{"id":43107,"date":"2016-03-12T10:21:54","date_gmt":"2016-03-12T09:21:54","guid":{"rendered":"http:\/\/kapitalis.com\/tunisie\/?p=43107"},"modified":"2016-03-12T10:50:15","modified_gmt":"2016-03-12T09:50:15","slug":"cap-bon-la-prise-en-charge-cancer-du-sein-laisse-a-desirer","status":"publish","type":"post","link":"https:\/\/kapitalis.com\/tunisie\/2016\/03\/12\/cap-bon-la-prise-en-charge-cancer-du-sein-laisse-a-desirer\/","title":{"rendered":"Cap-Bon : La prise en charge cancer du sein laisse \u00e0 d\u00e9sirer"},"content":{"rendered":"

\"Cancer-du-sein\"<\/p>\n

Les probl\u00e8mes pos\u00e9s par la prise en charge du cancer du sein au Cap-Bon est symptomatique des d\u00e9faillances des prestations m\u00e9dicales publiques en Tunisie.<\/strong> <\/em><\/p>\n

Par Dr Salem Sahli<\/strong> *<\/p>\n

<\/p>\n

Dans la r\u00e9gion du Cap-Bon, les femmes chez qui un cancer du sein est suspect\u00e9 doivent prendre leur mal en patience et se pr\u00e9parer \u00e0 une longue \u00e9preuve, \u00e0 un vrai parcours du combattant. Car en l\u2019absence de mammographe \u2013 appareil de radiographie des seins qui joue un r\u00f4le central dans le d\u00e9pistage et le diagnostic pr\u00e9coce de cette pathologie \u2013 dans les structures hospitali\u00e8res publiques de la r\u00e9gion, l\u2019on ne peut parler de prise en charge ad\u00e9quate de ces patientes, et cela, quoi qu\u2019en dise notre troisi\u00e8me plan national de lutte contre le cancer 2015-2019.<\/p>\n

Les belles ambitions d\u00e9menties par les faits<\/strong><\/p>\n

Le document consacre certes plusieurs pages \u00e0 cette pathologie fr\u00e9quente dans notre pays et responsable d\u2019une forte mortalit\u00e9 et morbidit\u00e9, mais la mise en \u0153uvre de cette strat\u00e9gie laisse \u00e0 d\u00e9sirer et le diagnostic du cancer du sein en Tunisie intervient encore trop tardivement. Aussi, les belles ambitions affich\u00e9es sont-elles d\u00e9menties par les faits.<\/p>\n

Cette situation fort regrettable appelle de ma part ces quelques remarques ayant trait \u00e0 la planification sanitaire g\u00e9n\u00e9rale dans notre r\u00e9gion.<\/p>\n

La r\u00e9gion du Cap-Bon, r\u00e9gion riche, peupl\u00e9e de pr\u00e8s de 800.000 habitants dont 390.000 femmes et largement dot\u00e9e en infrastructures touristiques, est paradoxalement une r\u00e9gion sous-\u00e9quip\u00e9e sur le plan sanitaire. Nos structures hospitali\u00e8res publiques souffrent d\u2019un manque de personnels qualifi\u00e9s, de services sp\u00e9cialis\u00e9s (pas de r\u00e9animation \u00e0 l\u2019h\u00f4pital Mohamed Tlatli par exemple), de mat\u00e9riels et d\u2019\u00e9quipements tels que le mammographe, l\u2019IRM, le caisson hyperbare, les appareils performants de biologie m\u00e9dicale, etc.<\/p>\n

L\u2019on peut, bien s\u00fbr, me r\u00e9torquer que le secteur m\u00e9dical priv\u00e9 en pleine expansion dans la r\u00e9gion compense en partie ces d\u00e9faillances. Soit, mais en m\u00eame temps, il contribue \u00e0 creuser davantage le foss\u00e9 existant entre les prestations m\u00e9dicales publiques et priv\u00e9es.<\/p>\n

\"Mammographe\"<\/p>\n

Les structures hospitali\u00e8res publiques manquent d\u2019\u00e9quipements tels que le mammographe.<\/em><\/p>\n

Les patientes perdent un temps pr\u00e9cieux<\/strong><\/p>\n

L\u2019exemple de la prise en charge pr\u00e9coce du cancer du sein est \u00e0 ce titre tr\u00e8s \u00e9difiant. Le parcours de soins dans le secteur priv\u00e9 est fluide mais co\u00fbteux, tandis qu\u2019il est long et complexe dans la fili\u00e8re publique. Le taux d\u2019aiguillage y est faible et les patientes perdent ainsi un temps pr\u00e9cieux qui risque d\u2019aggraver leur \u00e9tat de sant\u00e9. De plus, la mammographie de d\u00e9pistage n\u2019est pas rembours\u00e9e par la Caisse nationale d\u2019assurance maladie.<\/p>\n

Or, le principal objectif de la planification sanitaire en g\u00e9n\u00e9ral, et de la carte sanitaire en particulier n\u2019est-il pas d\u2019instaurer une r\u00e9partition harmonieuse et rationnelle de l\u2019appareil de soins en vue d\u2019obtenir la compl\u00e9mentarit\u00e9 souhait\u00e9e entre les secteurs publics et priv\u00e9s?<\/p>\n

Nous sommes forc\u00e9s de constater que nous n\u2019en prenons pas vraiment le chemin et qu\u2019en la mati\u00e8re, il y a encore loin de la coupe aux l\u00e8vres.<\/p>\n

* P\u00e9diatre libre praticien, Hammamet.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Les probl\u00e8mes pos\u00e9s par la prise en charge du cancer du sein au Cap-Bon est symptomatique des d\u00e9faillances des prestations m\u00e9dicales publiques en Tunisie. Par Dr Salem Sahli *<\/p>\n","protected":false},"author":8,"featured_media":43109,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[992,998,2433],"tags":[7252,185,10069],"class_list":["post-43107","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-a-la-une","category-societe","category-tunisie","tag-cancer-du-sein","tag-cap-bon","tag-prise-en-charge"],"yoast_head":"\nCap-Bon : La prise en charge cancer du sein laisse \u00e0 d\u00e9sirer - 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\/2016\/03\/12\/cap-bon-la-prise-en-charge-cancer-du-sein-laisse-a-desirer\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cap-Bon : La prise en charge cancer du sein laisse \u00e0 d\u00e9sirer - Kapitalis\" \/>\n<meta property=\"og:description\" content=\"Les probl\u00e8mes pos\u00e9s par la prise en charge du cancer du sein au Cap-Bon est symptomatique des d\u00e9faillances des prestations m\u00e9dicales publiques en Tunisie. 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