{"id":987502467,"date":"2026-10-12T05:04:46","date_gmt":"2026-10-12T05:04:46","guid":{"rendered":"https:\/\/devoirdagir.fr\/?page_id=987502467"},"modified":"2026-10-12T08:48:23","modified_gmt":"2026-10-12T08:48:23","slug":"pour-une-alliance-territoriale-de-sante","status":"publish","type":"page","link":"https:\/\/devoirdagir.fr\/index.php\/pour-une-alliance-territoriale-de-sante\/","title":{"rendered":"Pour une alliance territoriale de 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-4.png\u00a0\u00bb header_image_url_phone=\u00a0\u00bbhttp:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/FHP-presidentielle-booklet-Couv-2026-def-3.png\u00a0\u00bb header_image_url_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.9&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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_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\u00bb4.27.6&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>ASSURER UN ACC\u00c8S AUX SOINS POUR TOUS, PARTOUT SUR LE TERRITOIRE<\/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-2-gauche.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|desktop\u00a0\u00bb background_enable_image_tablet=\u00a0\u00bboff\u00a0\u00bb locked=\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\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_font=\u00a0\u00bbPoppins|600||on|||||\u00a0\u00bb header_text_align=\u00a0\u00bbleft\u00a0\u00bb header_text_color=\u00a0\u00bb#8ec043&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><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/fleche-titre-2-1.png\" width=\"29\" height=\"34\" alt=\"\" class=\"wp-image-987501852 alignnone size-full\" \/> Pour une alliance territoriale de sant\u00e9<\/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#8ec043&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 rendre op\u00e9rationnelle la responsabilit\u00e9 territoriale de tous les acteurs de sant\u00e9 sur un territoire<\/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#8ec043&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 #06<\/strong><\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.27.6&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\u00bbjustify\u00a0\u00bb header_3_text_color=\u00a0\u00bb#8ec043&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 header_3_text_align_tablet=\u00a0\u00bbjustify\u00a0\u00bb header_3_text_align_phone=\u00a0\u00bbleft\u00a0\u00bb header_3_text_align_last_edited=\u00a0\u00bbon|phone\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>Instaurer un Pacte territorial de responsabilit\u00e9 en sant\u00e9<\/h3>\n<h4><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/Fleche-retour-2-1.png\" width=\"31\" height=\"31\" alt=\"\" class=\"wp-image-987501849 alignnone size-full\" \/> Le constat<\/h4>\n<p>Le syst\u00e8me de sant\u00e9 fran\u00e7ais reste organis\u00e9 en silos. Dans un contexte de contraintes budg\u00e9taires et de besoins croissants, une \u00e9volution profonde de l\u2019organisation du syst\u00e8me de sant\u00e9 est n\u00e9cessaire afin d\u2019engager l\u2019ensemble des acteurs autour d\u2019objectifs communs.<\/p>\n<p>Pourtant, les politiques de sant\u00e9 continuent d\u2019\u00eatre d\u00e9clin\u00e9es \u00e0 travers une multitude de dispositifs, souvent sans objectifs communs, et les querelles de statut l\u2019emportent trop souvent sur la recherche du meilleur parcours pour le patient.<\/p>\n<h4><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/Fleche-retour-2-1.png\" width=\"31\" height=\"31\" alt=\"\" class=\"wp-image-987501849 alignnone size-full\" \/>\u00a0Notre proposition<\/h4>\n<p>Instaurons une alliance territoriale de sant\u00e9, \u00e0 travers un pacte territorial de responsabilit\u00e9 en sant\u00e9 engageant l\u2019ensemble des acteurs d\u2019un territoire \u2014 \u00e9tablissements publics et priv\u00e9s, m\u00e9decine de ville, m\u00e9dico-social, financeurs et r\u00e9gulateur \u2014 autour de r\u00e9sultats mesurables en mati\u00e8re de sant\u00e9 publique. Cela rendra effective la responsabilit\u00e9 territoriale d\u00e9j\u00e0 pr\u00e9vue par la loi. Ce Pacte d\u00e9clinera, dans chaque territoire, les objectifs fix\u00e9s par la Strat\u00e9gie nationale de sant\u00e9, avec une \u00e9valuation annuelle et des r\u00e9sultats rendus publics.\u00a0<\/p>\n<p>L\u2019objectif est de passer d\u2019une logique de juxtaposition des acteurs \u00e0 une logique de responsabilit\u00e9 collective au service des patients.<\/p>\n<p>Le Pacte territorial prendra la forme d\u2019un contrat contenant les engagements de chacun. Une part des cr\u00e9dits territoriaux, notamment du Fonds d\u2019intervention r\u00e9gional, sera mobilis\u00e9e pour soutenir les actions engag\u00e9es. Lorsque les objectifs sont atteints, les acteurs du territoire b\u00e9n\u00e9ficient collectivement de marges de man\u0153uvre suppl\u00e9mentaires. Ainsi, l\u2019ensemble des acteurs a int\u00e9r\u00eat \u00e0 travailler ensemble vers un objectif commun et \u00e0 privil\u00e9gier l\u2019organisation la plus efficiente pour le patient.<\/p>\n<p>[\/et_pb_text][et_pb_toggle title=\u00a0\u00bbLa preuve  par l\u2019exemple \u00a0\u00bb open_toggle_text_color=\u00a0\u00bb#8ec043&Prime; open_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb closed_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb open_icon_color=\u00a0\u00bb#8ec043&Prime; _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_text_color=\u00a0\u00bb#8ec043&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-chap-2-300x160-1.png\" width=\"86\" height=\"46\" alt=\"\" class=\"wp-image-987501835 alignnone size-medium\" style=\"float: left;\" \/>Depuis plus de dix ans, les \u00c9tats-Unis ont d\u00e9velopp\u00e9 des Accountable Care Organizations (ACO), des organisations territoriales r\u00e9unissant h\u00f4pitaux, m\u00e9decins de ville, structures de soins et assureurs autour d\u2019objectifs communs de sant\u00e9 publique.<\/p>\n<p>Les acteurs d\u2019un territoire sont collectivement responsables de la qualit\u00e9 des soins, de la coordination des parcours et de la ma\u00eetrise des d\u00e9penses pour une population donn\u00e9e. Les r\u00e9sultats sont mesur\u00e9s \u00e0 partir d\u2019indicateurs publics (pr\u00e9vention, hospitalisations \u00e9vitables, satisfaction des patients, qualit\u00e9 des parcours, co\u00fbts). Lorsque les objectifs sont atteints, les \u00e9conomies r\u00e9alis\u00e9es sont partag\u00e9es entre les acteurs du territoire, cr\u00e9ant une forte incitation \u00e0 coop\u00e9rer.<\/p>\n<p>En France, l\u2019\u00c9tat a d\u00e9j\u00e0 mis en place, dans le domaine de la transition \u00e9cologique, des contrats territoriaux associant collectivit\u00e9s, op\u00e9rateurs publics et acteurs \u00e9conomiques autour d\u2019objectifs mesurables. Chaque acteur s\u2019engage sur des objectifs communs, financ\u00e9s en partie par des cr\u00e9dits territoriaux, avec un suivi r\u00e9gulier des r\u00e9sultats. Les territoires obtenant les meilleurs r\u00e9sultats b\u00e9n\u00e9ficient de moyens et de marges de man\u0153uvre suppl\u00e9mentaires.<\/p>\n<p>La sant\u00e9 doit suivre cette m\u00eame logique\u00a0: sortir des logiques en silo pour construire une responsabilit\u00e9 collective territoriale au service des patients.<\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=\u00a0\u00bbDocuments  \u00e0 l\u2019appui\u00a0\u00bb open_toggle_text_color=\u00a0\u00bb#8ec043&Prime; open_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb closed_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb open_icon_color=\u00a0\u00bb#8ec043&Prime; _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_text_color=\u00a0\u00bb#8ec043&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><strong><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/documents-appui-chap-2-300x160-1.png\" width=\"86\" height=\"46\" alt=\"\" class=\"wp-image-987501833 alignnone size-medium\" style=\"float: left;\" \/>Rapport du HCAAM de juin 2025 : Les leviers d\u2019action pour un syst\u00e8me de sant\u00e9 efficient et solidaire <\/strong><\/p>\n<p><em><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/guillemets-entree-4.png\" width=\"15\" height=\"13\" alt=\"\" class=\"wp-image-987501792 alignnone size-full\" \/> La mission de service public \u00e0 la population doit \u00eatre une responsabilit\u00e9 partag\u00e9e par l\u2019ensemble des professionnels. Il faut poursuivre dans cette voie d\u2019une plus grande responsabilit\u00e9 populationnelle, partag\u00e9e entre tous les acteurs (ville, h\u00f4pital), publics et priv\u00e9s. L\u2019organisation collective doit permettre que des attentes fondamentales des patients soient satisfaites, au bon niveau. (\u2026) C\u2019est en d\u00e9veloppant cette implication solidaire au sein des territoires que l\u2019on apportera des solutions p\u00e9rennes \u00e0 l\u2019engorgement des urgences et \u00e0 la mobilisation inappropri\u00e9e des moyens hospitaliers.\u00a0<img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/devoirdagir.fr\/wp-content\/uploads\/2026\/10\/guillemets-sortie-4.png\" width=\"15\" height=\"13\" alt=\"\" class=\"wp-image-987501793 alignnone size-full\" \/><\/em><\/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#8ec043&Prime; open_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb closed_toggle_background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb open_icon_color=\u00a0\u00bb#8ec043&Prime; _builder_version=\u00a0\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_text_color=\u00a0\u00bb#8ec043&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-chap-2-300x160-1.png\" width=\"86\" height=\"46\" alt=\"\" class=\"wp-image-987501834 alignnone size-medium\" \/><\/p>\n<ul>\n<li>Inscrire le Pacte territorial de respon-sabilit\u00e9 en sant\u00e9 dans le Code de la sant\u00e9 publique ;<\/li>\n<li>D\u00e9finir des objectifs territoriaux mesurables et \u00e9valu\u00e9s annuellement ;<\/li>\n<li>Repenser la carte hospitali\u00e8re \u00e0 partir de la qualit\u00e9 des soins et de l\u2019efficience des parcours.<\/li>\n<\/ul>\n<p>[\/et_pb_toggle][et_pb_button button_url=\u00a0\u00bbhttps:\/\/devoirdagir.fr\/index.php\/un-acces-aux-soins-pres-de-chez-vous\/\u00a0\u00bb button_text=\u00a0\u00bbSuivante\u00a0\u00bb button_alignment=\u00a0\u00bbcenter\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_size=\u00a0\u00bb14px\u00a0\u00bb button_bg_color=\u00a0\u00bb#8ec043&Prime; button_border_radius=\u00a0\u00bb20px\u00a0\u00bb button_letter_spacing=\u00a0\u00bb0px\u00a0\u00bb button_font=\u00a0\u00bbPoppins||||||||\u00a0\u00bb button_icon=\u00a0\u00bb&#x3d;||divi||400&Prime; button_on_hover=\u00a0\u00bboff\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb custom_margin=\u00a0\u00bb3px||3px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb|38px||38px|false|true\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|tablet\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_button][et_pb_button button_url=\u00a0\u00bbhttps:\/\/devoirdagir.fr\/index.php\/les-acteurs-de-sante-ensemble-au-service-des-patients\/\u00a0\u00bb button_text=\u00a0\u00bbPr\u00e9c\u00e9dente\u00a0\u00bb button_alignment=\u00a0\u00bbcenter\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_size=\u00a0\u00bb14px\u00a0\u00bb button_bg_color=\u00a0\u00bb#8ec043&Prime; button_border_radius=\u00a0\u00bb18px\u00a0\u00bb button_font=\u00a0\u00bbPoppins||||||||\u00a0\u00bb button_icon=\u00a0\u00bb&#x3c;||divi||400&Prime; button_icon_placement=\u00a0\u00bbleft\u00a0\u00bb button_on_hover=\u00a0\u00bboff\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb custom_margin=\u00a0\u00bb3px||3px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb|30px||30px|false|true\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 global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.21.0&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=\u00a0\u00bb105px\u00a0\u00bb custom_padding=\u00a0\u00bb8px||2px|||\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][et_pb_row disabled_on=\u00a0\u00bbon|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb overflow-x=\u00a0\u00bbvisible\u00a0\u00bb overflow-y=\u00a0\u00bbvisible\u00a0\u00bb custom_padding=\u00a0\u00bb7px||2px|||\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\u00bb4.27.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bb#173967&Prime; background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb min_height=\u00a0\u00bb43px\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb||0px||false|false\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><span>\u00a9 2026 FHP. 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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