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Doctors-Covid, Jenparle! 1,000 doctors have spoken out about their experiences of the Covid-19 crisis, particularly during the first containment period (March-May 2020), in partnership with the Quotidien du Médecin

From 18 May to 29 June 2020, at the start of the first progressive decontamination, Res publica, in partnership with Le Quotidien du Médecin and Décision et Stratégie Santé, conducted a survey of 1,000 doctors, using Jenparle, Res publica's collaborative dialogue and consultation tool.

"Of the thousand professionals who responded, many expressed surprise and dismay at the sudden onset of the crisis. Most stressed the unpreparedness of the health system as a whole. And a good number report new ways of working, more or less guided by necessity or constraint, which one perceives could really change the situation in post-Covid France. "
Le Quotidien du Médecin

In the summer of 2020, doctors debated online 46 proposals for improving health after Covid-19. These proposals concern health governance, care and treatment solutions, human resources and training, and equipment. Among these proposals, the need to give back their place to carers by changing the governance of hospitals stands out. In this respect, the lack of proximity and the excessive centralisation of hospitals are deplored.

We draw three conclusions from this survey that can be made operational quickly:

The quality of health services at the territorial level will depend mainly on the quality of the dialogue between all the players in this field. dialogue between all the players in this field. Building territorial health strategies will make it possible to give actors more flexibility to organise the response to a territory's health needs in an agile and reactive way, to clarify and make more fluid the organisation of the regulation of unscheduled care and emergencies, and to structure local care and the interface between the city and the hospital.

Collaborative dialogue is an expert practice that is the only way to guarantee useful and effective discussions that will enable the implementation of operational change. The world of health could be inspired by it to initiate the transformation that will guarantee a quality service, at the right price, under the right conditions for better health of citizens.

Gilles-Laurent RAYSSAC, Camille BOURDIER and Pétronille CAMPHUIS
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