Better care and improvement of care pathways: the crucial role of medical mobility


The crisis has shed light on the imperfections of the French health system. To fill these gaps, it is essential to work on improving both the times of access to care, the patient care pathways, but also the cooperation between health professionals and doctors. The government itself has understood this well.

Proof of this are: the calls for expression of interest (MAI) regularly published by the ministry. However, if e-health solutions enjoy a flourishing literature, the distance does not meet all needs. An important part of the answer thus lies on the side of another practice of medicine, too often forgotten despite its usefulness and having significant economic outlets: medical mobility.

Medical mobility: a variety of professions serving good living …

Rural doctors are most often associated with the term of medical mobility. Part of the family having forged close ties with their patients, they play a real social role in addition to their core business. If the latter are becoming increasingly rare, mobile health has gradually become more democratic: from the historical SOS Médecins continuous medical service to home health providers traveling to check the patient’s constants for diabetics or patients suffering from sleep apnea … through nurses, occupational therapists, physiotherapists or midwives, to name but a few than them. Medical mobility is therefore now multi-business, but also multi-location in that the various health professionals are able to travel to where the patient is: at home of course, but also in establishments and medico-social services ( Ehpad) or health, in serviced residences for seniors, or in the professional environment and schools.

In this sense, health in mobility has as many advantages as there are places of life visited. In addition to limiting the health risks and the costs associated with the movement of fragile people, it is a means of combating medical deserts and reducing the loss of opportunities and the phenomenon of non-recourse to care for isolated or dependent people.. In that it makes it possible to identify risky situations on site, it is also a means of detecting the various forms of mistreatment and therefore, ultimately, of improving the well-being of patients. Indeed, some health professionals on the move, because of their quality of service approach, can alert the competent authorities in the event of unsanitary housing, signs of physical or moral abuse by a third party, malnutrition, etc. etc. Finally, it allows better prevention and early screening. Benefits themselves source of many virtues. Carrying out visual assessments in a company or at school leads, for example, to greater employee productivity and a reduction in the risk of failure at school.

… As an essential link in the healthcare offer of tomorrow!

The advantages inherent in medical mobility are even more numerous when it is carried out in coordination with the other players in the value chain. In order to limit the influx of emergency services or traffic in large urban centers, mobile health professionals can thus redirect patients to multidisciplinary health centers which are scattered throughout the territory. Also, in order to facilitate access to certain specialties, these mobile health professionals can perform screening and prevention procedures in support of specialist doctors who will be consulted (face-to-face or by telemedicine) for the interpretation of the results and the completion of the prescription or the surgical act. Changes in the regulatory framework could allow an optician on the move to carry out, for example, a visual assessment and a complete screening for the ophthalmologist. Likewise, an advanced practice home nurse will be able to carry out a nursing assessment for a neurologist, surgeon or any other doctor who needs it. Coordination that makes the care process more fluid: on the patient side by reducing the time it takes to obtain medical appointments; and on the practitioner side by allowing them both to free up time for patients requiring medical expertise or complex care, and to concentrate on medical procedures.

While it was customary for a patient to go to health professionals, the structural changes brought about by the development of home services could be the key to providing everyone – whatever their age, way and place of life. , and their ability or willingness to move – better access to health. However, for a seamless care path, all that remains is to activate the levers aimed at better coordination between health professionals facilitated by greater delegation of tasks, to support the emergence of specialized support services allowing them to exercise their profession. 100% with patients without worrying about administrative constraints, and to train them in these new mobile jobs. Because in addition to miniaturized professional equipment, it is also methods and processes that must be adapted to this way, both more intrusive but also ethical, of practicing one’s profession. A mobile practice AND which could thus advance society as a whole!