Place de l’offre de soins libérale dans la réponse aux crises sanitaires

The SARS-Cov-2 pandemic, through its exceptional impact on the health system of the Bourgogne-Franche-Comté region, was a real “crash test” for all regional health professionals. While the organization of care in France is traditionally and historically based on a public hospital offer and a liberal and private sector, the integration of these two components was perceived as uneven, especially during the first wave. During the summer of 2020, the Regional Union of Liberal Doctors of Bourgogne-Franche-Comté conducted a survey of its constituents as well as an analysis of the measures taken as part of the response to the crisis, from the point of view of the liberal care offer. This work highlighted how all of the country's health resources were unequally integrated into crisis response plans and the emergence of initiatives recognized but still to be consolidated. Integrating these validated initiatives into a coherent regional plan and an effective territorial declination, reinforcing the place of liberal resources in the response to health crises, defining the modalities of such integration and validating them through use appear today as many challenges to which we must collectively respond; the resilience of both the health system and its stakeholders is at stake, as well as the optimization of the latter's capacities to delay as much as possible situations of saturation or even overflow and thus free up the necessary room for maneuver, do not would it be for the implementation of reinforcements.