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Palliative care: a priority


This article for you about the recent thinking of the National Advisory Committee on Ethics (CCNE) on ethical issues related to the development of palliative care.
CCNE note that each of the funding systems successively introduced to the hospital induced adverse effects.

Indeed, with the bulk funding, the interest of the schools was to support fewer sick. He was replaced in 2004 by a system of remuneration calculated on the basis of pricing activity, or T2A, flagship of the fabulous Act HSPT. However, it grows to perform more acts or acts to choose better paid: the more visits are short, they are more profitable.

The effects of the dreaded T2A were quickly seen in palliative care services: input selection based on the expected duration of stay, discrimination of certain diseases are slow, some patients ...

CCNE remark that the lack of beds dedicated to palliative care, as well as the shortage of caregivers, make the current situation does not measure up to expectations. It makes several recommendations: as to ensure that pricing continues to be developed taking into account the specific quality indicators.
He also believes it must "promote the multidisciplinary meetings, because" unreasonable obstinacy is often an individual decision. "
CCNE also favored the creation of jobs university hospital in internal medicine, palliative care option to increase the attractiveness of this discipline and to include the teaching of palliative culture in all medical courses.
Measures more than necessary in our country starting to improve those reached who are too often overlooked as they are essential!

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