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The double epidemic of dengue and covid could lead to a risk of overloading the hospital system. For Mona Kanaan, one of the solutions lies in the development of home hospitalization (HAD) on the island.
In light of the two epidemics that hit Reunion, the current organization of care could well be reviewed. Hit hard by covid and dengue, Reunion seems to be neglecting a lever to relieve the hospital system by not further developing home hospitalization (HAD).
This is essentially the message conveyed by Mona Kanaan, head of a home care structure, who has just written to all French parliamentarians to make them aware of this subject. ” Reunion is under-endowed in terms of HAD structures compared to the metropolis, indicates the latter. We want to advocate territorial equality but our level of coverage is insufficient. In a recent study, CESER even indicated that two additional structures should be opened in Reunion. ”
More successful medical follow-up
This insufficient coverage makes Mona Kanaan fear that insufficient quality care will be provided to the most vulnerable people, in particular the elderly, who are exposed to health risks. ” Even outside of the covid period, I witnessed scenes in the emergency room where people were lined up and put on hold on care carts. I was then arrested to be able to ensure a return home of these people. In my opinion, the health crisis can only amplify this phenomenon. ” In fact, many hospital beds have been redirected to covid and dengue patients. And for Mona Kanaan, that means sending patients home more quickly, who sometimes require more comprehensive medical follow-up.
” Hospital discharges are accelerated and the average length of stay is decreasing. But if the tracking is not of quality, there may be a high rate of return. We have to support the patients. And especially the elderly who can be faced with precariousness or isolation, otherwise there is a real risk of relapse. ” For the healthcare professional, who is trying to convince the ARS to grant new authorizations in the field of HAD since 2012, there is an urgent need to move the lines. Failing that, Mona Kanaan fears that the mortality curve among gramouns sent home too quickly to make room for other patients will skyrocket.
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