{"id":14549391,"date":"2024-11-06T12:32:19","date_gmt":"2024-11-06T11:32:19","guid":{"rendered":"https:\/\/kapitalis.com\/tunisie\/?p=14549391"},"modified":"2024-11-06T12:32:22","modified_gmt":"2024-11-06T11:32:22","slug":"la-sante-en-tunisie-reduire-le-gap-entre-la-parole-et-laction","status":"publish","type":"post","link":"https:\/\/kapitalis.com\/tunisie\/2024\/11\/06\/la-sante-en-tunisie-reduire-le-gap-entre-la-parole-et-laction\/","title":{"rendered":"La sant\u00e9 en Tunisie\u00a0: r\u00e9duire le gap entre la parole et l\u2019action \u00a0"},"content":{"rendered":"\n

Le secteur de la sant\u00e9 publique qui souffre de d\u00e9ficits crois\u00e9s de pratiquement toutes ses institutions (h\u00f4pitaux, caisses sociales, pharmacie centrale, etc.) va-t-il enfin pouvoir sortir de la crise avec les neuf mesures urgentes en sa faveur annonc\u00e9es par le gouvernement\u00a0? On l\u2019esp\u00e8re bien sans trop oser y croire\u2026<\/em><\/strong><\/p>\n\n\n\n\n\n\n\n

Ces mesures annonc\u00e9es lors d\u2019un conseil minist\u00e9riel restreint (CMR) consacr\u00e9 \u00e0 l\u2019examen des questions li\u00e9es au secteur de la sant\u00e9 publique, mardi 5 novembre 2024, pr\u00e9sid\u00e9 par le chef du gouvernement, Kamel Maddouri, sont les suivants :<\/p>\n\n\n\n

– renforcer imm\u00e9diatement les ressources financi\u00e8res de la Pharmacie centrale de Tunisie (PCT) en lui allouant des fonds additionnels en plus des transferts mensuels provenant de la Caisse nationale d\u2019assurance maladie (CNAM) ;<\/p>\n\n\n\n

– \u0153uvrer \u00e0 garantir le remboursement et le transfert des cr\u00e9ances des caisses sociales dues par nombre d’organismes publics afin de rembourser les cr\u00e9ances de la pharmacie centrale et des \u00e9tablissements de sant\u00e9 publique;<\/p>\n\n\n\n

– instaurer des m\u00e9canismes pour am\u00e9liorer la gouvernance et la gestion du syst\u00e8me des m\u00e9dicaments ainsi que sa prise en charge;<\/p>\n\n\n\n

– renforcer la coordination entre le minist\u00e8re de la Sant\u00e9 et la CNAM dans la perspective d\u2019am\u00e9liorer les proc\u00e9dures de prise en charge des services de sant\u00e9, conform\u00e9ment aux normes optimales et aux bonnes pratiques adopt\u00e9es au niveau international;<\/p>\n\n\n\n

– mettre sur pied une commission unifi\u00e9e qui veille p\u00e9riodiquement sur la police des prix des m\u00e9dicaments sous la tutelle de l’Agence nationale des m\u00e9dicaments et des produits de sant\u00e9 avec la participation des d\u00e9partements minist\u00e9riels concern\u00e9s;<\/p>\n\n\n\n

– proc\u00e9der \u00e0 une refonte du syst\u00e8me d\u2019assurance maladie sur la base des \u00e9tudes d\u2019\u00e9valuation r\u00e9alis\u00e9es et des avis des parties impliqu\u00e9es dans ce syst\u00e8me;<\/p>\n\n\n\n

– mettre en place un comit\u00e9 de pilotage compos\u00e9 de repr\u00e9sentants de la pr\u00e9sidence du gouvernement, des minist\u00e8res de la sant\u00e9, des finances, des affaires sociales et des professionnels de la sant\u00e9. Ce comit\u00e9 aura pour mission de mettre sur pied un syst\u00e8me permettant d\u2019accro\u00eetre l\u2019attractivit\u00e9 des \u00e9tablissements de sant\u00e9 publique, d\u2019optimiser la mise \u00e0 contribution des comp\u00e9tences et des \u00e9quipements m\u00e9dicaux et d\u2019offrir des conditions de travail d\u00e9centes au personnel m\u00e9dical et param\u00e9dical;<\/p>\n\n\n\n

– renforcer davantage les m\u00e9canismes de gouvernance et veiller \u00e0 r\u00e9aliser une transition digitale globale;<\/p>\n\n\n\n

– renforcer le contr\u00f4le et am\u00e9liorer l\u2019efficacit\u00e9 de l’action au niveau des structures de sant\u00e9 publique;<\/p>\n\n\n\n

– h\u00e2ter l\u2019\u00e9laboration du projet de d\u00e9cret relatif au syst\u00e8me d\u2019 \u00e9change de donn\u00e9es \u00e9lectroniques entre la CNAM et les prestataires de services de sant\u00e9 des secteurs public et priv\u00e9;<\/p>\n\n\n\n

– g\u00e9n\u00e9raliser l\u2019utilisation de la carte de soins \u00e9lectronique, et ce, apr\u00e8s avoir parachev\u00e9 sa distribution aux assur\u00e9s.<\/p>\n\n\n\n

Ce sont l\u00e0, on l\u2019a bien constat\u00e9, davantage des recommandations et des orientations g\u00e9n\u00e9rales que des d\u00e9cisions concr\u00e8tes pouvant \u00eatre mises en \u0153uvre imm\u00e9diatement et dont les retomb\u00e9es positives pourraient \u00eatre ressentis rapidement. <\/p>\n\n\n\n

Alors les p\u00e9nuries de m\u00e9dicaments, la d\u00e9gradation des services dans les h\u00f4pitaux et les d\u00e9ficits abyssaux dont souffrent les institutions publiques de la sant\u00e9 ne vont pas cesser demain la veille. M\u00eame si, au final, la volont\u00e9 politique est l\u00e0, et les d\u00e9clarations du chef du gouvernement t\u00e9moignent d\u2019une conscience aigu\u00eb des d\u00e9fis pos\u00e9s.<\/p>\n\n\n\n

M. Maddouri a en effet rappel\u00e9, lors de la r\u00e9union, les dispositions constitutionnelles r\u00e9gissant le droit \u00e0 la sant\u00e9 en Tunisie, soulignant \u00e0 ce propos que ce dispositif s\u2019inscrit dans le droit-fil des programmes et politiques novateurs visant \u00e0 garantir la mise \u00e0 niveau du secteur de la sant\u00e9, conform\u00e9ment aux instructions donn\u00e9es par le chef de l\u2019Etat. Ces instructions, a-t-il ajout\u00e9, visent dans leur essence \u00e0 op\u00e9rer une r\u00e9vision radicale du syst\u00e8me d\u2019assurance maladie afin de garantir \u00e0 l\u2019ensemble des assur\u00e9s un acc\u00e8s \u00e9quitable aux soins. <\/p>\n\n\n\n

Reste que le gap entre les paroles et les actes reste difficile \u00e0 r\u00e9sorber, \u00e9tant donn\u00e9 les difficult\u00e9s des finances publiques. Et l’absence de la ministre de la Sant\u00e9 \u00e0 cette r\u00e9union (elle n’est pas visible sur la photo) n’est pas rassurant cet \u00e9gard. <\/p>\n\n\n\n

I. B.<\/strong> <\/p>\n","protected":false},"excerpt":{"rendered":"

Dans le secteur de la sant\u00e9, le gap entre les paroles et les actes reste difficile \u00e0 r\u00e9sorber, \u00e9tant donn\u00e9 les difficult\u00e9s des finances publiques.<\/p>\n","protected":false},"author":8,"featured_media":14549420,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[997,998,2433],"tags":[2522,118767,2521,11651,106500,1443,13706,810,1881,62643],"class_list":["post-14549391","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-politique","category-societe","category-tunisie","tag-assurance-maladie","tag-caisses-dassurance","tag-cnam","tag-hopitaux-publics","tag-kamel-maddouri","tag-medicaments","tag-pharmacie-centrale","tag-sante","tag-sante-publique","tag-tunisie"],"yoast_head":"\nLa sant\u00e9 en Tunisie\u00a0: r\u00e9duire le gap entre la parole et l\u2019action \u00a0 - Kapitalis<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kapitalis.com\/tunisie\/2024\/11\/06\/la-sante-en-tunisie-reduire-le-gap-entre-la-parole-et-laction\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La sant\u00e9 en Tunisie\u00a0: r\u00e9duire le gap entre la parole et l\u2019action \u00a0 - 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