{"id":8304,"date":"2026-10-19T13:56:18","date_gmt":"2026-10-19T11:56:18","guid":{"rendered":"https:\/\/prio.swiss\/?p=8304"},"modified":"2026-10-19T13:58:44","modified_gmt":"2026-10-19T11:58:44","slug":"medecine-hautement-specialisee-mhs-prio-swiss-depose-un-recours-contre-lattribution-dun-mandat-de-prestations-supplementaire","status":"publish","type":"post","link":"https:\/\/prio.swiss\/fr\/medecine-hautement-specialisee-mhs-prio-swiss-depose-un-recours-contre-lattribution-dun-mandat-de-prestations-supplementaire\/","title":{"rendered":"M\u00e9decine hautement sp\u00e9cialis\u00e9e (MHS): prio.swiss d\u00e9pose un recours contre l\u2019attribution d\u2019un mandat de prestations suppl\u00e9mentaire"},"content":{"rendered":"<p><strong>prio.swiss a d\u00e9pos\u00e9 un recours aupr\u00e8s du Tribunal administratif f\u00e9d\u00e9ral contre l\u2019attribution \u00e0 l\u2019H\u00f4pital cantonal de Lucerne (LUKS) d\u2019un mandat de prestations pour des op\u00e9rations hautement sp\u00e9cialis\u00e9es de l\u2019\u0153sophage (r\u00e9sections \u0153sophagiennes). L\u2019associatio<\/strong><strong>n critique le choix de l\u2019organe de d\u00e9cision MHS d\u2019accorder ce mandat au LUKS, en plus des dix centres recommand\u00e9s par l\u2019organe scientifique MHS. Selon prio.swiss, cette attribution contrevient aux exigences l\u00e9gales de concentration des prestations m\u00e9dicale<\/strong><strong>s hautement sp\u00e9cialis\u00e9es et \u00e0 l\u2019objectif de garantir une qualit\u00e9 \u00e9lev\u00e9e des traitements.<\/strong><\/p>\n<p>La m\u00e9decine hautement sp\u00e9cialis\u00e9e concentre les traitements rares et complexes dans des centres sp\u00e9cialis\u00e9s. L\u2019exp\u00e9rience et la pratique r\u00e9guli\u00e8re y sont essentielles pour assurer une qualit\u00e9 \u00e9lev\u00e9e des interventions.<\/p>\n<p>Le recours porte exclusivement sur le mandat de prestations attribu\u00e9 par l\u2019organe de d\u00e9cision MHS \u00e0 LUKS Spitalbetriebe AG, \u00e0 Lucerne, pour les r\u00e9sections \u0153sophagiennes chez l\u2019adulte. prio.swiss en demande l\u2019annulation. Par ce recours, l\u2019association s\u2019engage pour une application rigoureuse des crit\u00e8res l\u00e9gaux de planification hospitali\u00e8re et une organisation coordonn\u00e9e \u00e0 l\u2019\u00e9chelle nationale. La qualit\u00e9 des traitements, la s\u00e9curit\u00e9 des patients ainsi qu\u2019une prise en charge \u00e9conomique adapt\u00e9e aux besoins sont au c\u0153ur de cette d\u00e9marche.<\/p>\n<p><strong>Appliquer rigoureusement les crit\u00e8res l\u00e9gaux de planification<\/strong><\/p>\n<p>Selon les documents de planification, les dix autres centres sp\u00e9cialis\u00e9s disposent d\u00e9j\u00e0 de capacit\u00e9s de traitement suffisantes pour les r\u00e9sections \u0153sophagiennes. L\u2019attribution de ce mandat suppl\u00e9mentaire au LUKS cr\u00e9e une suroffre de soins et ne constitue donc pas, selon prio.swiss, une extension justifi\u00e9e par les besoins. De plus, le LUKS n\u2019a pas atteint, durant la p\u00e9riode d\u2019\u00e9valuation, le nombre minimal de cas d\u00e9terminant pour l\u2019attribution du mandat. Les dix autres centres ont satisfait \u00e0 cette exigence.<\/p>\n<p>R\u00e9partir ces interventions rares entre un plus grand nombre de centres peut rendre plus difficile la concentration recherch\u00e9e de l\u2019exp\u00e9rience et de la pratique r\u00e9guli\u00e8re, et ainsi nuire \u00e0 la qualit\u00e9 des traitements pour les patientes et les patients et \u00e0 l\u2019\u00e9conomicit\u00e9 de la prise en charge.<\/p>\n<p><strong>Pour l\u2019organe scientifique, les besoins sont d\u00e9j\u00e0 couverts<\/strong><\/p>\n<p>L\u2019organe scientifique MHS a recommand\u00e9 \u00e0 l\u2019organe de d\u00e9cision MHS de ne pas attribuer ce mandat de prestations au LUKS.<\/p>\n<p>L\u2019organe de d\u00e9cision MHS justifie notamment cette attribution par des changements de personnel et de structure au LUKS ainsi que par une hausse du nombre de cas. Selon prio.swiss, ces \u00e9l\u00e9ments ne suffisent pas \u00e0 expliquer pourquoi ce mandat est n\u00e9cessaire alors que le nombre minimal de cas n\u2019a pas \u00e9t\u00e9 atteint durant la p\u00e9riode d\u2019\u00e9valuation et que les capacit\u00e9s de traitement existantes sont d\u00e9j\u00e0 suffisantes.<\/p>\n<p>Comme il s\u2019agit d\u2019interventions programm\u00e9es, l\u2019association estime que leur concentration dans des centres sp\u00e9cialis\u00e9s doit primer. Des consid\u00e9rations de politique r\u00e9gionale ou d\u2019ordre g\u00e9ographique ne doivent pas prendre le pas sur les crit\u00e8res l\u00e9gaux de planification.<\/p>\n<p>\u00ab\u00a0Lors d\u2019interventions rares et complexes, nous devons concentrer de mani\u00e8re cibl\u00e9e l\u2019exp\u00e9rience des \u00e9quipes soignantes. Les personnes assur\u00e9es attendent des traitements de haute qualit\u00e9 et une utilisation rigoureuse des primes qu\u2019elles paient\u00a0\u00bb, d\u00e9clare Saskia Schenker, directrice de prio.swiss. \u00ab\u00a0C\u2019est pourquoi nous soumettons ce mandat de prestations pr\u00e9cis \u00e0 un examen judiciaire.\u00a0\u00bb<\/p>\n<p><strong>Demandes m\u00e9dias<br \/>\n<\/strong>Christophe Kaempf, porte-parole, 079\u00a0874\u00a085\u00a047, media@prio.swiss<\/p>\n","protected":false},"excerpt":{"rendered":"<p>prio.swiss a d\u00e9pos\u00e9 un recours aupr\u00e8s du Tribunal administratif f\u00e9d\u00e9ral contre l\u2019attribution \u00e0 l\u2019H\u00f4pital cantonal de Lucerne (LUKS) d\u2019un mandat de prestations pour des op\u00e9rations hautement sp\u00e9cialis\u00e9es de l\u2019\u0153sophage (r\u00e9sections \u0153sophagiennes). L\u2019association critique le choix de l\u2019organe de d\u00e9cision MHS d\u2019accorder ce mandat au LUKS, en plus des dix centres recommand\u00e9s par l\u2019organe scientifique MHS. [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[26],"tags":[],"class_list":["post-8304","post","type-post","status-publish","format-standard","hentry","category-communiques"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>M\u00e9decine hautement sp\u00e9cialis\u00e9e (MHS): prio.swiss d\u00e9pose un recours contre l\u2019attribution d\u2019un mandat de prestations suppl\u00e9mentaire - Prio.Swiss \u2013 Der Verband Schweizer Krankenversicherer<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/prio.swiss\/fr\/medecine-hautement-specialisee-mhs-prio-swiss-depose-un-recours-contre-lattribution-dun-mandat-de-prestations-supplementaire\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"M\u00e9decine hautement sp\u00e9cialis\u00e9e (MHS): prio.swiss d\u00e9pose un recours contre l\u2019attribution d\u2019un mandat de prestations suppl\u00e9mentaire - Prio.Swiss \u2013 Der Verband Schweizer Krankenversicherer\" \/>\n<meta property=\"og:description\" content=\"prio.swiss a d\u00e9pos\u00e9 un recours aupr\u00e8s du Tribunal administratif f\u00e9d\u00e9ral contre l\u2019attribution \u00e0 l\u2019H\u00f4pital cantonal de Lucerne (LUKS) d\u2019un mandat de prestations pour des op\u00e9rations hautement sp\u00e9cialis\u00e9es de l\u2019\u0153sophage (r\u00e9sections \u0153sophagiennes). L\u2019association critique le choix de l\u2019organe de d\u00e9cision MHS d\u2019accorder ce mandat au LUKS, en plus des dix centres recommand\u00e9s par l\u2019organe scientifique MHS. 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