The Senator of Aude Gisèle Jourda went to the Castelnaudary hospital center on Monday, August 5. The opportunity for the management of the establishment to present its new vision of the local hospital.
The senator of Aude Gisele Jourda visited the Castelnaudary hospital center on Monday, August 5. This was an opportunity to discuss the realities and ambitions of the local hospital with the director of the establishment, Frédéric Riant, and the president of the Medical Establishment Commission (CME), Dr. Philippe Sol.
A diagnostic center to improve patient monitoring
And among the topics discussed with the senator, the spearhead of the hospital center: to develop the notion of a local hospital by developing a “non-invasive diagnostic center, to be able to carry out, in situ, as many diagnoses as possible to determine patients’ pathologies”, explained Dr. Philippe Sol in our columns. This ambition would notably involve the acquisition of an MRI. “The local hospital must maintain security of medical care. It is often seen as a place for patient orientation and monitoring, but it can also become a driving force for the announcement of diagnosis and allow patients to benefit from treatment either on site or at the CH de Carcassonne or the CHU de Toulouse. We must be aware of this potential that we can use to combat medical desertification and the abandonment of care”, suggests the president of the CME.
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“We insist on the notion of insecurity of access to healthcare in geographical areas intermediate between large metropolises. It is necessary to be able to access healthcare, it is a criterion of attractiveness and anchoring in the territory. We have integrated it into our new vision of a local hospital”, adds Frédéric Riant. Carrying out diagnostic announcements would also make it possible to “diagnose patients who will have nothing, and will therefore not go to consult ultra-specialized services elsewhere. Having this medical level saves time and this notion of delay is vital”, assures the director of the hospital center.
This new vision of the local hospital also includes the implementation of patient follow-up consultations by so-called advanced practice nurses (IPA). In addition to monitoring patient files, they can prescribe additional tests and renew or adapt certain medical prescriptions if necessary. “We have two at our establishment, and a third in training,” explains Dr. Philippe Sol. “The IPAs will be useful for the specialist doctor and the treating physician, who will be reassured that their patient is being monitored,” adds Frédéric Riant.
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“It is a major national health problem”
A message that Gisèle Jourda will bring to the Senate. “I am concerned about access to care and health throughout the Aude region, and I am in favor of the territorial network of health establishments like the one in Castelnaudary. They will drive medical dynamics, each with their own specificities. We must find the right articulation to achieve this territorial network, to remedy the deficiencies of the numerus clausus. We are facing a shortage of doctors. Medical deserts exist and can be understood,” says the senator. “In the national problem of access to care, it is mainly the time to have a consultation. If we do not have this territorial network, we can miss a pathology and the disease progresses. These are national problems, there are so many of them due to the shortage of specialist doctors or not. It is a major national health problem.”
