Oral Communication

From structuration of care pathways to territory development

Dr Michel ENJALBERTa, Dr Martine AOUSTINb, Dr Ségolène NEUVILLEc

a Centre Bouffard-Vercelli, b Directeur Général de l'ARS du Languedoc-Roussillon, c Secrétaire d'Etat aux personnes handicapées

The answer to the health needs passes by the definition of new care pathways while respecting the jobs generated by the existing wards.

Methods. The problem linked with the necessary re-location of the rehabilitation settings of ASCV (Pyrénées-Orientales) close to the population center of the city of Perpignan, conducted to a think tank including the managing association, the staff, the Health Regional Agency and elected representative to combine the imperatives linked with the care needs and the territory development.

Results. Three sites of rehabilitation (Arles-sur-Tech, Banyuls-sur-Mer et Cerbère) are assembled on the site of the Perpignan hospital. That gave rise to a project on the "compensations" to put in place. On the site of Arles-sur-Tech, the creation of a long care unit will permit to develop the geriatric network. On the site of Banyuls-sur-Mer, the rebuilding of the specialized home for disabled people and of the two houses for dependant old people complete the existing device. But it is on the site of Cerbère that the experimental device is the most innovative (specialized home for brain injured people, for respite stays, for "buffer" stays, for the integration of young disabled people - Creton amendment- and for the integration of old disabled people).

Discussion. The device put in place is an exemplary model of synergies that can be found between the structuration of the care pathways (definition of long term care for the different components of the re-localized rehabilitation settings) and imperatives linked with the territory development (compensation for job losses on the re-localized sites).

Bibliography : Health Regional Project in Languedoc-Roussillon, Health Regional Agency, Montpellier, 2013.

Keywords : care pathways, territory development