Major manoeuvres spend at top speed. The restructuring announced assistance public hospitals of Paris (37 establishments, 90,000 people including 20,000 physicians) entered a new phase. In preparation for the 2010-2014 strategic plan, which must be adopted according to Benoît Leclercq, Director General of the AP - HP, in April or may, when the AP - HP officially the regional health agency (ARS), the Executive Board of the first French public hospital will depend on just validate major guidelines for the next fifteen years. Pour la à des pour la à des pour la des soins la population Francilienne, for the Pour la à des Pour la à des Pour la des soins la population francilienne to a à des Pour la à des Pour la des soins la population francilienne Pour la Pour la à des Pour la des soins la population francilienne à des à des Pour la des soins la population francilienne Pour la Pour la des soins la population francilienne des soins la population francilienne des care la population francilienne la population Ile-de-France, we want to Director-General of walking a modernized public Assistance to all patients with access to both To do this, it has launched in 2008 the consolidation project of the 37 sites of the AP - HP 12 hospital groups. The recent decisions of the Executive Council - "very strong since that prefigures the future Executive Board", said Pierre Coriat, President of the Medical Committee (WEC) and member of this Council - are the logical extension of this policy.
Parisian Northwest, the Executive Council recorded the principle of the merger of Bichat and Beaujon, hospitals close and complementary. "The good solution is the reconstruction of a single modern hospital North of the Grand Paris, in a horizon of ten to fifteen years," confirms Benoît Leclercq. In the heart of the capital, "all heavy activities which are at the Hôtel-Dieu will be concentrated at Cochin here four or five years". As of 2010, the digestive surgery will be transferred. Then will come the thoracic surgery. Eventually, the ophthalmology of the Hôtel-Dieu should also reach Cochin, where new construction is proposed. Will stay at the Hôtel-Dieu emergencies, the forensic, and an ambulatory technical plateau. A project of public health centre could also see the day, "but it is not worn by the AP - HP,", said the Director-General. To the South, short stay for Paul-Brousse activities are allowed at Bicêtre. The renowned Hepato-Biliary Center may also integrate Bicêtre. What, for many physicians, amounts to end to the closure of Paul-Brousse. Like that of Fernand Widal, whose activities must join Lariboisière.
Serious decision
More problematic, the Trousseau hospital, one of three Pediatric internationally in Island University centres-of France, should see, here in 2013-2014, all its services for specialized Pediatrics (70 of its activity) go to the other two major Pediatric poles are Robert-Debré, where it is planned to build a new building, and Necker, which must be delivered in 2013 - 2014 future building Laennec. The maternity and General Pediatrics would remain. "This decision is of the utmost severity." It transforms a CHU General Hospital, and we are not sure that all services will survive. "It is a double punishment for the children with serious illnesses to enter accounting logics," to carry Professor Albert Bensman, head of the Department of pediatric nephrology of Armand-Trousseau. He has received the week last by the President of the Republic with a dozen of doctors, including Pierre Coriat, to discuss the restructuring with the AP - HP. "The brutal closing will totally destabilise Pediatric supply on the Parisian East" regrets Christmas Garabédian, President of the Medical Advisory Committee (JCC) of the hospital. "But keep the paediatric specialty Keychain, obsolete, would require an investment of EUR 100 million, the AP - HP cannot ensure", said Pierre Coriat, who hopes government investment effort. According to him, the project déshabillerait also totally the University Paris VI of his teaching and his research Pediatric, transferred to Paris-V and VII.
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