Régis Dindaud, territorial director of Nièvre for the Burgundy-Franche-Comté Regional Agency, takes stock of this experiment.
Can you go back to the birth of the ephemeral cabinet?
During the period of suspension of Dr Gautheron, who had a very high active queue, it seemed necessary to us — with the territorial professional health community (CPTS) Nevers-Sud Nivernais and the CPAM of Nièvre — to set up a system temporary.
The CPTS was reactive: we had the information at the end of October 2023 and the system was put in place at the end of January 2024. This structure, built in partnership with local doctors, was not a health center which was intended to continue, but a system created at a given moment to offer a temporary response to patients and maintain the supply in the territory while the doctor returns to his activity. Everyone played the game.
5 doctors, 22 nurses, 9 pharmacists
How was it organized?
The organization is very interesting. She relied on a doctor (5 independent doctors rotated) and a team made up of independent nurses from Fourchambault (22 took turns) and 9 pharmacists outside the walls. The latter ensured appointments were made and the files were pre-filled. They played an important role in saving the doctor’s medical time.
He met patients who had already had an interview. Having a structured source of information so that he could find it quickly, without superfluous data, was essential. There were four rooms and a coordinator who managed the fluidity of operation. There were also 120 consultations set up with the Addictions France association.
What is the outcome?
The center was open six days a week, three hours a day. This allowed us to see a little more than twenty patients. The system made it possible to carry out 3,200 consultations from January 29 to October 31. 86% of people questioned were satisfied with the center’s support.
The pop-up office was particularly busy during the summer, with 157 unscheduled care appointments offered to patients referred by the 15th. We knew the emergency situation in Nevers, which helped lighten the load.
Why did the office close at the end of October?
We were faced with a form of attrition after a while, and the CPTS was unable to mobilize other doctors. It is a particular mode of operation. At the same time, the Varennes-Vauzelles health center opened slots for patients with no response.
What is the future of this device?
The goal is for Dr. Gautheron to find his patients and continue his activity. We can imagine, when a doctor suddenly leaves, finding organizations like this to provide answers. The system can be modulated to support young people in the installation.
Deploy it elsewhere? There must be a willingness of doctors ready to work again on this type of system, with a mode of operation different from their current one. This is a solution that I would like to be able to support in developing complementary offers to SOS Médecins.
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