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| Conférence régionale de la santé et de l'autonomie | |
|---|---|
| Name | Conférence régionale de la santé et de l'autonomie |
| Native name | Conférence régionale de la santé et de l'autonomie |
| Formation | 2000s |
| Type | Regional consultative assembly |
| Headquarters | Regional capitals in France |
| Region served | France |
| Language | French language |
| Leader title | President |
Conférence régionale de la santé et de l'autonomie is a regional consultative assembly established in France to advise on policy related to health care in France, social services, and dependency (care) for older adults and people with disabilities. Modeled within the framework of reforms that include the Loi HPST (2009), Ordonnance (1945), and successive regional reorganizations such as the 2015 territorial reform, the body interfaces with regional bodies like Agences régionales de santé, Conseils régionaux, and municipal federations like Association des Maires de France. Its membership brings together representatives from institutional actors including Ministry of Solidarity and Health (France), professional orders such as Order of Physicians (France), user associations like Confédération française des retraités, and civil society organizations like Croix-Rouge française.
The inception of the Conférence régionale de la santé et de l'autonomie traces to policy trajectories encompassing Ayrton Report (2002), the decentralization laws of the 1980s and 2000s, and health policy shifts after the 2003 heat wave in Europe, prompting coordination across entities like Haute Autorité de Santé, Caisse nationale d'assurance maladie, and regional hospital systems exemplified by Assistance Publique–Hôpitaux de Paris. Subsequent legislative landmarks—Loi HPST (2009), Loi relative à l'adaptation de la société au vieillissement (2015), and reforms affecting Regional health agencies (ARS)—shaped the Conférence's remit alongside cross-sector actors such as Institut national de la santé et de la recherche médicale, Agence nationale de santé publique, and welfare stakeholders including Union nationale interfédérale des œuvres et organismes privés non lucratifs (UNIOPSS).
Statutory foundations derive from texts interacting with Public Health Code (France), provisions tied to Loi n°2002-2 and later statutes like Loi relative à l'organisation et à la transformation du système de santé (2019). The Conférence is designed to articulate positions of bodies such as Conseil national de l'ordre des infirmiers, Ordre national des masseurs-kinésithérapeutes, Fédération hospitalière de France and advocacy groups including Fédération des acteurs de la solidarité, interfacing with funding entities like Caisse nationale de solidarité pour l'autonomie (CNSA). Its purpose integrates consultation with agencies such as Agence régionale de santé and territorial collectives like Conseil départemental to inform regional strategies reflected in plans similar to the schéma régional d'organisation des soins.
Membership typically includes elected officials from Conseil régional, appointed representatives of Agences régionales de santé, professional council delegates from Order of Pharmacists (France), leaders of hospital federations such as Fédération hospitalière de France, representatives of insurer bodies like CNAM, delegates from associations like Association française des aidants, and experts from research institutions including Inserm and Institut national d'études démographiques. The assembly is chaired by a president often selected among figures linked to Conseil régional or civil society leaders; supporting secretariats involve personnel seconded from Agence régionale de santé and regional directorates such as Direction générale de la cohésion sociale.
The Conférence issues opinions, recommendations, and reports on agendas shared with entities like Haute Autorité de Santé, Agence nationale de l'évaluation et de la qualité des établissements et services sociaux et médico-sociaux (ANESM), and local networks including Maisons de santé. It contributes to drafting regional instruments like the schéma régional d'organisation des soins and the plan régional de santé publique, liaises with institutional funders such as Caisse d'allocations familiales and Assurance retraite, and evaluates programs in concert with bodies like Direction générale de la santé and Agence nationale de sécurité du médicament et des produits de santé. The Conférence may convene working groups on themes involving actors like Union nationale des associations familiales and Fondation de France.
In regional planning, the Conférence coordinates inputs from stakeholders including Conseil départemental, Communauté urbaine, and provider networks like Centre hospitalier universitaire to inform plans analogous to the schéma régional d'organisation sociale et médico-sociale. It aligns recommendations with priorities from national strategies—e.g., campaigns led by Santé publique France—and integrates demographic projections from INSEE and epidemiological data from Institut Pasteur to advise on services for populations covered by programs of CNSA and regional prevention efforts linked to Agence nationale de santé publique.
The Conférence operates as an advisory interlocutor for national ministries such as Ministry of Health and Solidarity and regional administrations including Préfecture de région, interacting with implementing bodies like Agences régionales de santé and departmental structures including Conseils départementaux. It mediates between professional organizations such as Syndicat national des médecins and user groups like France Assos Santé, and contributes to policy dialogues involving institutional partners such as Fédération hospitalière de France and funding agencies like Caisse nationale de solidarité pour l'autonomie.
Critiques have been voiced by stakeholders including Cour des comptes reports, think tanks such as Fondation Jean-Jaurès, and associations like France Assos Santé regarding effectiveness, representativeness, and the weight of recommendations compared with administrative decisions by Agences régionales de santé or Conseil régional. Proposed reforms reference models from entities like Conseil économique, social et environnemental and suggestions in parliamentary hearings of the Assemblée nationale to strengthen transparency, statutory powers, and ties with institutions like Haute Autorité de Santé and Caisse nationale de solidarité pour l'autonomie. Category:Health policy in France