{"d":{"__metadata":{"id":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')","uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')","type":"itsystems.Pd.DataServices.DataModel.Business"},"BusinessResponsibilities":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/BusinessResponsibilities"}},"RelatedBusinesses":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/RelatedBusinesses"}},"BusinessRoles":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/BusinessRoles"}},"Publications":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/Publications"}},"LegislativePeriods":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/LegislativePeriods"}},"Sessions":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/Sessions"}},"Preconsultations":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/Preconsultations"}},"Bills":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/Bills"}},"Councils":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/Councils"}},"BusinessTypes":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/BusinessTypes"}},"Votes":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/Votes"}},"SubjectsBusiness":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/SubjectsBusiness"}},"BusinessStates":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/BusinessStates"}},"Council":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/Council"}},"Transcripts":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=19943240,Language='FR')/Transcripts"}},"ID":19943240,"Language":"FR","BusinessShortNumber":"94.3240","BusinessType":8,"BusinessTypeName":"Interpellation","BusinessTypeAbbreviation":"Ip.","Title":"M\u00e9decine de pointe. Prestations optimales","Description":null,"InitialSituation":null,"Proceedings":null,"DraftText":null,"SubmittedText":"<p>J'invite le Conseil f\u00e9d\u00e9ral \u00e0 r\u00e9pondre aux questions suivantes\u00a0:</p><p>1. N'estime-t-il pas que la m\u00e9decine de pointe ne doit plus faire les frais du f\u00e9d\u00e9ralisme\u00a0?</p><p>2. Quelles bases l\u00e9gales permettraient d'optimiser les prestations dans ce domaine tant sur les plans financier que technique\u00a0?</p>","ReasonText":"<p>Les exigences et les co\u00fbts li\u00e9s \u00e0 la m\u00e9decine de pointe ne cessent de cro\u00eetre. \u00c0 cet \u00e9gard, il suffit de songer notamment au domaine des transplantations ou \u00e0 la chirurgie du coeur chez les enfants souffrant de malformations. \u00c0 l'heure actuelle, ces op\u00e9rations sont dispers\u00e9es entre diverses cliniques universitaires. R\u00e9cemment il a m\u00eame \u00e9t\u00e9 question d'\u00e9quiper des cliniques priv\u00e9es pour ce genre d'interventions. Cette situation ne peut plus durer. Le Conseil f\u00e9d\u00e9ral ne devrait-il pas \u00eatre habilit\u00e9 \u00e0 fixer, dans le domaine de la m\u00e9decine de pointe, des priorit\u00e9s dans les diff\u00e9rentes universit\u00e9s\u00a0? Ainsi, il serait par exemple souhaitable que les transplantations du foie soient effectu\u00e9es exclusivement \u00e0 Gen\u00e8ve. Une telle centralisation des comp\u00e9tences permettrait non seulement de r\u00e9aliser des \u00e9conomies, mais aussi d'accro\u00eetre sensiblement l'exp\u00e9rience et les connaissances acquises dans des secteurs tr\u00e8s pointus. Les patients sont incontestablement en droit de demander une telle optimisation des prestations, \u00e9tant donn\u00e9 qu'il s'agit d'interventions extr\u00eamement complexes, qui entra\u00eenent un taux de mortalit\u00e9 \u00e9lev\u00e9. La Suisse est vraiment trop exigu\u00eb pour pouvoir s'offrir, dans certains secteurs m\u00e9dicaux, plusieurs cliniques hautement sp\u00e9cialis\u00e9es, d'autant plus que celles-ci n'auront malgr\u00e9 tout pas l'exp\u00e9rience n\u00e9cessaire.</p>","DocumentationText":null,"MotionText":null,"FederalCouncilResponseText":"R\u00e9ponse du Conseil f\u00e9d\u00e9ral.","FederalCouncilProposal":8,"FederalCouncilProposalText":null,"FederalCouncilProposalDate":"\/Date(780537600000)\/","SubmittedBy":"Wick Hugo","BusinessStatus":229,"BusinessStatusText":"Liquid\u00e9","BusinessStatusDate":"\/Date(819504000000)\/","ResponsibleDepartment":4,"ResponsibleDepartmentName":"D\u00e9partement de l'int\u00e9rieur","ResponsibleDepartmentAbbreviation":"DFI","IsLeadingDepartment":true,"Tags":null,"Category":null,"Modified":"\/Date(1712738005570)\/","SubmissionDate":"\/Date(771638400000)\/","SubmissionCouncil":1,"SubmissionCouncilName":"Conseil national","SubmissionCouncilAbbreviation":"CN","SubmissionSession":4414,"SubmissionLegislativePeriod":44,"FirstCouncil1":1,"FirstCouncil1Name":"Conseil national","FirstCouncil1Abbreviation":"CN","FirstCouncil2":null,"FirstCouncil2Name":null,"FirstCouncil2Abbreviation":null,"TagNames":null}}