\/abstracts\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Impact de la Loi HPST sur le Praticien Hospitalier - Abstracts des congr\u00e8s de l&#039;ANGH","description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/","og_locale":"fr_FR","og_type":"article","og_title":"Impact de la Loi HPST sur le Praticien Hospitalier - Abstracts des congr\u00e8s de l&#039;ANGH","og_description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","og_url":"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/","og_site_name":"Abstracts des congr\u00e8s de l&#039;ANGH","article_publisher":"https:\/\/www.facebook.com\/ANGH-2136322560030484\/","article_published_time":"2010-10-01T00:00:00+00:00","article_modified_time":"2018-10-20T16:39:55+00:00","author":"abstracts","twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"abstracts","Dur\u00e9e de lecture estim\u00e9e":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/#article","isPartOf":{"@id":"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/"},"author":{"name":"abstracts","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1"},"headline":"Impact de la Loi HPST sur le Praticien Hospitalier","datePublished":"2010-10-01T00:00:00+00:00","dateModified":"2018-10-20T16:39:55+00:00","mainEntityOfPage":{"@id":"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/"},"wordCount":626,"commentCount":0,"publisher":{"@id":"https:\/\/angh.net\/abstracts\/#organization"},"keywords":["2010"],"articleSection":["Vie Professionnelle"],"inLanguage":"fr-FR"},{"@type":"WebPage","@id":"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/","url":"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/","name":"Impact de la Loi HPST sur le Praticien Hospitalier - Abstracts des congr\u00e8s de l&#039;ANGH","isPartOf":{"@id":"https:\/\/angh.net\/abstracts\/#website"},"datePublished":"2010-10-01T00:00:00+00:00","dateModified":"2018-10-20T16:39:55+00:00","description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","breadcrumb":{"@id":"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/angh.net\/abstracts\/impact-de-la-loi-hpst-sur-le-praticien-hospitalier\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/angh.net\/abstracts\/"},{"@type":"ListItem","position":2,"name":"Impact de la Loi HPST sur le Praticien Hospitalier"}]},{"@type":"WebSite","@id":"https:\/\/angh.net\/abstracts\/#website","url":"https:\/\/angh.net\/abstracts\/","name":"Abstracts des congr\u00e8s de l&#039;ANGH","description":"Base de donn\u00e9es des abstracts du congr\u00e8s depuis 2003","publisher":{"@id":"https:\/\/angh.net\/abstracts\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/angh.net\/abstracts\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/angh.net\/abstracts\/#organization","name":"ANGH","url":"https:\/\/angh.net\/abstracts\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/","url":"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg","contentUrl":"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg","width":48,"height":18,"caption":"ANGH"},"image":{"@id":"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ANGH-2136322560030484\/"]},{"@type":"Person","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1","name":"abstracts","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g","caption":"abstracts"},"url":"https:\/\/angh.net\/abstracts\/author\/abstracts\/"}]}},"_links":{"self":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts\/1903","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/comments?post=1903"}],"version-history":[{"count":0,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts\/1903\/revisions"}],"wp:attachment":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/media?parent=1903"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/categories?post=1903"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/tags?post=1903"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}