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Palmarès des hôpitaux : un professeur de médecine dénonce la censure
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this._process(!0)},blockSize:1});function c(t,e,r){var i=this._iv;i?this._iv=void 0:i=this._prevBlock;for(var n=0;n<r;n++)t[e+n]^=i[n]}var a=p.mode={},h=(t.BlockCipherMode=e.extend({createEncryptor:function(t,e){return this.Encryptor.create(t,e)},createDecryptor:function(t,e){return this.Decryptor.create(t,e)},init:function(t,e){this._cipher=t,this._iv=e}})).extend();h.Encryptor=h.extend({processBlock:function(t,e){var r=this._cipher,i=r.blockSize;c.call(this,t,e,i),r.encryptBlock(t,e),this._prevBlock=t.slice(e,e+i)}}),h.Decryptor=h.extend({processBlock:function(t,e){var r=this._cipher,i=r.blockSize,n=t.slice(e,e+i);r.decryptBlock(t,e),c.call(this,t,e,i),this._prevBlock=n}}),a=a.CBC=h,h=(p.pad={}).Pkcs7={pad:function(t,e){for(var r=4*e,i=(r=r-t.sigBytes%r)<<24|r<<16|r<<8|r,n=[],o=0;o<r;o+=4)n.push(i);r=s.create(n,r),t.concat(r)},unpad:function(t){t.sigBytes-=255&t.words[t.sigBytes-1>>>2]}},t.BlockCipher=o.extend({cfg:o.cfg.extend({mode:a,padding:h}),reset:function(){o.reset.call(this);var t,e=(r=this.cfg).iv,r=r.mode;this._xformMode==this._ENC_XFORM_MODE?t=r.createEncryptor:(t=r.createDecryptor,this._minBufferSize=1),this._mode=t.call(r,this,e&&e.words)},_doProcessBlock:function(t,e){this._mode.processBlock(t,e)},_doFinalize:function(){var t,e=this.cfg.padding;return this._xformMode==this._ENC_XFORM_MODE?(e.pad(this._data,this.blockSize),t=this._process(!0)):(t=this._process(!0),e.unpad(t)),t},blockSize:4});var f=t.CipherParams=e.extend({init:function(t){this.mixIn(t)},toString:function(t){return(t||this.formatter).stringify(this)}}),a=(p.format={}).OpenSSL={stringify:function(t){var e=t.ciphertext;return((t=t.salt)?s.create([1398893684,1701076831]).concat(t).concat(e):e).toString(i)},parse:function(t){var 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t,e=(i=this._key).words,r=i.sigBytes/4,i=4*((this._nRounds=r+6)+1),n=this._keySchedule=[],o=0;o<i;o++)o<r?n[o]=e[o]:(t=n[o-1],o%r?6<r&&4==o%r&&(t=s[t>>>24]<<24|s[t>>>16&255]<<16|s[t>>>8&255]<<8|s[255&t]):(t=s[(t=t<<8|t>>>24)>>>24]<<24|s[t>>>16&255]<<16|s[t>>>8&255]<<8|s[255&t],t^=k[o/r|0]<<24),n[o]=n[o-r]^t);for(e=this._invKeySchedule=[],r=0;r<i;r++)o=i-r,t=r%4?n[o]:n[o-4],e[r]=r<4||o<=4?t:h[s[t>>>24]]^f[s[t>>>16&255]]^u[s[t>>>8&255]]^p[s[255&t]]},encryptBlock:function(t,e){this._doCryptBlock(t,e,this._keySchedule,n,o,c,a,s)},decryptBlock:function(t,e){var r=t[e+1];t[e+1]=t[e+3],t[e+3]=r,this._doCryptBlock(t,e,this._invKeySchedule,h,f,u,p,i),r=t[e+1],t[e+1]=t[e+3],t[e+3]=r},_doCryptBlock:function(t,e,r,i,n,o,s,c){for(var a=this._nRounds,h=t[e]^r[0],f=t[e+1]^r[1],u=t[e+2]^r[2],p=t[e+3]^r[3],d=4,l=1;l<a;l++)var 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id="WRAP_BAN_ATF"><div id="BAN_ATF" class="slotpub"></div></div> <main id="content" class="inner" > <!--COL AD1000 1--> <!--BLOC 2023 WWW - ARTICLE BREADCRUMB- AUTOCMS--> <!--bMmrg - t_www_2023/pages/article/blocs/breadcrumb.tpl--> <ul id="breadcrumb"> <li> <a title="Voir la catégorie Débats" href="/debats/"> Débats</a> </li> </ul> <!--/BLOC 2023 WWW - ARTICLE BREADCRUMB- AUTOCMS--> <!--BLOC WWW - ARTICLE - emplacement Engage Titre - STATIC--> <!--bH:--> <div id="engage-art-titres" class="slot-engage"></div> <!--/BLOC WWW - ARTICLE - emplacement Engage Titre - STATIC--> <!--/COL AD1000 1--> <article class="freemium-tronque"> <!--COL AD1000 2--> <!--BLOC 2023 WWW - ARTICLE HAUT- AUTOCMS--> <!--bMmrg - t_www_2023/pages/article/blocs/haut.tpl--> <header id="haut" > <h1 class="premium"> Palmarès des hôpitaux : un professeur de médecine dénonce la censure</h1> <p class="chapo"> TRIBUNE. Guy Vallancien, membre de l’Académie de médecine, s’insurge contre la décision d’empêcher « Le Point » d’accéder aux données de santé des établissements de soins.</p> <p class="author"> Par <span><a rel="author" href="/journalistes-du-point/guy-vallancien" class="Link Link--noborder"><span>Guy Vallancien</span></a></span>*</p> <time>Publié le 25/11/2022 à 14h00</time> <p class="abo" data-ifnot-premium="block"> <a class="btn" href="https://abo.lepoint.fr/?provenance=AUTOPROMO00" title="S’abonner sans engagement" data-gtm="click:abo" data-campaign="bouton_chapo_PA">S’abonner sans engagement</a> </p> </header> <!--/BLOC 2023 WWW - ARTICLE HAUT- AUTOCMS--> <!--/COL AD1000 2--> <div id="article-body" class="" > <!--COL AD1000 3--> <!--BLOC 2023 WWW - ARTICLE - Contenu - AUTOCMS--> <!--bMmrg - t_www_2023/pages/article/2023_contenu-visuel-large.tpl--> <img src="/img-l/articles/2499187.png" width="0" height="0" style="position:absolute !important; top:-50000px !important;" /><!--<article class="Article freemium-tronque" data-content-type="newsArticle">--> <!--<header class="ArticleHeader">--> <figure id="image"> <picture> <source media="(max-width: 767px)" srcset=" https://static-images.lpnt.fr/cd-cw400/images/2022/11/25/23901519lpw-23903843-mega-une-jpg_9606693.jpg 1x, https://static-images.lpnt.fr/cd-cw809/images/2022/11/25/23901519lpw-23903843-mega-une-jpg_9606693.jpg 2x" > <source media="(min-width: 768px) and (max-width: 1183px)" srcset=" https://static-images.lpnt.fr/cd-cw602/images/2022/11/25/23901519lpw-23903843-mega-une-jpg_9606693.jpg 1x, https://static-images.lpnt.fr/cd-cw1204/images/2022/11/25/23901519lpw-23903843-mega-une-jpg_9606693.jpg 2x" > <img alt="« Il existe un rapport direct entre la quantité d’actes effectués par an dans un établissement et la qualité des prestations offertes », rappelle le professeur Guy Vallancien. " src="https://static-images.lpnt.fr/cd-cw809/images/2022/11/25/23901519lpw-23903843-mega-une-jpg_9606693.jpg" srcset=" https://static-images.lpnt.fr/cd-cw809/images/2022/11/25/23901519lpw-23903843-mega-une-jpg_9606693.jpg 1x, https://static-images.lpnt.fr/cd-cw1618/images/2022/11/25/23901519lpw-23903843-mega-une-jpg_9606693.jpg 2x" width="809" height="405" loading="eager"> </picture> <figcaption> « Il existe un rapport direct entre la quantité d’actes effectués par an dans un établissement et la qualité des prestations offertes », rappelle le professeur Guy Vallancien. <span class="copyright">© Nicolas Vallauri/La Provence/MaxPPP</span></figcaption> </figure> <div id="actions"> <p class="reading-time">Temps de lecture : <span>4 min</span></p> <ul> <li class="add-fav neverstop" data-gtm="click:action"> <a href="https://moncompte.lepoint.fr/connexion/?return" data-dmp="'clic','Barre_articles','Partage_Archiver'" data-title="Palmarès des hôpitaux : un professeur de médecine dénonce la censure" data-chapeau="TRIBUNE. Guy Vallancien, membre de l’Académie de médecine, s’insurge contre la décision d’empêcher « Le Point » d’accéder aux données de santé des établissements de soins." data-id="2499187" data-image="/images/2022/11/25/23901519lpw-23903843-article-jpg_9606691_200x133.jpg" data-auteur="Par Guy Vallancien*" data-date="2022-11-25 14:00:00"> <span class="picto-favori"></span> <span class="txt">Ajouter à mes favoris</span> </a> <p class="msg-confirm">L'article a été ajouté à vos favoris</p> </li> <li class="googlenews" data-gtm="click:nav"> <a href="https://news.google.com/publications/CAAqBwgKMM6p2gIwsvYb?hl=fr&gl=FR&ceid=FR%3Afr" target="_blank"> <span class="picto-googlenews"></span> <span class="txt">Google News</span> </a> </li> <li class="comment" data-gtm="click:action"> <button data-scrollto="#commentaires"> <span class="picto-comment" data-number="48"></span> <span class="txt">Commenter</span> </button> </li> <li class="share"> <button> <span class="picto-share"></span> <span class="txt">Partager</span> </button> <ul> <li data-share-social="Facebook" data-gtm="click:action"> <span class="picto-facebook"></span> <a href="https://w.lpnt.fr/2499187f">Facebook</a> </li> <li data-share-social="Twitter" data-gtm="click:action"> <span class="picto-twitter"></span> <a href="https://w.lpnt.fr/2499187t">Twitter</a> </li> <li data-share-social="LinkedIn" data-gtm="click:action"> <span class="picto-linkedin"></span> <a href="https://w.lpnt.fr/2499187l">LinkedIn</a> </li> <li data-share-social="WhatsApp" data-gtm="click:action"> <span class="picto-whatsapp"></span> <a href="#" target="_blank">WhatsApp</a> </li> <li data-share-social="ApiShare" data-gtm="click:action"> <span class="picto-instagram"></span> <span>Instagram</span> </li> <li class="copy-link" data-gtm="click:action"> <span class="picto-link"></span> <span>Copier le lien</span> </li> </ul> </li> </ul> </div> <style> :root { --etx-primary-color: #6483a1; --etx-section-button-play-padding: 0 0.5rem 0 0; --etx-button-play-padding: 0.5rem; --etx-button-play-border-radius: 0.25rem; --etx-section-duration-padding: 0 0 0 1rem; --etx-brand-font-family: "Roboto Condensed", Arial, sans-serif; } </style> <div id="voxa-player" data-duration="304.3" data-vh="ueio"></div> <script type='module'> import { initETXPlayer } from 'https://player.voxa.majelan.com/voxa-player.js'; let config = { audioUrl: 'https://lecture-audio.lpnt.fr/78cb879b-230a-5eac-a7f8-58d54952fa6f.mp3', ad: { enabled: false, channelId: 'sample' } }; initETXPlayer(config); </script> <!--</header>--> <!--<div class="ArticleBody like-content Truncate" data-content-type="mainEntityOfPage" data-sticky="top:0px" data-text-size="100">--> <div id="contenu" class="article-styles"> <!-- include t_www_2023/pages/article/blocs/tag_pub.tpl --> <!-- include /t_www_2023/pages/article/blocs/tag_pub.tpl --> <p><span class="dflt-txt__lettrine">C</span>omment <em>Le Point</em>, qui publie, depuis vingt-trois ans, un classement des établissements de soins publics et privés reconnu par les soignants, par les directions des établissements de soins et par la population comme une référence, a-t-il pu être interdit de divulguer ses résultats ? Question de méthodologie, répond le Comité éthique et scientifique pour les recherches, les études et l'évaluation dans le domaine de la santé (Cesrees).</p><section class="mbl txtcenter"><div id="IN_CONTENT" class="txtcenter mbs slotpub"></div></section><p>On aimerait bien comprendre pourquoi ? Les critères utilisés par l'hebdomadaire sont pertinents et la protection de données est réelle. L'argument du risque de diffusion de l'identité des patients est nul, les bases de données étant anonymisées. Enfin, l'information sur la méthodologie d'évaluation au lecteur est suffisante.</p><p><span class="Capsule free"><span class="Phylactery">À LIRE AUSSI</span> <strong class="strong"><a href="https://www.lepoint.fr/societe/palmares-des-hopitaux-histoire-d-une-censure-17-11-2022-2498178_23.php" title="Palmarès des hôpitaux, histoire d'une censure" style="text-decoration: none; color: inherit;" data-gtm="click:capsule" data-capsule="À lire aussi">Palmarès des hôpitaux...</a></strong></span></p><!-- include t_www_2023/pages/article/blocs/bloc-encadre.tpl --> <!-- include /t_www_2023/pages/article/blocs/bloc-encadre.tpl --><aside id="article-reserve-aux-abonnes" class="paywall"> <div class="paywall-content"> <p>Toute l’actualité à 1€ le premier mois</p> <a href="https://abo.lepoint.fr/?provenance=21EDI020098" class="btn" title="S'abonner" data-gtm="click:abo|display:abo" data-campaign="paywall_maison">S'abonner</a> <div class="separator"><span>ou</span></div> <p></p> <button class="swg-standard-button" id="swg-btn-maison" role="button" title="S'abonner avec Google" data-gtm="click:abo" data-campaign="paywall_maison_swig"></button> </div> </aside> <div class="info-paywall">Cet article est réservé aux abonnés. <a onclick="return xt_med('F','112','Popin_identification::identifiez-vous_article-abonnes','')" href="https://moncompte.lepoint.fr/connexion/?return">S’identifier</a></div> <div id="newsletter" class="bloc-1 title-top"> <span class="h2">La newsletter débats et opinions</span> <div class="step-1"> <p class="period">Tous les vendredis à 7h30</p> <p>Recevez notre sélection d’articles tirée de notre rubrique Débats, pour comprendre les vrais enjeux du monde d’aujourd’hui et de notre société</p> <form action="#" method="get"> <input type="hidden" name="origine" value="KAM-Page-article-opinions_bloc-collecte_nlopinions"> <input type="hidden" name="nl" value="nldebats"> <div> <label for="mail">Votre adresse email</label> <input type="text" name="mail" id="email" placeholder="Votre adresse email" class="text"> <p class="msg-invalid wrong-email">Votre adresse email n'est pas valide</p> <p class="msg-invalid empty-email">Veuillez renseigner votre adresse email</p> </div> <input type="submit" value="S'inscrire" class="btn"> </form> </div> <div class="step-2"> <p>Merci !<br>Votre inscription a bien été prise en compte avec l'adresse email :<br><span class="email-sended"></span></p> <p>Pour découvrir toutes nos autres newsletters, rendez-vous ici : <a href="https://moncompte.lepoint.fr/" title="">MonCompte</a></p> </div> <p>En vous inscrivant, vous acceptez les <a href="https://www.lepoint.fr/html/cgu/" title="Conditions générales d'utilisation">conditions générales d’utilisations</a> et notre <a href="https://www.lepoint.fr/html/politique-de-protection-donnees-personnelles/" title="Politique de confidentialité">politique de confidentialité</a>.</p> </div></div> <div class="article-tags"> <h3 class="article-tags__title">Les mots-clés associés à cet article</h3> <ul class="article-tags__list"><li><a href="/tags/palmares-hopitaux" >Palmarès des hôpitaux</a></li></ul></div><section id="ne-pas-manquer" class="title-top"> <h2>À ne pas manquer</h2> <ul> <li> <h3 class="ListItem"> <a href="/sante/exclusif-decouvrez-notre-palmares-des-hopitaux-et-cliniques-2021--22-09-2021-2444339_40.php" data-gtm-article="A ne pas manquer"> EXCLUSIF. 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<strong>Broquere</strong> <time datetime="2024-11-25T0738"> 25-11-2024 • 07h38 </time> </div> <div class="commentaire-text"> <p>Censure cohérente avec l'esprit ambiant en France.</p> <button class="more">Lire plus</button> </div> <div class="commentaire_abusif" id="commentaire_abusif_13367129"></div> <button class="comment-abuse signaler">Signaler</button> </li> <li class="commentaire" data-nb-comments="2" id="div_commentaire_13361155" data-load-php='true'> <div> <strong>Jean-Louis</strong> <time datetime="2024-11-19T0051"> 19-11-2024 • 00h51 </time> </div> <div class="commentaire-text"> <p>C'est sûr, tout ce monde, "il est beau et gentil"<br /> <br /> Cet étouffoir permet à beaucoup de ces médecins de se positionner sur les secteurs 2 & 3, beaucoup plus rémunérateur. <br /> <br /> Puis d'un autre côté c'est une vraie censure, tout ce passant comme si la presse spécialisée de l'automobile ne pouvait plus faire la claque des les modèles mis en ventes, après homologation, cette homologation laissant de côté, les avatars qui se découvrent au fur & à mesure, agrément de conduite, consommation, usure prématurée, insécurité... Etc. , une presse auto qui sait vivre avec les constructeurs, sans assassiner lesdits modèles, laissant aux lecteurs leur libre-arbitre pour tout de même parvenir à choisir le modèle cumulant le moins de ces avatars... <br /> Rien n'étant parfait en ce bas monde.</p> <button class="more">Lire plus</button> </div> <div class="commentaire_abusif" id="commentaire_abusif_13361155"></div> <button class="comment-abuse signaler">Signaler</button> </li> <li class="commentaire" data-nb-comments="3" id="div_commentaire_13327375" data-load-php='true'> <div> <strong>Eponyme</strong> <time datetime="2024-10-15T1035"> 15-10-2024 • 10h35 </time> </div> <div class="commentaire-text"> <p>De toutes façons même si on vous signale que le meilleur service chirurgical pour votre pathologie se situe à Lille ou Amiens. ; ferez vous le déplacement si vous habitez Perpignan ou Bayonne... ?</p> <button class="more">Lire plus</button> </div> <div class="commentaire_abusif" id="commentaire_abusif_13327375"></div> <button class="comment-abuse signaler">Signaler</button> </li> </ul> <div style="text-align:center;"> <button class="btn next-comments" data-page="2">Voir les commentaires suivants</button> </div> </section> <!--/BLOC 2023 WWW - 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