{"id":987502404,"date":"2026-10-12T03:58:57","date_gmt":"2026-10-12T03:58:57","guid":{"rendered":"https:\/\/devoirdagir.fr\/?page_id=987502404"},"modified":"2026-10-12T08:52:25","modified_gmt":"2026-10-12T08:52:25","slug":"un-euro-depense-un-euro-utile-pour-la-sante","status":"publish","type":"page","link":"https:\/\/devoirdagir.fr\/index.php\/un-euro-depense-un-euro-utile-pour-la-sante\/","title":{"rendered":"Un euro d\u00e9pens\u00e9, un euro utile pour la sant\u00e9"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; fullwidth=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.9&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttp:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/fond-presidentielle.webp\u00a0\u00bb min_height_last_edited=\u00a0\u00bboff|tablet\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_fullwidth_header title=\u00a0\u00bbSant\u00e9 2027&Prime; subhead=\u00a0\u00bble devoir d\u2019agir\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb header_image_url_tablet=\u00a0\u00bbhttp:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/FHP-presidentielle-booklet-Couv-2026-def-big-1.png\u00a0\u00bb header_image_url_phone=\u00a0\u00bbhttp:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/FHP-presidentielle-booklet-Couv-2026-def-1.png\u00a0\u00bb header_image_url_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_font=\u00a0\u00bbPoppins|800||on|||||\u00a0\u00bb title_text_align=\u00a0\u00bbcenter\u00a0\u00bb title_text_color=\u00a0\u00bb#d53148&Prime; title_font_size=\u00a0\u00bb100px\u00a0\u00bb content_font=\u00a0\u00bbPoppins||||||||\u00a0\u00bb content_text_color=\u00a0\u00bb#d53148&Prime; content_font_size=\u00a0\u00bb32px\u00a0\u00bb content_line_height=\u00a0\u00bb1.8em\u00a0\u00bb subhead_font=\u00a0\u00bbPoppins|800||on|||||\u00a0\u00bb subhead_text_align=\u00a0\u00bbcenter\u00a0\u00bb subhead_text_color=\u00a0\u00bb#008bcc\u00a0\u00bb subhead_font_size=\u00a0\u00bb50px\u00a0\u00bb subhead_line_height=\u00a0\u00bb1.3em\u00a0\u00bb content_ul_font=\u00a0\u00bb&#8211;et_global_heading_font||||||||\u00a0\u00bb content_ul_text_color=\u00a0\u00bb#008bcc\u00a0\u00bb background_enable_color=\u00a0\u00bboff\u00a0\u00bb background_enable_image=\u00a0\u00bboff\u00a0\u00bb background_blend=\u00a0\u00bbdarken\u00a0\u00bb min_height_tablet=\u00a0\u00bb\u00a0\u00bb min_height_phone=\u00a0\u00bb\u00a0\u00bb min_height_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||true|false\u00a0\u00bb animation_style=\u00a0\u00bbfade\u00a0\u00bb title_font_size_tablet=\u00a0\u00bb90px\u00a0\u00bb title_font_size_phone=\u00a0\u00bb40px\u00a0\u00bb title_font_size_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb content_font_size_tablet=\u00a0\u00bb27px\u00a0\u00bb content_font_size_phone=\u00a0\u00bb14px\u00a0\u00bb content_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb subhead_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb subhead_font_size_phone=\u00a0\u00bb23px\u00a0\u00bb subhead_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><strong>\u00c9lection pr\u00e9sidentielle 2027<br \/><\/strong>Les propositions des cliniques et h\u00f4pitaux priv\u00e9s<\/p>\n<p>[\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; 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menu_text_color__hover_enabled=\u00a0\u00bbon|hover\u00a0\u00bb dropdown_menu_text_color__hover=\u00a0\u00bb#d53148&Prime; dropdown_menu_text_color__hover_enabled=\u00a0\u00bbon|hover\u00a0\u00bb][\/et_pb_menu][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_enable_image=\u00a0\u00bboff\u00a0\u00bb background_size=\u00a0\u00bbcontain\u00a0\u00bb background_position=\u00a0\u00bbcenter_right\u00a0\u00bb custom_padding=\u00a0\u00bb5px||7px|||\u00a0\u00bb background_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb background_enable_image_tablet=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_4,3_4&Prime; use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb2&Prime; make_equal=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb custom_padding=\u00a0\u00bb10px|||||\u00a0\u00bb border_color_top=\u00a0\u00bb#919191&Prime; border_style_top=\u00a0\u00bbdotted\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_4&Prime; _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttp:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/FHP-Site-presidentielle-proposition-1-B-2.png\u00a0\u00bb title_text=\u00a0\u00bbFHP-Site-presidentielle-proposition-1-B\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb align_tablet=\u00a0\u00bbcenter\u00a0\u00bb align_phone=\u00a0\u00bbcenter\u00a0\u00bb align_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width_tablet=\u00a0\u00bb25%\u00a0\u00bb width_phone=\u00a0\u00bb50%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb3_4&Prime; _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb74px||||false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb0px||||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb&#8211;et_global_heading_font|500|||||||\u00a0\u00bb text_font_size=\u00a0\u00bb16px\u00a0\u00bb header_2_font=\u00a0\u00bbPoppins|800||on|||||\u00a0\u00bb header_2_text_align=\u00a0\u00bbleft\u00a0\u00bb header_2_text_color=\u00a0\u00bb#173967&Prime; header_2_font_size=\u00a0\u00bb60px\u00a0\u00bb custom_padding=\u00a0\u00bb10px|10px|10px|10px|true|true\u00a0\u00bb text_font_size_tablet=\u00a0\u00bb15px\u00a0\u00bb text_font_size_phone=\u00a0\u00bb14px\u00a0\u00bb text_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_text_align_tablet=\u00a0\u00bbcenter\u00a0\u00bb header_2_text_align_phone=\u00a0\u00bb\u00a0\u00bb header_2_text_align_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb header_2_font_size_tablet=\u00a0\u00bb48px\u00a0\u00bb header_2_font_size_phone=\u00a0\u00bb31px\u00a0\u00bb header_2_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb border_color_all=\u00a0\u00bb#0C71C3&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2>GARANTIR LA SOUTENABILIT\u00c9<br \/>DE NOTRE SYST\u00c8ME DE SANT\u00c9<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttp:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/Bande-chapitre-1-gauche-scaled-1.png\u00a0\u00bb background_size=\u00a0\u00bbcontain\u00a0\u00bb background_position=\u00a0\u00bbcenter_left\u00a0\u00bb custom_padding=\u00a0\u00bb5px||7px|||\u00a0\u00bb background_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb background_enable_image_tablet=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb custom_padding=\u00a0\u00bb0px||||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_font=\u00a0\u00bbPoppins|600||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bb#2baae2&Prime; header_font_size=\u00a0\u00bb42px\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb34px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb24px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb border_color_bottom=\u00a0\u00bb#0C71C3&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1 style=\"text-align: left;\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/fleche-titre-1.png\" width=\"29\" height=\"33\" alt=\"\" class=\"wp-image-987501817 alignnone size-full\" \/>\u00a0UN EURO D\u00c9PENS\u00c9, UN EURO UTILE POUR LA SANT\u00c9<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_4,3_4&Prime; use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb2&Prime; make_equal=\u00a0\u00bbon\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb custom_padding=\u00a0\u00bb0px|10px|||false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb|0px|||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb|0px|||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_4&Prime; _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_font=\u00a0\u00bbPoppins|700|||||||\u00a0\u00bb header_text_align=\u00a0\u00bbright\u00a0\u00bb header_text_color=\u00a0\u00bb#2baae2&Prime; header_line_height=\u00a0\u00bb1.3em\u00a0\u00bb header_text_align_tablet=\u00a0\u00bbleft\u00a0\u00bb header_text_align_phone=\u00a0\u00bbleft\u00a0\u00bb header_text_align_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb\u00a0\u00bb header_font_size_phone=\u00a0\u00bb20px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1>Notre solution pour une juste utilisation des deniers publics au b\u00e9n\u00e9fice du patient et du syst\u00e8me de sant\u00e9<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb3_4&Prime; _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_2_font=\u00a0\u00bbPoppins||||||||\u00a0\u00bb header_2_text_align=\u00a0\u00bbcenter\u00a0\u00bb header_2_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_2_line_height=\u00a0\u00bb1.3em\u00a0\u00bb header_4_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.3em\u00a0\u00bb background_color=\u00a0\u00bb#2baae2&Prime; custom_padding=\u00a0\u00bb9px|10px|0px|10px|false|true\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb9px|10px|0px|10px|false|true\u00a0\u00bb custom_padding_phone=\u00a0\u00bb10px||||false|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_font_size_tablet=\u00a0\u00bb24px\u00a0\u00bb header_2_font_size_phone=\u00a0\u00bb22px\u00a0\u00bb header_2_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb border_radii=\u00a0\u00bboff|20px|20px||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2><strong>PROPOSITION #02<\/strong><\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bbPoppins||||||||\u00a0\u00bb header_3_font=\u00a0\u00bbPoppins|700|||||||\u00a0\u00bb header_3_text_align=\u00a0\u00bbleft\u00a0\u00bb header_3_text_color=\u00a0\u00bb#2baae2&Prime; header_3_line_height=\u00a0\u00bb1.3em\u00a0\u00bb header_4_font=\u00a0\u00bbPoppins|700||on|||||\u00a0\u00bb header_4_text_align=\u00a0\u00bbleft\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.3em\u00a0\u00bb text_orientation=\u00a0\u00bbjustified\u00a0\u00bb text_orientation_tablet=\u00a0\u00bbjustified\u00a0\u00bb text_orientation_phone=\u00a0\u00bbleft\u00a0\u00bb text_orientation_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3>Evaluer chaque euro d\u00e9pens\u00e9 dans le syst\u00e8me de sant\u00e9 \u00e0 l\u2019aune du service rendu, des activit\u00e9s et missions r\u00e9alis\u00e9es<\/h3>\n<h4><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/Fleche-retour-1.png\" width=\"31\" height=\"31\" alt=\"\" class=\"wp-image-987501791 alignnone size-full\" \/> Le constat<\/h4>\n<p>La France d\u00e9pense toujours plus pour son syst\u00e8me de sant\u00e9. L\u2019Objectif national de d\u00e9penses d\u2019Assurance Maladie \u00ab \u00e9tablissements de sant\u00e9\u00a0\u00bb a \u00e9volu\u00e9 de 33,65 % (+28,4 milliards d\u2019euros) entre 2020 et 2026. Pourtant, le syst\u00e8me de sant\u00e9 n\u2019a jamais \u00e9t\u00e9 autant sous tension.<\/p>\n<p>Si rien ne change, les d\u00e9ficits continueront de se creuser, l\u2019acc\u00e8s aux soins de se d\u00e9grader et les moyens de se disperser sans am\u00e9lioration r\u00e9elle pour les patients.<\/p>\n<p>La situation d\u00e9grad\u00e9e des comptes publics exige de passer d\u2019un financement des structures \u00e0 un financement des activit\u00e9s et missions r\u00e9alis\u00e9es et du service rendu. A titre d\u2019exemple, les activit\u00e9s de soins m\u00e9dicaux et de r\u00e9adaptation que les \u00e9tablissements de sant\u00e9 priv\u00e9s r\u00e9alisent dans les m\u00eames conditions que les \u00e9tablissements publics se voient reconnaitre un tarif 80% inf\u00e9rieur. Cet \u00e9cart tarifaire, qui ne peut avoir aucune justification, p\u00e9nalise les parcours de soins et l\u2019efficience du syst\u00e8me. Cette logique n\u2019est plus soutenable.<\/p>\n<h4><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/Fleche-retour-1.png\" width=\"31\" height=\"31\" alt=\"\" class=\"wp-image-987501791 alignnone size-full\" \/>\u00a0Notre proposition<\/h4>\n<p>Evaluons les organisations et chaque euro d\u00e9pens\u00e9 dans le syst\u00e8me de sant\u00e9 \u00e0 l\u2019aune du service rendu au patient, des activit\u00e9s r\u00e9ellement r\u00e9alis\u00e9es et des r\u00e9sultats obtenus.<\/p>\n<p>Dans cette perspective, le d\u00e9veloppement des indicateurs de r\u00e9sultats rapport\u00e9s par les patients (PROMs) constitue un levier essentiel pour mesurer concr\u00e8tement l\u2019impact des prises en charge sur la qualit\u00e9 de vie, l\u2019\u00e9tat de sant\u00e9 et la satisfaction des patients. Leur int\u00e9gration dans les m\u00e9canismes d\u2019\u00e9valuation et de financement permettrait d\u2019orienter plus finement les ressources vers les pratiques les plus pertinentes. Cette transformation doit am\u00e9liorer durablement l\u2019acc\u00e8s aux soins, renforcer la soutenabilit\u00e9 du syst\u00e8me de sant\u00e9 et mieux utiliser l\u2019argent public.<\/p>\n<p>Dans ce contexte, il est \u00e9galement indispensable de diversifier les mod\u00e8les de financement des \u00e9tablissements de sant\u00e9 afin de maintenir une offre de soins de qualit\u00e9, d\u2019investir dans l\u2019innovation et d\u2019adapter leurs organisations aux besoins des patients. Cela suppose de faire \u00e9merger un mod\u00e8le de financement renouvel\u00e9, int\u00e9grant des prestations, des services et des parcours de soins aujourd\u2019hui insuffisamment couverts, notamment en dehors du champ de l\u2019Assurance Maladie obligatoire.<\/p>\n<p>[\/et_pb_text][et_pb_toggle title=\u00a0\u00bbLa preuve  par l\u2019exemple \u00a0\u00bb open_toggle_text_color=\u00a0\u00bb#2baae2&Prime; open_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb closed_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb open_icon_color=\u00a0\u00bb#2baae2&Prime; _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_text_color=\u00a0\u00bb#2baae2&Prime; title_font=\u00a0\u00bbPoppins|700|||||||\u00a0\u00bb title_text_align=\u00a0\u00bbleft\u00a0\u00bb body_font=\u00a0\u00bbPoppins||||||||\u00a0\u00bb body_text_align=\u00a0\u00bbjustify\u00a0\u00bb body_text_align_tablet=\u00a0\u00bbjustify\u00a0\u00bb body_text_align_phone=\u00a0\u00bbleft\u00a0\u00bb body_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb border_width_all=\u00a0\u00bb0px\u00a0\u00bb border_width_bottom=\u00a0\u00bb2px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/preuve-1.png\" width=\"86\" height=\"46\" alt=\"\" class=\"wp-image-987501795 alignnone size-full\" style=\"float: left;\" \/>Plus de 3,6 milliards d\u2019euros de financement ont \u00e9t\u00e9 allou\u00e9s \u00e0 des \u00e9tablissements de SMR et de psychiatrie sans activit\u00e9 en regard, la dotation populationnelle \u00e9tant d\u00e9finie sur la base de lits d\u00e9clar\u00e9s et non d\u2019activit\u00e9. La simple redistribution des moyens allou\u00e9s \u00e0 des structures sans activit\u00e9 vers les activit\u00e9s r\u00e9alis\u00e9es permettrait de retrouver les marges de man\u0153uvre n\u00e9cessaires, dans un cadre d\u2019\u00e9valuation et de transparence.<\/p>\n<p>Le secteur de l\u2019hospitalisation priv\u00e9e repr\u00e9sente 35% de l\u2019activit\u00e9 hospitali\u00e8re tout en ne \u00ab consommant \u00bb que 17% de l\u2019argent public allou\u00e9 aux \u00e9tablissements de sant\u00e9. Par un financement \u00e0 l\u2019activit\u00e9, un lit d\u2019hospitalisation vide ne co\u00fbte rien \u00e0 l\u2019Assurance Maladie.<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=\u00a0\u00bbDocuments  \u00e0 l\u2019appui\u00a0\u00bb open_toggle_text_color=\u00a0\u00bb#2baae2&Prime; open_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb closed_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb open_icon_color=\u00a0\u00bb#2baae2&Prime; _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_text_color=\u00a0\u00bb#2baae2&Prime; title_font=\u00a0\u00bbPoppins|700|||||||\u00a0\u00bb title_text_align=\u00a0\u00bbleft\u00a0\u00bb body_font=\u00a0\u00bbPoppins||||||||\u00a0\u00bb body_text_align=\u00a0\u00bbjustify\u00a0\u00bb body_text_align_tablet=\u00a0\u00bbjustify\u00a0\u00bb body_text_align_phone=\u00a0\u00bbleft\u00a0\u00bb body_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb border_width_all=\u00a0\u00bb0px\u00a0\u00bb border_width_bottom=\u00a0\u00bb2px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb button_text_size_tablet=\u00a0\u00bb14px\u00a0\u00bb button_text_size_phone=\u00a0\u00bb12px\u00a0\u00bb button_text_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/documemts-appui-1.png\" width=\"86\" height=\"46\" alt=\"\" class=\"wp-image-987501790 alignnone size-full\" style=\"float: left;\" \/><strong>Rapport IGAS d\u2019octobre 2024 : La prise en compte des preuves scientifiques dans les actions de pr\u00e9vention et promotion de la sant\u00e9 <\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/guillemets-entree-2.png\" width=\"15\" height=\"13\" alt=\"\" class=\"wp-image-987501792 alignnone size-full\" \/> <em>D\u00e8s lors que l\u2019on se situe dans un contexte de ressources limit\u00e9es, le fait qu\u2019une action soit efficace ne suffit pas \u00e0 justifier sa mise en \u0153uvre. Il convient aussi d\u2019\u00e9tablir qu\u2019elle est efficiente, soit que le rapport entre les ressources engag\u00e9es et les r\u00e9sultats obtenus est favorable.<\/em> <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/guillemets-sortie-2.png\" width=\"15\" height=\"13\" alt=\"\" class=\"wp-image-987501793 alignnone size-full\" \/><\/p>\n<p><strong>Une \u00e9tude \u00e9conomique r\u00e9alis\u00e9e par le cabinet Roland Berger en 2025<\/strong> caract\u00e9rise le diff\u00e9rentiel de tarifs entre secteur priv\u00e9 et secteur public pour les soins m\u00e9dicaux et de r\u00e9adaptation, passant de 40% \u00e0 80% entre 2022 et 2024 \u00e0 missions identiques.<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=\u00a0\u00bbLes leviers  de la r\u00e9ussite\u00a0\u00bb open_toggle_text_color=\u00a0\u00bb#2baae2&Prime; open_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb closed_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb open_icon_color=\u00a0\u00bb#2baae2&Prime; _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_text_color=\u00a0\u00bb#2baae2&Prime; title_font=\u00a0\u00bbPoppins|700|||||||\u00a0\u00bb title_text_align=\u00a0\u00bbleft\u00a0\u00bb body_font=\u00a0\u00bbPoppins||||||||\u00a0\u00bb body_text_align=\u00a0\u00bbjustify\u00a0\u00bb body_text_align_tablet=\u00a0\u00bbjustify\u00a0\u00bb body_text_align_phone=\u00a0\u00bbleft\u00a0\u00bb body_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb border_width_all=\u00a0\u00bb0px\u00a0\u00bb border_width_bottom=\u00a0\u00bb2px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/leviers-reussite-1.png\" width=\"86\" height=\"46\" alt=\"\" class=\"wp-image-987501794 alignnone size-full\" \/><\/p>\n<ul>\n<li>Evaluer chaque euro d\u00e9pens\u00e9 \u00e0 l\u2019aune des missions r\u00e9alis\u00e9es ;<\/li>\n<li>Renforcer la transparence et l\u2019\u00e9quit\u00e9 des financements allou\u00e9s aux acteurs de sant\u00e9, en rem\u00e9diant notamment \u00e0 l\u2019opacit\u00e9 du Fonds d\u2019intervention r\u00e9gional (FIR) ;<\/li>\n<li>Redistribuer les moyens financiers en se fondant sur le service rendu ;<\/li>\n<li>R\u00e9duire les \u00e9carts de financement injustifi\u00e9s entre \u00e9tablissements exer\u00e7ant les m\u00eames missions ;<\/li>\n<li>Reconnaitre une Assurance Maladie \u00ab acheteuse de soins \u00bb selon des crit\u00e8res d\u2019efficience ;<\/li>\n<li>Augmenter le financement \u00e0 la qualit\u00e9 en y int\u00e9grant des indicateurs de qualit\u00e9 et de r\u00e9sultats rapport\u00e9s par les patients ;<\/li>\n<li>Cr\u00e9er des marges de man\u0153uvre nouvelles pour les \u00e9tablissements de sant\u00e9 en soutien \u00e0 leur contribution aux objectifs de sant\u00e9 publique (mise en place de forfaits : ambulatoire, pr\u00e9vention, innovation\u2026).<\/li>\n<\/ul>\n<p>[\/et_pb_toggle][et_pb_button button_url=\u00a0\u00bbhttps:\/\/devoirdagir.fr\/index.php\/la-sante-un-enjeu-transversal-a-toutes-les-politiques\/\u00a0\u00bb button_text=\u00a0\u00bbSuivante\u00a0\u00bb button_alignment=\u00a0\u00bbcenter\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; 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Tous droits r\u00e9serv\u00e9s I <a href=\"https:\/\/fhp.fr\/nous-contacter\/\">Nous contacter<\/a> I <a href=\"https:\/\/fhp.fr\/politique-de-confidentialite\/\">Mentions l\u00e9gales<\/a> I Cr\u00e9ation :\u00a0<\/span><a href=\"http:\/\/www.lagenceoh.com\/\" target=\"_blank\" rel=\"noopener\">L&rsquo;Agence OH<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb1&Prime; custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb max_width=\u00a0\u00bb175px\u00a0\u00bb max_width_tablet=\u00a0\u00bb175px\u00a0\u00bb max_width_phone=\u00a0\u00bb45%\u00a0\u00bb max_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb max_height_tablet=\u00a0\u00bb\u00a0\u00bb max_height_phone=\u00a0\u00bb\u00a0\u00bb max_height_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb overflow-x=\u00a0\u00bbvisible\u00a0\u00bb overflow-y=\u00a0\u00bbvisible\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb14px||0px||false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb14px||0px||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb10px||0px||false|false\u00a0\u00bb background_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_main_element=\u00a0\u00bbpadding: 1em;||display: flex;||align-items: center;||\u00a0\u00bb border_radii=\u00a0\u00bboff|30px|30px||\u00a0\u00bb border_width_all=\u00a0\u00bb1px\u00a0\u00bb border_color_all=\u00a0\u00bb#FFFFFF\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; 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