{"id":636,"date":"2016-11-09T09:32:09","date_gmt":"2016-11-09T08:32:09","guid":{"rendered":"http:\/\/dev.m-q.ch\/?p=636"},"modified":"2017-02-28T08:54:34","modified_gmt":"2017-02-28T07:54:34","slug":"documents-de-position-des-criteres-de-qualite-clairs-au-lieu-dun-appareil-administratif","status":"publish","type":"post","link":"https:\/\/www.m-q.ch\/fr\/documents-de-position-des-criteres-de-qualite-clairs-au-lieu-dun-appareil-administratif\/","title":{"rendered":"Prises de position : des crit\u00e8res de qualit\u00e9 clairs au lieu d'un m\u00e9canisme administratif"},"content":{"rendered":"
<\/a>
La FMH cherche de nouvelles solutions pour trouver des m\u00e9decins qualifi\u00e9s. (Image symbolique. Source : Forces arm\u00e9es)<\/figcaption><\/figure>\n

Comme le r\u00e8glement actuel sur l'autorisation des m\u00e9decins travaillant en cabinet m\u00e9dical expire en 2019, diff\u00e9rents mod\u00e8les de r\u00e8glement de suivi sont actuellement en cours de discussion. Selon la FMH, la prise de position introduite dans cette discussion par l'Acad\u00e9mie suisse des sciences m\u00e9dicales (ASSM) n'est pas utile car elle se limite \u00e0 la demande d'un syst\u00e8me de contr\u00f4le complet avec \"peu de preuves\".<\/p>\n

De nombreux sp\u00e9cialistes \u00e9trangers<\/strong><\/p>\n

En 2015, par exemple, 1744 titres de sp\u00e9cialistes ont \u00e9t\u00e9 d\u00e9cern\u00e9s en Suisse, dont 741 (41%) \u00e0 des m\u00e9decins titulaires d'un dipl\u00f4me \u00e9tranger. En plus de ces 1744 titres de sp\u00e9cialistes, 1677 titres de sp\u00e9cialistes \u00e9trangers ont \u00e9t\u00e9 reconnus. Pr\u00e8s de la moiti\u00e9 des nouveaux sp\u00e9cialistes ont donc d\u00e9j\u00e0 apport\u00e9 leur formation continue avec eux depuis l'\u00e9tranger.<\/p>\n

Dans un pays o\u00f9 un total de 70% de la nouvelle g\u00e9n\u00e9ration de sp\u00e9cialistes vient de l'\u00e9tranger, il ne reste probablement pas grand-chose \u00e0 faire pour un nouvel appareil de contr\u00f4le - d'autant plus que, selon une analyse du bureau de la BASS, l'int\u00e9r\u00eat pour la formation de sp\u00e9cialistes dans les disciplines de soins primaires est de toute fa\u00e7on constant depuis des d\u00e9cennies. Ce fait est ignor\u00e9, tout comme le fait que les diff\u00e9rences r\u00e9gionales dans la densit\u00e9 des m\u00e9decins ont \u00e9t\u00e9 document\u00e9es par l'Office f\u00e9d\u00e9ral des statistiques depuis 1890 dans une mesure similaire - mais avec moins de mobilit\u00e9 dans le pass\u00e9.<\/p>\n

Le contenu principal du concept de pilotage est rest\u00e9 ouvert sur la base de la prise de position de l'ASSM, car, selon l'ASSM, une discussion plus approfondie \u00e0 ce sujet n'aurait gu\u00e8re de sens en raison du manque de donn\u00e9es. Toutefois, une recommandation claire a \u00e9t\u00e9 faite quant \u00e0 l'endroit o\u00f9 le nouveau comit\u00e9 directeur national devrait \u00eatre situ\u00e9 : Le \"Dialogue sur la politique nationale de la sant\u00e9\", la plate-forme permanente de la Conf\u00e9d\u00e9ration et des cantons. Une proposition qui aggraverait les conflits d'int\u00e9r\u00eats d\u00e9j\u00e0 prononc\u00e9s entre les cantons.<\/p>\n

On ne peut que supposer l'ampleur de l'effort \u00e0 fournir pour le contr\u00f4le envisag\u00e9, puisque jusqu'\u00e0 pr\u00e9sent, seuls les effectifs ont \u00e9t\u00e9 utilis\u00e9s au lieu des \u00e9quivalents temps plein. En m\u00eame temps, souligne la FMH, on peut se demander quels succ\u00e8s un nouvel organisme de contr\u00f4le national pourrait avoir. Selon l'OCDE, l'Allemagne, par exemple, a une densit\u00e9 de m\u00e9decins plus \u00e9lev\u00e9e que la Suisse malgr\u00e9 le contr\u00f4le du nombre de m\u00e9decins, mais elle a toujours des probl\u00e8mes de soins dans les r\u00e9gions rurales.<\/p>\n

http:\/\/www.fmh.ch<\/a><\/p>\n

Crit\u00e8res de qualit\u00e9 des m\u00e9decins \u00e0 l'\u00e9chelle de la Suisse<\/strong><\/p>\n

La FMH demande un syst\u00e8me d'autorisation qui garantisse des soins m\u00e9dicaux de qualit\u00e9. La FMH propose donc des crit\u00e8res de qualit\u00e9 facilement applicables et manifestement efficaces pour l'admission des m\u00e9decins, qui doivent \u00eatre remplis de mani\u00e8re cumulative :<\/p>\n

- Preuve de comp\u00e9tences linguistiques suffisantes : l'exp\u00e9rience en Allemagne montre qu'un bon 40% de candidats \u00e9choue \u00e0 un test linguistique avec simulation d'entretien avec un m\u00e9decin au niveau B2.<\/em><\/p>\n

- Une p\u00e9riode de formation de six ans d'\u00e9tudes \u00e0 temps plein ou au moins 5500 heures d'enseignement th\u00e9orique et pratique.<\/em><\/p>\n

- Au moins trois ans d'activit\u00e9 m\u00e9dicale clinique dans un centre de formation reconnu dans la discipline de sp\u00e9cialit\u00e9 demand\u00e9e : De cette fa\u00e7on, les admissions excessives de disciplines de sp\u00e9cialit\u00e9 individuelles seraient limit\u00e9es par le manque de disponibilit\u00e9 de postes avec une activit\u00e9 de sp\u00e9cialiste. En outre, la connaissance du syst\u00e8me de soins de sant\u00e9, du syst\u00e8me d'assurance et du syst\u00e8me social acquise au cours de ces ann\u00e9es, ainsi que la mise en r\u00e9seau dans la sp\u00e9cialit\u00e9 cibl\u00e9e, ont un effet d'assurance qualit\u00e9.<\/em><\/strong><\/p>\n

- Certificat de formation continue \u00e0 jour : la formation continue tout au long de la vie professionnelle est essentielle pour un exercice qualitativement irr\u00e9prochable de la profession et peut \u00eatre facilement v\u00e9rifi\u00e9e dans les 46 sp\u00e9cialit\u00e9s.<\/em><\/p>","protected":false},"excerpt":{"rendered":"

La r\u00e9glementation actuelle sur l'admission des m\u00e9decins pratiquant la m\u00e9decine ambulatoire arrivant \u00e0 \u00e9ch\u00e9ance en 2019, diff\u00e9rents mod\u00e8les de r\u00e9glementation subs\u00e9quente sont actuellement en discussion. Comme le fait savoir la FMH, la prise de position de l'Acad\u00e9mie Suisse des Sciences M\u00e9dicales (ASSM) dans ce d\u00e9bat n'est pas utile, car elle se limite \u00e0 exiger un syst\u00e8me de pilotage global \u201epauvre en preuves\u201c. [...]<\/p>","protected":false},"author":1,"featured_media":194,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[3346],"class_list":["post-636","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-unkategorisiert","tag-aus-weiterbildung"],"acf":[],"yoast_head":"\nPositionspapiere: Klare Qualit\u00e4tskriterien statt Verwaltungsapparat - MQ Management und Qualit\u00e4t<\/title>\n<meta name=\"description\" content=\"Positionspapiere: Eine neue Regelung der Zulassung muss eine qualitativ hochwertige medizinische Versorgung der Bev\u00f6lkerung sicherstellen.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.m-q.ch\/fr\/documents-de-position-documents-clairs-criteres-de-qualite-administration-detat\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Positionspapiere: Klare Qualit\u00e4tskriterien statt Verwaltungsapparat - 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