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Hospital, patients, health, territories is the official name of a French bill presented on 22 October 2008 by Roselyne Bachelot, minister of Health, Youth, Sports and Associative Life. The bill is commonly called bill HPST (acronym of the French phrase) or bill Bachelot. The bill is the first stage of the Hospital 2012 Plan, launched by French President Nicolas Sarkozy, which aims at revamping of the French health care system. The bill aims at guarantee a better and equal access to care for all French people, whatever their geographic location. This reform needs a complete overhaul of the hospitals organization, which caused strong protests among the staffs. == Initial project == The bill contains four main points, as defined by its official title. It would modernize the hospitals, giving them more financial means to carry out their mission and rehauling their territorial and internal organization. It would also favor research and education. To guarantee a better access to care, it would reorganize the provision of care through a coordination between the hospitals and cities. The bill would also organize it at a regional level. It would finally reinforce prevention against all addictions, especially for young people and women. * Prevention The bill focus on measures to improve the health of young people.〔(Présentation du projet de loi « Hôpital, patients, santé et territoires » ), Ministry of Health, Youth and Sports〕 Minors (less than 18) would be forbidden from drink alcohol, and encouraged to eat fruits and vegetables. * Access to health care The bill would favor a better access to good quality care by implementing a better distribution of doctors among the national territory. The provision of care would be organized at a regional level. There would be financial incentives in regions lacking health care to appeal doctors. Practitioners of the private sector fear the bill would limit their freedom of installation. Asserting that there is currently no defined executive power in hospitals, the bill finally implement strong decision-making authorities. In hospitals, directors will therefore see their powers strengthened at the expense of the boards and local elected officials. They will control the hiring of doctors, and their pay. * Modernisation of hospitals The opening of frontiers between hospital medicine and city medicine is a more polemical point. The bill would cause the mergings and reconversion of many hospitals, and the specialization of cares provided by some hospitals. Resources and technical means would be polarized in major hospitals, while small structures are encouraged to find other orientation and to specialize, notably in rehabilitation of disable people, and in the care for the elderly. Also, private organizations will be force to provide their care to any people, acting as a public service. * Territorial organization On a larger scale, regional health agencies will be implemented. They would centralize powers currently exercised by health agencies such as Regional Hospital Agencies (ARH), the Ddass or Health Insurance. Led by the regional prefects, they would manage the overall delivery of care, whether private, hospital or medico-social. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Hospital, patients, health, territories」の詳細全文を読む スポンサード リンク
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