In Saint-Ouen, the mega-hospital will not fill the medical desert of 93

In Saint-Ouen, the mega-hospital will not fill the medical desert of 93
In Saint-Ouen, the mega-hospital will not fill the medical desert of 93

On paper, the Saint-Ouen Grand Paris Nord hospital has it all: a most modern structure with transparency and greenery, an abundant range of care in a department that sorely needs it.

“The objective of this campus is to build the health of tomorrow, to modernize the hospital network in the north of Paris and to rebalance the provision of care and training in the region”argued Didier Petitjean, at the beginning of February, the general director of deputy services of the AP-HP.

Built on 7 hectares in the extreme southwest of Seine-Saint-Denis at an estimated cost of 1.3 billion euros, the new university hospital campus will be the largest in Europe, according to its promoters. It will be able to accommodate 12,500 students and will house the medical-surgical activities of the Bichat-Claude Bernard hospitals (Paris 18e) and Beaujon (Clichy).

However, unions and groups of caregivers are up in arms against this project which, imagined more than ten years ago, plans less to complete the healthcare offer than to replace the two neighboring hospitals, doomed to disappear. And in the poorest department in France, also the first medical desert, the number of hospital beds will be reduced.

“A project from the world before”

The future complex will certainly have 986 full hospitalization beds and 288 outpatient places, or 1,274 in total, but the two hospitals it must replace had 116 more beds, while the population of 93 is increasing and aging.

“This hospital is a project from the world beforedenounces the doctor at SAMU 93 Christophe Prudhomme. We are carrying out another project: that of a 400-bed hospital equipped with a technical platform and the concomitant renovation of Bichat and Beaujon. » An alternative considered too expensive and complex.

The occupancy rate of this new university hospital would increase directly to 87% on average. According to Christophe Prudhomme, a rate higher than 85% will necessarily lead to saturation of emergencies, while in the departments of the two existing hospitals, which are better equipped, the tension is already real.

“This morning, in the Beaujon emergency room, 18 people were waiting for hospitalization. Among them, half are over 75 years and have been waiting for over 20 hours on a stretcher, including a 104-year-old woman years. This is reality”testified Pierre Schwob, nurse and president of Inter-urgences, during the public inquiry.

A study published last November revealed that an elderly person spending a night on a stretcher presents a 40% increased risk of mortality… In addition, one in two French people have already suffered a delay in hospital care in over the last five years, due to the overwork of the service or the doctor, or the difficulty in obtaining an appointment.

Between 2003 and 2022, 82,000 hospital beds were eliminated in the name of the outpatient shift. However, outpatient care is not suitable for many procedures, even less so for elderly people, isolated people or people who do not have decent housing – a very common profile in Seine-Saint-Denis.

First medical desert in France

The hospital must also compensate for the shortcomings of community medicine. According to the FHF, more than half of French people (54%) admit to having gone to the emergency room for reasons that did not relate to a medical emergency, and for 30% of them, due to failure to find an appointment. in community medicine.

Concretely, almost two thirds of Ile-de-France residents (62.4%) do not have access to sufficient healthcare. In Seine-Saint-Denis, they are 92.8%! The situation is expected to deteriorate further since 41% of doctors are over 60 and will retire in the coming years.

Added to this is the significant drop in supply in sector 1 (without fee overruns), depriving the poorest families of a solution. “The health shortage is everywhere in our departmenttestifies the president of the Fleurs d’aurore association, which helps patients in need of caregivers in Seine-Saint-Denis, Dalila Noomane.

“For general practitioner consultations, people get up in the morning at 6 a.m. to queue in front of the centers which open at 9 hours ! It is shameful. And some specialties are missing : no pediatrician, for example, even though many children suffer from asthma. »

She also denounces the renunciation of care forced by the absence of supply. “For chronic diseases and cancer screening, waiting several months is catastrophic”, she insists. A trend that is also observed on a national scale.

More than six in ten French people have already given up on at least one healthcare procedure over the last five years. The situation alarms the president of the FHF Arnaud Robinet, who describes the situation as “public health time bomb”, and warns that the pressure on hospitalizations is too great.

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