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Why the public hospital and the private clinic create a health sector in Dreux?

The first patients arrived, in the course of last week, on the third floor of the clinic of La Maison-Blanche, in Vernouillet. They come from Dreux hospital a few kilometers away. They arrived in ambulances and are greeted at the after-care and rehabilitation service.

Guillaume Gaullier, the director of the medical center of La Maison-Blanche, provides the hospital with fifteen beds out of the 28 on this newly renovated third floor.

Patients from Nogent-le-Rotrou were able to be accommodated in Dreux

This relocation is the formalization of an experiment launched in August 2020 by Hugo Montamat, the director of the Dreux hospital center and his counterpart from the La Maison-Blanche medical center to better cope with the waves of Covid-19.

The consequences for patients

First of all, financially. Guillaume Gaullier and Youcef Amara, deputy director of the hospital, affirm it in chorus: “The remainder to charge for the patient is zero”. The clinic director details.

“Patients are fully supported by Social Security and their mutual health insurance, the same for those who benefit from CMU (universal health coverage). Those who need a single room for medical reasons do not pay an extra euro. We do not practice unconventional rates and all of our doctors, apart from one, are all clinic employees ”.

Guillaume Gaullier (clinic director)

In terms of comfort and care, the patient transferred to follow-up and rehabilitation care at La Maison-Blanche remains in the territory. “It’s a relief for him and his family.” If it is taken care of by the teams of nursing staff at the clinic, it is the hospital doctor who continues to monitor it.

I have a laptop connected to the perfectly secure hospital network which allows me to have patient data while fully respecting medical confidentiality

Aziz Aloul (Hospital doctor)

These transfers also free up beds and staff at the Victor-Jousselin hospital center. This is how he was able to welcome Covid patients from Nogent-le-Rotrou. And stands ready to relieve hospitals in the department that would be overwhelmed.

Despite a tense situation, the hospital wants to avoid deprogramming

This also makes it possible to avoid the deprogramming of non-Covid interventions as much as possible.

How do doctors live it?

For a long time, the two establishments ignored or even challenged each other. Their respective departments recognize this: “the cultures are different between the public and the private. We must salute the efforts made by the staff”.

The two doctors involved in this experience seem to be living it quite well.

“We already knew each other as a doctor, which facilitates dialogue. The world of health is very small ”.

Nor Eddine Rharzale (Doctor at the clinic)

His colleague from the hospital says he does not “mind working in the clinic”. He follows his patients and takes no risk in transfers. Patients whose state of health requires the technical means and expertise of the hospital are not transferred.

The two practitioners also believe that it is an opportunity “to discover different practices and adopt the good ones”.

The philosophy of this experience

Each establishment keeps its vocation. The Dreux hospital remains the benchmark institution for “acute treatment”. The Vernouillet clinic rather specializes “in follow-up and rehabilitation care. For example, we had an intensive care unit. This is no longer the case”.

The directors of the two structures conclude.

Hugo Montamat and Guillaume Gaullier

“In short, we are creating a GHT (regional hospital group). We thus ensure continuity of care in the Drouais. It is a way of mitigating the side effects of decisions taken above us. “.

Hugo Montamat and Guillaume Gaullier (The directors)

Valerie Beaudoin

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