Montpellier: At the CHU, therapeutic training supports chronic diseases

Montpellier University Hospital has been offering 68 therapeutic patient education programs (ETP) for as many chronic diseases (allergies, Alzheimer’s, back pain, osteoarthritis, etc.) for years. An as-yet-unknown long-term support that will benefit this month of April from a billboard campaign supported by the city, the CPAM and Liberal Medicine.

better watch out Whatever its pathology. Beyond the purely medical and technical aspects, the Montpellier University Hospital has been developing programs for therapeutic patient education (ETP) for around twenty years. “It’s about how to take the treatments better, but also how to manage food, stress, better sleep, physical activity…” Doctor Xavier De La Tribonnière, Head of the Department of Therapeutic Patient Education (UTEP) at Montpellier University Hospital, describes a truly global approach.

“The goal is really to improve the quality of life. The patient gains autonomy, of course in conjunction with health professionals.” dr Xavier De La Tribonnière insists “Towards greater patient empowerment, leading to the possibility of resilience. Becoming another self with the disease.”

Programs from 3 months to a year

All of this requires a structured program that will be expanded over time and managed by a multidisciplinary team (doctors, nurses, health managers, physiotherapists, pharmacists, psychologists, etc.). “First the patient explains his knowledge, his beliefs. We also examine his projects before setting goals, a personalized program before making a progress report. The program can last from 3 months to a year. It all depends on the pathology .”

An unknown event. Hence the launch of a CHU poster campaign – planned by Friday April 15 – with partner patients (four patients of different ages and different pathologies appear on the flyers), supported by the City of Montpellier and the CPAM (Primary Health Insurance Fund). The campaign is aimed at patients as well as the general public and medical professionals in the metropolis.

A poster and four different flyers

The campaign to publicize ETP is based on a poster and four flyers. We see the distorted faces of four patients with the (general) slogan: “I’m very ill! So what?” Either Emma (8 years old) who has been living with her diabetes for a year; Léa (15) epileptic for five years; Stéphane (38 years old) has been suffering from a respiratory disease for three years and Gérard (74 years old) has been suffering from heart disease for eleven years. A QR code on the back of each flyer enables you to find a suitable therapeutic education program. And near his house.

This visibility effort is based on real experience as well as expertise from Montpellier. “ETP programs started with diabetes and respiratory diseases and now extend to even rare, psychiatric and childhood diseases.” Doctor Xavier De La Tribonnière clarifies “The WHO (World Health Organization) defined ETP programs in 1996-1998 before it was adopted by the Hospital Patient Health Area Act of 2009 known as HPST, which incorporated it into the Public Health Code. France is one of the few countries in the world to have made this choice.

Transforming the relationship between patient and caregiver

A choice that works. As Assia explains. This young woman, a former emergency room nurse, was in a serious traffic accident a few years ago. After three months in intensive care, twenty surgeries and months of rehab, Assia was able to get back on her feet despite multiple sclerosis thanks to an ETP program. “The pathology is of course there. But I manage to be me, to live with my illness like eleven million people in France. The goal of the game is to change the relationship between patient and caregiver.”

“As a caregiver, I did what the system expected of me. But when I went to the other side, I told myself that’s not necessarily what I want. It is important to accompany the patient between the diagnosis and the home. This is really what therapeutic education makes possible.”

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