The hospital's objective for more than ten years has been to begin a shift towards outpatient care. Fewer hospitalizations, more home. In fact, patients are leaving hospitals or clinics earlier and earlier to be cared for in town, either by private providers or by an establishment specializing in home hospitalization (HAD).
The number of patients now being treated at home is increasing from year to year – 168,158 people, according to the latest estimates. To date, there are 281 HAD establishments in France, including 27 in New Aquitaine – Gironde has four, Pyrénées-Atlantiques five. A patient can benefit from a HAD when the treating (or hospital) doctor prescribes it, and admission is then validated by the coordinating doctor of the HAD after a medical, paramedical and social evaluation of the patient on the basis of a therapeutic project.
In 2023, palliative care represented more than a quarter of care via a HAD. New indications are gradually emerging, including home chemotherapy, post-chemotherapy monitoring, neurological and orthopedic rehabilitation, and pediatric care. In Gironde, for example, where the territory is vast with a high population density, a platform common to the four HAD centers has been set up to allow the public concerned – patients, liberals and hospital staff – to find a suitable response. as quickly as possible depending on the geographic area.
Why is it cheaper?
For equivalent quality of care as in hospital, HAD costs Health Insurance four times less. Logically, there are no more “hotel” or accommodation costs, nor meals, cleaning, laundry, etc.
Furthermore, the impact on patient morale is positive, the environment being less anxiety-provoking than the hospital, and the risks of nosocomial diseases are also minimized. On the other hand, people living alone have more difficulty being admitted to HAD, because relatives are often asked to support this care.
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