The search for performance with repurchases of action, the valuation of the real estate heritage, of “premiumisation” of the supply and the network agrees with the image presented to the families, above all concerned with the Quality of the service.
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Age and addiction have become a market, the hunting ground of very active investment funds that promote the emergence of large private groups such as orpré or Korian, listed on the stock market.
France has 7,502 accommodation institutions for elderly dependent (EHPAD), welcoming 601,304 residents (figures 2020), which are divided between public structures – often annexes of hospitals or municipal centers of action Social – (51% of the places), private and non-profit houses related to associations, congregations or mutual health (29%), and self-contained private establishments so lucrative (20%).
“It is from 1997 that the public authorities, becoming aware of the new needs related to aging and dependence, created the EHPAD and opened this activity and access to public funds to private actors, recalls Ilona Delouette, researcher at the University of Lille and theore of an economy thesis on the financing of dependence management. Private groups have been developing, since then, and have created 40% of the new places . “
“This is a regulated market, says Virginie Magnant, Director of the National Solidarity Fund for Autonomy (CNSA). Before opening an establishment, a double authorization must be obtained, that of the regional agency of health, which finances the care, and that of the departmental council, which supports the costs associated with dependence. These two budgets are very discussed, negotiated and controlled. On the other hand, the price of accommodation, which encompasses the Administration, hotel, restoration, lingerie and animation, is freely fixed by the establishment. Only its evolution, over the stay of the same resident, is limited by a published index each year, by order. “
Sparters on the price of accommodation
So it is on the latter post that the gaps between the institutions are blatant: the average of the residence price revolves, on the entire France, around 2,000 euros per month, goes down to 1,884 euros in the public sector. , climbed to 2 009 euros in the private non-profit, and at 2 657 euros in the commercial commercial.
The rate practiced, however, is not synonymous with increased presence of personnel, an essential element of the quality of the service, since the public employs, on average, 70.6 employees for 100 residents, compared to 52.3 employees in the Private commercial, an important gap, even taking into account the outsourcing of certain tasks, restoration, lingerie, distribution of drugs …
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