Question 754 — health establishments

Summary

The perimeters of the territorial hospital groups fall under the jurisdiction of the directors general of the regional health agencies (ARS), who defined the divisions on July 1, 2016, upon receipt of the constitutive agreements concluded between the establishments concerned. The reform of territorial hospital groups was designed to be a lasting reform, with progressive transformations within the health establishments. This is the reason why there are no plans to review the perimeters of regional hospital groups regularly. However, each director general of a regional health agency can modify his decision regarding the division of these groups. In this case, the attachment of the Gisors hospital center to different regional hospital groups may have arisen, given the variety of territories. Nevertheless, the two successive general directors of the regional health agency considered that the opportunity to belong to a regional hospital group composed of general hospitals, an establishment specializing in psychiatry and medico-social establishments constituted a real possibility of defining all the local and referral care sectors, for the benefit of patients in the territory. The shared medical-care project of the regional hospital group provides concrete organizational responses in 11 priority sectors. This project makes it possible, for example, to implement a harmonization of treatment protocols within emergency services or to propose the structuring of a local offer in the management of chronic diseases around the patient's journey (in the field of diabetes notably). The presence, within this regional hospital group, of the Navarre hospital center, an establishment specializing in psychiatry, also makes it possible to highlight the organization of a particularly relevant mental health sector. Furthermore, the division decided by the ARS allows the continuation and development of already existing partnerships with establishments in the region, in particular the geriatric sector. with the Evreux-Vernon hospital center or oncology organized with the support of the regional cancer center made up of the Rouen hospital and university center and the Henri Becquerel cancer center.

Machine translation from French. The official text remains authoritative.

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