Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 Warning: Cannot modify header information - headers already sent by (output started at /var/www/vhosts/3-min.info/httpdocs/index.php:1) in /var/www/vhosts/3-min.info/httpdocs/wp_201802/wp-includes/rest-api/class-wp-rest-server.php on line 1902 {"id":11056,"date":"2018-06-20T05:59:22","date_gmt":"2018-06-20T03:59:22","guid":{"rendered":"https:\/\/www.3-min.info\/2018\/06\/20\/evolution-des-couts-de-la-sante-ou-rien-de-nouveau-sous-le-soleil\/"},"modified":"2018-06-20T07:15:36","modified_gmt":"2018-06-20T05:15:36","slug":"evolution-des-couts-de-la-sante-ou-rien-de-nouveau-sous-le-soleil","status":"publish","type":"post","link":"https:\/\/3-min.info\/fr\/2018\/06\/20\/evolution-des-couts-de-la-sante-ou-rien-de-nouveau-sous-le-soleil\/","title":{"rendered":"Evolution des co\u00fbts de la sant\u00e9 ou rien de nouveau sous le soleil"},"content":{"rendered":"

A mi-juin, 3-min.info a particip\u00e9 \u00e0 une r\u00e9union au cours de laquelle le KOF (Centre de recherches \u00e9conomiques de l\u2019EPF de Zurich) pr\u00e9sentait ses pr\u00e9visions sur les d\u00e9penses de sant\u00e9 pour la p\u00e9riode 2017 \u2013 2019 \u00e0 de nombreux conseillers nationaux, aux Etats et d\u2019Etat, ainsi qu\u2019\u00e0 des protagonistes du syst\u00e8me de sant\u00e9.<\/p>\n

Il en est ressorti que les d\u00e9penses li\u00e9es au syst\u00e8me suisse de sant\u00e9 sont en augmentation constante. Et cette augmentation est plus ou moins parall\u00e8le \u00e0 la part du Produit Int\u00e9rieur brut (PIB) qu\u2019elles repr\u00e9sentent. La courbe est lin\u00e9aire au fil des ans: En 1980, la part de la sant\u00e9 au PIB \u00e9tait d\u2019environ 6,5%. Son doublement, \u00e0 13% en 2019, sera vraisemblablement proche de la r\u00e9alit\u00e9. Toutes les mesures prises au cours des 25 derni\u00e8res ann\u00e9es pour freiner la progression des co\u00fbts n\u2019ont donc par cons\u00e9quent pas eu d\u2019effet. Pour s\u2019exprimer de mani\u00e8re positive: elles ont peut-\u00eatre \u00e9vit\u00e9 une progression encore plus forte.<\/p>\n

\"\"<\/p>\n

Malheureusement, rien de bien nouveau n\u2019a \u00e9t\u00e9 formul\u00e9 sur les causes de cette hausse. Le fait que les d\u00e9penses augmentent de fa\u00e7on exponentielle avec l\u2019\u00e2ge est impressionnant mais bien connu depuis longtemps.<\/p>\n

 <\/p>\n

\"\"<\/p>\n

Cet aspect n\u2019a malheureusement pas \u00e9t\u00e9 discut\u00e9 lors de la table ronde qui r\u00e9unissait un repr\u00e9sentant de la FMH, une repr\u00e9sentante des soignants, le surveillant des prix et le CEO d\u2019une grande caisse maladie. Chaque orateur a d\u00e9fendu sa position et cultiv\u00e9 son propre jardin. La discussion n\u2019a g\u00e9n\u00e9r\u00e9 aucune approche nouvelle, aucune id\u00e9e brillante sur la fa\u00e7on dont ce probl\u00e8me pourrait \u00eatre r\u00e9solu. Les politiciens, tout comme les repr\u00e9sentants du monde de la sant\u00e9, se content de mesures \u00e0 court terme. Leurs votes ne manifestent rien d\u2019autre que \u00ab\u00a0Business as usual\u00a0\u00bb. On se contente d\u2019exercices alibi en serrant un peu les co\u00fbts ici et l\u00e0, le surveillant des prix insistant quant \u00e0 lui sur le prix de r\u00e9f\u00e9rence des g\u00e9n\u00e9riques, alors que ceux-ci repr\u00e9sentent moins de 1% de l\u2019ensemble des co\u00fbts de la sant\u00e9. Mais de cela, \u00e9videmment il n\u2019en parle pas. Selon la devise: Je ne laisse pas les faits d\u00e9truire mon id\u00e9ologie !\u00a0 Et avec l\u2019argument selon lequel le syst\u00e8me de sant\u00e9 est si complexe que les mesures concr\u00e8tes sont faciles \u00e0 contourner. Nous avons attendu en vain des d\u00e9clarations sur la transparence des co\u00fbts, sur le dossier \u00e9lectronique du patient ou sur les analyses des grands volumes de donn\u00e9es (big data), pour ne mentionner que quelques mots-cl\u00e9s.<\/p>\n

En examinant les co\u00fbts par fournisseurs de prestations, une chose est claire\u00a0: avec la baisse continue de sa part aux co\u00fbts totaux, le commerce de d\u00e9tail, dans le syst\u00e8me de sant\u00e9 il s\u2019agit des pharmacies, n\u2019est certainement pas la cause de ce fiasco\u00a0!<\/p>\n

 <\/p>\n

\"\"<\/p>\n

 <\/p>\n

Nous nous posons la question\u00a0: quelle est la vue d\u2019ensemble du Conseil f\u00e9d\u00e9ral, des politiciens, du surveillant des prix, des fournisseurs de prestations, des caisses maladie\u00a0? Ne voient-ils tous que du brouillard\u00a0? On pourrait s\u2019attendre \u00e0 ce que les responsables axent leurs efforts l\u00e0 o\u00f9 la plus grande partie des co\u00fbts sont g\u00e9n\u00e9r\u00e9s. Selon une r\u00e9cente \u00e9tude am\u00e9ricaine, 5% des patients induisent le 51 % des co\u00fbts. Une gestion active dans le cadre d\u2019une \u00e9quipe interdisciplinaire int\u00e9grant m\u00e9decins, soignants, pharmaciens et caisses maladie, avec un dossier \u00e9lectronique du patient transparent et interactif, serait une approche concr\u00e8te et efficace en Suisse aussi. Elle permettrait d\u2019am\u00e9liorer la qualit\u00e9, d\u2019\u00e9viter les doublons et de r\u00e9duire massivement les co\u00fbts\u00a0!<\/p>\n

 <\/p>\n

\"\"<\/p>\n

 <\/p>\n

Pour finir, le pronostic du KOF<\/p>\n

\"\"<\/p>\n

 <\/p>\n

Le commentaire de 3-min.info\u00a0: Le mur vers lequel nous nous dirigeons est \u00e0 port\u00e9e de vue\u00a0!<\/em><\/strong><\/h3>\n","protected":false},"excerpt":{"rendered":"

A mi-juin, 3-min.info a particip\u00e9 \u00e0 une r\u00e9union au cours de laquelle le KOF (Centre de recherches \u00e9conomiques de l\u2019EPF de Zurich) pr\u00e9sentait ses pr\u00e9visions […]<\/p>\n","protected":false},"author":2,"featured_media":11058,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[61],"tags":[],"class_list":["post-11056","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actuel"],"jetpack_featured_media_url":"https:\/\/www.3-min.info\/wp_201802\/wp-content\/uploads\/2018\/06\/Fotolia_54264387_retoucheV2.png","_links":{"self":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11056","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/comments?post=11056"}],"version-history":[{"count":3,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11056\/revisions"}],"predecessor-version":[{"id":11061,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/posts\/11056\/revisions\/11061"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media\/11058"}],"wp:attachment":[{"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/media?parent=11056"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/categories?post=11056"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/3-min.info\/fr\/wp-json\/wp\/v2\/tags?post=11056"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}