Paris (AFP)

The CHU Bordeaux (1st) and Lille (2nd) come first in the new edition of the list of the 50 best public hospitals studied for the quality of their medical or surgical specialties, published Thursday in Le Point.

Next are the University Hospital of Toulouse (3rd), accustomed to the podium, the University Hospitals of Strasbourg (4th), the University Hospital of Montpellier (5th, on the rise), the University Hospital of Nantes (6th), the hospital of Pitié-Salpêtrière to Paris (7th, down), CHU Nancy (8th up), CHU Rennes (9th) and Grenoble (10th) before the CHU Tours (11th).

To be included in the final ranking of this independent list, an institution must provide a complete medical and surgical service. This version provides its highest ranking (122) of medical and surgical disciplines.

The weekly offers a range of special care classifications covering a broad spectrum of care (myocardial infarction, back surgery, obesity, stroke, breast cancer, hearing, depression, schizophrenia, hernia). abdomen, etc.).

Among the novelties this year, twelve activities, including sleep disorders at any age, testicular surgery, childhood and adolescent cancers (kidney, bone, brain, acute leukemia, lymphoma), epilepsy ...

The brand new polyclinic of Reims-Bezannes (Marne) is at the top of the 50 best clinics in France.

Several articles accompany this new edition produced, as the 22 previous years, by François Malye and Jérôme Vincent. Creators of this type of health record, they started it in the form of a "blacklist" of hospitals, in 1997 in Sciences et Avenir, before opting for a positive ranking of the best institutions.

Summary: sleep centers too small, the robot-surgery barely convincing, unequal stroke and pseudo-epilepsies psychogenic.

The weekly also reviews the emergency crisis with a map of vacancies in 277 of the 497 general public emergency services, more or less blocked by temporary workers: "Nearly 800 positions to be filled, a figure probably underestimated ", remarks François Malye.

Moreover, "a huge inequality of opportunity" persists in France for stroke, a source of disability: less than one out of two victims (48%) was hospitalized in a specialized neurovascular unit, according to the national data base hospitals (PMSI). A much lower figure than other countries like England (96% in 2016) or Sweden (87% in 2009) points the weekly.

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