{"id":17581,"date":"2024-04-25T10:38:07","date_gmt":"2024-04-25T08:38:07","guid":{"rendered":"https:\/\/www.lacooperativewelcoop.com\/?p=17581"},"modified":"2024-04-25T10:38:09","modified_gmt":"2024-04-25T08:38:09","slug":"le-pharmacien-coordinateur-du-bien-vieillir","status":"publish","type":"post","link":"https:\/\/www.lacooperativewelcoop.com\/en\/blog\/le-pharmacien-coordinateur-du-bien-vieillir\/","title":{"rendered":"Le Pharmacien, coordinateur du \u00ab\u00a0bien vieillir\u00a0\u00bb"},"content":{"rendered":"\n

Tribune d\u2019opinion<\/strong><\/p>\n\n\n\n

Par Jean-Pierre Dosdat<\/a>, Pr\u00e9sident du Conseil de Surveillance
et Dominique Pautrat<\/a>, Pr\u00e9sident du Directoire de La Coop\u00e9rative Welcoop<\/p>\n\n\n

Le vieillissement de la population en France est un enjeu d\u00e9mographique majeur qui affectera fortement notre syst\u00e8me de sant\u00e9 dans les prochaines ann\u00e9es. Afin de pr\u00e9venir les hospitalisations qui p\u00e8sent sur l\u2019\u00e9conomie, il convient de repenser les actions de pr\u00e9vention sant\u00e9, notamment \u00e0 l\u2019\u00e9gard des personnes \u00e2g\u00e9es. Le pharmacien, du fait de sa proximit\u00e9 avec la population, peut jouer un r\u00f4le cl\u00e9 dans cette mission. <\/p>\n\n\n

La population fran\u00e7aise conna\u00eet actuellement un fort vieillissement. Les personnes\u00a0\u00e2g\u00e9es\u00a0d\u2019au moins 65\u00a0ans repr\u00e9sentent aujourd\u2019hui 20,5\u00a0% de la population et la tendance s\u2019acc\u00e9l\u00e8re puisque la d\u00e9cennie 2020-2030 sera celle de l\u2019explosion des 75-84 ans, les fameux baby-boomers. Le taux de population de cette classe d\u2019\u00e2ge devrait conna\u00eetre une hausse de + 49 % par rapport \u00e0 la d\u00e9cennie pr\u00e9c\u00e9dente, tandis que le nombre des plus de 85 ans devrait lui progresser de 7%[1]<\/a>.\u00a0<\/p>\n\n\n\n

Cette transition d\u00e9mographique est une bombe \u00e0 retardement, tant l\u2019impact \u00e9conomique, sanitaire et soci\u00e9tal sera important.<\/strong> Elle va non seulement bousculer le \u00ab\u00a0vivre en soci\u00e9t\u00e9\u00a0\u00bb mais \u00e9galement tout notre syst\u00e8me de sant\u00e9 d\u00e9j\u00e0 fragilis\u00e9<\/strong>. Il s\u2019agit d\u2019un d\u00e9fi<\/strong> immense qui s\u2019annonce pour les finances publiques. En effet, les d\u00e9penses li\u00e9es \u00e0 la maladie et la perte d\u2019autonomie repr\u00e9sentent d\u00e9j\u00e0 une part consid\u00e9rable des d\u00e9penses de protection sociale.<\/p>\n\n\n\n

Dans ce contexte, comment maintenir en sant\u00e9, et en autonomie \u00e0 leur domicile, ces millions de fran\u00e7ais qui n\u2019ont qu\u2019un souhait\u00a0: rester chez eux le plus longtemps possible\u00a0? Mobilit\u00e9, transport, services d\u2019accompagnement et de soins, am\u00e9nagement de la vie quotidienne et de la ville, adaptation du lieu de vie. Les champs d\u2019action sont multiples, et un enjeu a particuli\u00e8rement retenu notre attention.<\/p>\n\n\n\n

Les chutes, un marqueur d\u2019entr\u00e9e dans la d\u00e9pendance<\/strong><\/h2>\n\n\n\n

La pr\u00e9vention des chutes<\/strong> est en enjeu critique pour une politique durable du \u00ab bien vieillir \u00bb. Bien que l\u2019OMS ait caract\u00e9ris\u00e9 les chutes comme un \u00ab probl\u00e8me de sant\u00e9 publique majeur \u00bb, il reste cependant tr\u00e8s sous-estim\u00e9 malgr\u00e9 des chiffres saisissants. <\/strong>Une personne sur 3 de plus de 65 ans et vivant \u00e0 domicile serait victime d\u2019une chute au moins une fois par an[2]<\/a>, alors que seulement 42% de cette m\u00eame classe d\u2019\u00e2ge se dit pr\u00e9occup\u00e9 par le sujet et uniquement 22% a mis en place des mesures de pr\u00e9vention[<\/a>3<\/a>]<\/a>.<\/p>\n\n\n\n

Le co\u00fbt humain en est \u00e9lev\u00e9 : en 2016, elles ont entra\u00een\u00e9 plus de 10 000 d\u00e9c\u00e8s. Par comparaison, la m\u00eame ann\u00e9e, 3 477 personnes ont perdu la vie dans un accident de la route. Les chutes repr\u00e9sentent la premi\u00e8re cause de mortalit\u00e9 accidentelle chez les plus de 65 ans et la grande majorit\u00e9 des recours aux services d\u2019urgences. Si ces accidents sont n\u00e9anmoins rarement<\/span> mortels proportionnellement \u00e0 leur pr\u00e9valence, ils entra\u00eenent tr\u00e8s souvent des<\/span> traumatismes durables. Avec des cons\u00e9quences physiques, psychologiques,<\/span> sociales, les chutes sont donc un \u00ab marqueur d\u2019entr\u00e9e dans la<\/span> d\u00e9pendance \u00bb. <\/span>Un enjeu financier pour l\u2019\u00e9quilibre du syst\u00e8me de sant\u00e9<\/span><\/b>. <\/p>\n\n\n\n

Le co\u00fbt financier des chutes, qui entra\u00eenent chaque ann\u00e9e<\/span> plus de 130 000 hospitalisations, s\u2019est \u00e9lev\u00e9 \u00e0 600 M\u20ac pour l\u2019assurance maladie n 2019. Selon la Cour des comptes, le co\u00fbt total (int\u00e9grant le parcours de soins avant et apr\u00e8s la prise en charge hospitali\u00e8re) se chiffre \u00e0 2 milliards d\u2019euros par an. Un poids non n\u00e9gligeable pour la collectivit\u00e9. <\/span><\/p>\n\n\n\n

Le plan antichute<\/strong> gouvernemental, lanc\u00e9 en f\u00e9vrier 2022, en prend toute la mesure. N\u00e9anmoins, malgr\u00e9 les initiatives qui se multiplient, il n\u2019existe toujours pas de prise en charge globale et coordonn\u00e9e pour les personnes \u00e2g\u00e9es qui soit aussi efficiente pour le syst\u00e8me de sant\u00e9. <\/span><\/p>\n\n\n\n

Le r\u00f4le cl\u00e9 des pharmaciens<\/strong><\/h1>\n\n\n\n

Les pharmaciens sont certainement les professionnels de sant\u00e9 les plus \u00e0 m\u00eame d’orchestrer une prise en charge globale du patient sujet aux chutes. Ils ont d\u00e9j\u00e0 d\u00e9montr\u00e9 lors de la crise de Covid 19 une mobilisation sans faille, une proximit\u00e9 constante aupr\u00e8s des citoyens et un fort engagement dans leurs nouvelles missions de pr\u00e9vention. <\/p>\n\n\n\n

Les 20 000 pharmacies repr\u00e9sentent un maillage essentiel pour le syst\u00e8me de sant\u00e9 <\/strong>dans tous les territoires, y compris dans les d\u00e9serts m\u00e9dicaux o\u00f9 les pharmaciens jouent un r\u00f4le cl\u00e9. Au centre de leur expertise : la relation \u00e9troite au patient et notamment aux personnes \u00e2g\u00e9es. Conscients de leurs pr\u00e9occupations, ils sont \u00e0 l’\u00e9coute de leurs probl\u00e8mes quotidiens et connaissent souvent leurs proches et aidants. Ils sont donc capables d’identifier les profils des chuteurs, les facteurs aggravants, les signes de vuln\u00e9rabilit\u00e9 et de proposer des solutions de pr\u00e9vention adapt\u00e9es \u00e0 domicile. Ils ont ainsi un r\u00f4le \u00e0 jouer <\/strong>pour cr\u00e9er de nouveaux usages dans le parcours de soins des patients (identification au comptoir, audit \u00e0 domicile, s\u00e9curisation du logement, entretien personnalis\u00e9, etc.).<\/p>\n\n\n\n

La probl\u00e9matique des chutes, grande cause nationale, doit nous amener \u00e0 innover \u00e0 travers des dispositifs cr\u00e9ateurs de valeur sociale et \u00e9conomique<\/strong>. Il convient de changer de paradigme : passer du curatif au pr\u00e9ventif, \u00eatre au plus pr\u00e8s des patients et voir grand, avec des d\u00e9marches d’innovation collaboratives de la part de tous les acteurs au service d’un double enjeu de bien commun : la sant\u00e9 des Fran\u00e7ais et l’\u00e9quilibre financier du syst\u00e8me de sant\u00e9.<\/p>\n\n\n\n

Retrouvez plus d’informations sur :
– notre site web d\u00e9di\u00e9 : plan-antichute.fr<\/a>
– notre premier blog<\/a> sur le sujet du 09 juin 2023.
– l\u2019\u00c9tude IFOP et notre communiqu\u00e9 de presse du 28 novembre 2023 par ici<\/a>.<\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n
\n\n\n\n

[1]<\/a> Source : rapport interminist\u00e9riel “nous vieillirons ensemble… 80 propositions pour un nouveau pacte entre g\u00e9n\u00e9rations”. Mai 2021.<\/em><\/p>\n\n\n\n

[2]<\/a> Source : Sant\u00e9 Publique France en 2019.<\/em><\/p>\n\n\n\n

[3]<\/a> Source : \u00c9tude IFOP<\/a> pour La Coop\u00e9rative Welcoop, La pr\u00e9vention des chutes aupr\u00e8s des seniors. Novembre 2023.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Tribune d\u2019opinion Par Jean-Pierre Dosdat, Pr\u00e9sident du Conseil de Surveillanceet Dominique Pautrat, Pr\u00e9sident du Directoire de La Coop\u00e9rative Welcoop La population fran\u00e7aise conna\u00eet actuellement un…<\/p>\n","protected":false},"author":12,"featured_media":17652,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[53,8,83,9],"tags":[],"class_list":["post-17581","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-patient","category-pharmacien","category-plan-antichute","category-sante"],"acf":[],"yoast_head":"\nLe Pharmacien, coordinateur du \u00ab\u00a0bien vieillir\u00a0\u00bb - La Coop\u00e9rative Welcoop<\/title>\n<meta name=\"description\" content=\"Il convient de repenser les actions de pr\u00e9vention sant\u00e9, notamment aupr\u00e8s des personnes \u00e2g\u00e9es. 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