After the Bordeaux University Hospital at the end of May, the patient filtering system became widespread in around forty establishments, the vast majority of the evening and at night. Some hospitals find an immediate effect on the number of incoming patients.
This is one of the most delicate measures deployed by the government this summer, faced with the emergency crisis: allowing services to regulate entry by filtering the passages, mainly by the SAMU. From the end of May, the CHU Pellegrin, in Bordeaux, caused a thunderclap by putting in place this operation at night, for lack of sufficient workforce. Unheard of in a hospital of this size, which called on civil protection volunteers to orient people who would still present themselves in the evening, in front of its closed doors. Since then, other establishments have taken this path, in dispersed order, with an acceleration as summer is advancing.
They are around forty, estimated François Braun, the Minister of Health, On Franceinfo , July 27. An “significant” increase in figure. “It is not a filtering, he said, however. The principle is to say that if [a health problem] is not a matter of an emergency service or a technical platform for Emergencies, you will be better taken care of, and faster, in another way. (…) And it is the work of medical regulation (…) to redirect yourself. “
A national communication campaign was launched on July 25, with the slogan “before going to the emergency room, if my doctor is not available, I call the 15th”. Regional health agencies and many hospitals had already started to communicate in this direction for several weeks. The objective is to secure the management of the most serious emergencies.
Beyond the general incentive, in hospitals where this regulation has become compulsory to enter the emergency room, several situations are superimposed. This filtering by the 15 thus concerns certain services obliged to “close” truly at night, with only a medical presence in a vital emergency, mainly in rural areas or small towns. It is also deployed in major emergency services which, behind their “closed” doors, remain open to patients, but only those sent by regulation. At the entrance, these are often intercoms that lead to 15, with, from one territory to another, times which differ for a vast majority system on the evening and the night.
The SAMU much more requested
In recent days of July, the list of health establishments that have triggered it has lengthened, with the practical methods specific to everyone, greeted in the pages of the local press. Metz-Thionville, Troyes, Mâcon, the Hospitals of Vendée, those of Lot-et-Garonne… were added to Sarlat on certain days, or even at the Cotentin public hospital every day from 3 p.m. Data-format = “inread” aria-hidden = “true”>
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