1986 1999 2001 2002 2005 2008 2012 3 3 2003-2007 2005 QOL 2009 10 170 soins palliatifs ENSP Pierre Abarea IGAS, France ATEMIS ATEMIS, 2008 25
Autumn 2009 No. 168 1 5 5 6 2 Nicolas Sarkozy ENA ARH ARS 2 2007 6,375 77.6 84.5 1997 1.73 2007 1.96 1890 65 7 65 2005 16.5 1 13.9 18.9 155,407 2.56 2005 149,839 2.47 2 3 2007 2.2 GDP 41,511 13 2008 2008 12 Plan de relance de l économie française 10 2007 7.4 8.5 1,000 1 4 80 26
1 1960-2005 1960 1970 1980 1990 2000 2005 0-4 3,990 4,130 3,655 3,803 3,677 3,849 5-9 3,957 4,283 4,160 3,861 3,625 3,704 10-14 4,058 4,155 4,229 3,737 3,839 3,691 15-19 2,785 4,153 4,356 4,263 3,921 3,908 20-24 2,885 4,211 4,224 4,268 3,738 3,969 25-29 3,191 2,953 4,237 4,340 4,186 3,794 30-34 3,261 3,060 4,280 4,252 4,224 4,265 35-39 3,296 3,332 2,991 4,276 4,355 4,300 40-44 1,985 3,350 3,027 4,241 4,253 4,389 45-49 2,835 3,295 3,223 2,909 4,204 4,239 50-54 2,933 1,956 3,183 2,892 4,096 4,152 55-59 2,791 2,682 3,060 3,017 2,775 4,013 60-64 2,356 2,647 1,759 2,908 2,697 2,696 65-69 1,840 2,352 2,299 2,692 2,704 2,568 70-74 1,499 1,805 2,084 1,454 2,469 2,492 75-79 1,074 1 213 1 604 1,706 2,094 2,160 80-84 634 753 981 1,285 973 1,667 85-89 245 336 438 678 848 642 90-94 53 93 135 217 363 401 95-99 7 13 23 39 80 105 100+ 0 1 2 3 8 11 65 11.7 10.8 11.4 14.2 16.1 16.5 1960 1970 1980 1990 2000 2005 0-4 2,035 2,111 1,871 1,947 1,884 1,971 5-9 2,014 2,186 2,131 1,975 1,855 1,896 10-14 2,067 2,114 2,165 1,912 1,963 1,888 15-19 1,426 2,111 2,216 2,175 1,999 1,991 20-24 1,471 2,152 2,132 2,157 1,890 2,009 25-29 1,631 1,530 2,144 2,169 2,098 1,908 30-34 1,660 1,578 2,187 2,115 2,102 2,135 35-39 1,650 1,706 1,542 2,143 2,156 2,138 40-44 988 1,695 1,538 2,146 2,098 2,167 45-49 1,397 1,633 1,618 1,476 2,083 2,079 50-54 1,436 956 1,569 1,438 2,042 2,041 55-59 1,346 1,280 1,465 1,467 1,378 1,980 60-64 1,052 1,228 817 1,366 1,296 1,320 65-69 720 1,041 1,017 1,206 1,245 1,206 70-74 569 713 863 618 1,070 1,103 75-79 382 403 604 657 837 881 80-84 216 230 308 432 351 609 85-89 75 90 107 190 254 203 90-94 14 22 29 46 84 99 95-99 1 3 4 6 14 19 100+ 0 0 0 1 1 2 65 8.9 10.1 11.1 11.4 13.4 13.9 1960 1970 1980 1990 2000 2005 0-4 1,955 2,019 1,784 1,856 1,793 1,878 5-9 1,943 2,097 2,029 1,886 1,769 1,808 10-14 1,991 2,041 2,064 1,826 1,876 1,803 15-19 1,359 2,042 2,139 2,088 1,921 1,917 20-24 1,414 2,059 2,093 2,111 1,848 1,960 25-29 1,560 1,422 2,093 2,171 2,088 1,886 30-34 1,601 1,482 2,093 2,137 2,122 2,130 35-39 1,645 1,626 1,450 2,133 2,198 2,162 40-44 997 1,655 1,489 2,096 2,155 2,222 45-49 1,438 1,662 1,605 1,434 2,121 2,160 50-54 1,497 1,001 1,614 1,454 2,055 2,110 55-59 1,445 1,401 1,595 1,550 1,396 2,033 60-64 1,305 1,418 941 1,541 1,400 1,376 65-69 1,120 1,311 1,282 1,486 1,460 1,362 70-74 929 1,092 1,221 836 1,399 1,388 75-79 691 810 1,000 1,048 1,257 1,279 80-84 419 523 672 853 622 1,058 85-89 170 245 331 488 595 439 90-94 39 70 107 170 279 301 95-99 5 10 19 33 66 86 100 0 1 2 3 7 10 65 14.3 15.6 16.8 16.8 18.7 18.9 INSEE 27
Autumn 2009 No. 168 22005 92,106 63,301 155,407 3.13 2.03 2.56 3,358 746 4,104 0.11 0.02 0.07 3,258 668 3,926 0.11 0.02 0.07 3,045 1,789 4,834 0.10 0.06 0.08 6,381 5,905 12,286 0.22 0.19 0.20 2,367 1,946 4,313 0.08 0.06 0.07 23,242 6,082 29,324 0.79 0.20 0.48 201 11,308 11,509 0.01 0.36 0.19 0 734 734 0.02 0.01 0 2,228 2,228 0.07 0.04 9,099 0 9,099 0.31 0.15 6,691 5,920 12,611 0.23 0.19 0.21 8,318 10,965 19,283 0.28 0.35 0.32 5,391 5,905 11,296 0.18 0.19 0.19 7,195 9,864 17,059 0.24 0.32 0.28 2,387 622 3,009 0.08 0.02 0.05 70,037 79,802 149,839 2.38 2.56 2.47 22,985 17,612 40,597 0.78 0.57 0.67 14,328 19,578 33,906 0.49 0.63 0.56 18,039 17,017 35,056 0.61 0.55 0.58 12,456 10,720 23,176 0.42 0.34 0.38 22,682 15,123 37,805 0.77 0.19 0.62 4,016 1,361 5,377 0.14 0.04 0.09 7,826 2,881 10,707 0.27 0.09 0.18 INSERM 80 1 1 2 3 1 2 3 1 28
24 Paticipant Sérvice Hospitalièr Public: PSHP DRG GHS Doctor s fee Hospital fee GHS 1 Code Déontologie IC 2004 16 HAD Hospitalization à domicile 2009a 1970 12 31 2000 5 30 HAD 2 HAD PT OT HAD IVH 2 Hospitalization à Domicile HAD 29
Autumn 2009 No. 168 PTOT HAD Infirmière coordonatrice HAD guichet unique HAD SROS APA HAD 2000 4,000 8,000 1 1986, circulaire Laroque Maurice Abiven 1999 6 9 1999 2001 2002 2005 2008 2012 3 3 2003-2007 FAQSV DDR 1991 SFASP 1992 Fondation de France UNASP 2006 2 9 Loi Léonetti 2005 4 22 Vincent Humbert 2 Chaussoy 2003 30
2 Association pour le droit de mourir dans la dignité 2 60 3 3 USP LISP 2 3 1999 742 2007 4012 EMSP EMSP EMSP USP 10 0.40 7.56 LISP 10 0.77 14.52 19 EMSP 20 3 1999 2002 2005 2007 316 1908 3075 742 834 825 937 742 1150 2733 4012 184 291 328 340 DHOS 31
Autumn 2009 No. 168 0.35 3.45 10 DRG GHS 1 HAD 4 1999 6 9 2002 3 3 2007 103 4 40 65 4 40 1 34 2 14 3 7 4 2 6 2 65 DHOS 2007 189 205 17,829 9,954 21.8 HAD 30 40 HAD HAD 1 ADL groupes homogène de prise en charge GHPC 1 32
4 1986 3 4 1997 3 4 30 2007 1 26 1999 6 11 30 20 ANFH 10 Cour des Comptes, 2007 20 ATEMIS, 2008 20 i iiiii 3 3 1 33
Autumn 2009 No. 168 Dr 2 24 365 2001 3 24 24 365 24 24 3 3 Abarea 34
Pierre Abarea IGAS, France 1 2005 2009b 2 double effect double effect ATEMIS. 2008. Etats des lieux du dispositif de soins palliatifs au niveau national synthese, Rouen: ATEMIS. Cour des Comptes. 2007. Le rapport 2006 de la Cour des Comptes. 2001 www.songenshi-kyokai.com 21 6 24 2009a No.2380 pp.10-15. 2009b No.2386 pp.10-16. 35