Clinique, les compétences de tes médecins libéraux tu vérifieras

Quid - La chirurgie esthétique d'Angelika TaschenUne patiente a subi le 26 septembre 2003 une opération de chirurgie esthétique en vue de la mise en place de prothèses mammaires réalisée par un chirurgien généraliste exerçant au sein de la Clinique Anne d’Artois. Insatisfaite du résultat de cette opération, la patiente a recherché la responsabilité de l’opérateur et celle de la clinique, en reprochant à cette dernière un manquement à son obligation générale d’organisation laquelle lui imposait de fournir un personnel qualifié.

La demanderesse s’est adressée à la juridiction de proximité de Béthune, l’enjeu du litige ne devant sans doute pas dépasser 4.000 euros.

Par jugement rendu le 15 mai 2007, ladite juridiction a condamné in solidum la clinique et le médecin à réparer son préjudice. Les parties succombantes se sont alors pourvues en cassation contre la décision de première instance.

Et voici ce que dit la Cour de cassation dans son arrêt du 11 juin 2009 (n°08-10.642) :

« Mais attendu, qu’en vertu du contrat d’hospitalisation et de soins le liant à son patient, l’établissement de santé privé est tenu d’une obligation de renseignements concernant les prestations qu’il est en mesure d’assurer, de procurer au patient des soins qualifiés, et de mettre à sa disposition un personnel compétent ;

Et attendu que le jugement énonce que la clinique qui cherchait un médecin ayant une formation de chirurgien gynécologue, à orientation carcinologue, avait engagé M. Y… en tant que chirurgien généraliste; que celui-ci n’avait obtenu son inscription au conseil de l’ordre qu’en tant que chirurgien généraliste, tout en se présentant comme spécialisé en « chirurgie du cancer du sein et gynécologie » sur les papiers à en-tête de la clinique ; que le tribunal qui a relevé que M. Y… n’avait aucune compétence ni spécialité dans le domaine de la chirurgie plastique, reconstructrice et esthétique, a pu retenir, nonobstant le fait que l’exercice de la chirurgie esthétique n’ait été restreint à une liste déterminée de spécialistes que postérieurement aux faits litigieux, par décret du 11 juillet 2005, que la clinique avait manqué à ses obligations à l’égard de sa patiente, en laissant M. Y…, pratiquer des opérations relevant de la chirurgie esthétique, sans vérifier s’il disposait des compétences requises en ce domaine ;

Que par ces motifs la juridiction a légalement justifié sa décision ; »

Deux types de contrats régissent les relations du patient pris en charge par un médecin exerçant à titre libéral au sein d’un établissement de santé privé : un contrat médical avec le praticien et un contrat d’hospitalisation et de soins avec l’établissement. Ces deux contrats ne se confondent pas.

Si l’indépendance professionnelle s’oppose à ce que la responsabilité de la clinique soit retenue pour des fautes commises par le médecin libéral dans l’exercice de son art, est-ce à dire que ce principe la dispense de tout contrôle sur les compétences du médecin libéral ? Assurément non, dès lors que la délivrance de soins qualifiés, issue précisément du contrat d’hospitalisation et de soins, dépend de la compétence et des qualifications du médecin opérateur.

S’ils ne se confondent pas, les deux contrats, on le voit, sont intimement liés.

En effet, la clinique doit veiller, dans l’organisation des soins, à la réalisation de soins qualifiés par la mise à disposition d’un personnel de santé disponible et d’un matériel opérationnel et suffisant. On imagine mal un établissement observer cette obligation avec des médecins libéraux incompétents qui menaceraient la sécurité de leurs patients.

En l’espèce, le praticien n’avait pas les compétences requises dans les spécialités de « gynécologie, sénologie, carcinologie et esthétique ». Au demeurant, l’arrêté du 16 octobre 1989 portant approbation d’un règlement relatif à la qualification des médecins dans sa version applicable au moment des faits ne mentionne absolument pas la qualification de « chirurgie de cancer du sein ».

Or, la clinique l’avait engagé en tant que chirurgien généraliste.

En le laissant, dès le début de son activité, se présenter sous une qualification non répertoriée et différente de celle pour laquelle il avait été engagé, la clinique a manqué à son obligation d’information sincère à l’égard de sa clientèle concernant les prestations de soins qu’elle était en mesure d’assurer au sein de l’établissement.

Les cliniques sont donc incitées (voire invitées) à vérifier les qualifications de leurs médecins libéraux.

This Post Has 2 367 Comments

  1. Wow, this is in every respect what I needed to know.

  2. Sweet blog! I found it while surfing around on Yahoo News. Do you have any tips on how to get listed in Yahoo News? I ave been trying for a while but I never seem to get there! Appreciate it

  3. Opposite to some sentiments, good investigated articles still herald viewers like me. You introduced whole understanding of the subject and my ideas are literally full after studying your blog. Please maintain up the quality of work and I will sign up to your rss feed to be instructed of any potential posts.

  4. child porn dit :

    This website was how do I say it? Relevant!! Finally I ave found something which helped me. Thanks!

  5. That’s 2 clever by half and 2×2 clever 4 me. Thanks!

  6. BellaGDepauw dit :

    Hello! This post couldn’t be written any better!
    Reading through this post reminds me of my good old room mate!
    He always kept talking about this. I will forward this
    article to him. Fairly certain he will have a good
    read. Thanks for sharing!

  7. dulu aku minat, tapi dah kawen apa nak buat. dah single balik pun kawen ngan orang lain gak. kami tiada bodoh…. eh, jodoh.

  8. new games dit :

    new games

    […]Here are several of the internet sites we advise for our visitors[…]

  9. It’s an awesome article in favor of all the online viewers; they will get advantage from it I am
    sure.

  10. CaseyCWare dit :

    I found myself suggested this blog by my cousin. I am just unclear
    whether this post is published by him as no-one else know such detailed about my problem.
    You’re amazing! Thanks!

  11. Great story!  This is what I struggle with on twitter.  Thanking each person that tweets, sends out an article, etc especially when we've joined groups to help and grow each other, and we know we're being reciprocated.  So I don't thank as often as i should, but this post has me thinking =)

  12. Im thankful for the blog article.Thanks Again. Will read on

  13. Woah! I’m really digging the template/theme of this website. It’s simple, yet effective. A lot of times it’s hard to get that “perfect balance” between user friendliness and visual appeal. I must say you have done a very good job with this. In addition, the blog loads super quick for me on Internet explorer. Outstanding Blog!

  14. DanialAGetto dit :

    Hi I am so glad I found your site, I really found
    you by error, while I was browsing on Digg for something
    else, Regardless I am here now and would just like to say thanks a lot for a
    tremendous post and a all round enjoyable blog (I also love
    the theme/design), I dont have time to read through it all at the minute but I have book-marked it and also
    added your RSS feeds, so when I have time I will be back to
    read a great deal more, Please do keep up the awesome work.

  15. Hello there! Very nice blog post! Please keep us posted!

  16. Texas dit :

    your communal pages like your linkedin profile, Facebook

  17. Hello there, I found your site by way of Google at the same time as looking for a similar topic, your website got here up, it appears good.
    I have bookmarked it in my google bookmarks.
    Hi there, simply become aware of your blog thru Google, and located that it’s truly informative.
    I’m going to watch out for brussels. I will appreciate if you happen to continue this in future.
    A lot of other folks will likely be benefited out of your writing.
    Cheers!

  18. Interesting website, i read it but i still have a few questions.
    shoot me an email and we’ll talk more because i may have a fascinating idea for you.

  19. Hmm it appears like your blog ate my first comment (it was super long) so I guess I’ll just sum it up what I had written and say, I’m thoroughly enjoying your blog.I too am an aspiring blog writer but I’m still new to the whole thing. Do you have any helpful hints for first-time blog writers? I’d genuinely appreciate it.

  20. I surely did not realize that. Learnt some thing new these days! Thanks for that.

  21. Hello there, I found your blog via Google whilst looking for
    a similar topic, your web site got here up,
    it appears to be like good. I’ve bookmarked it in my google bookmarks.

    Hello there, simply turned into aware of your blog via Google, and found
    that it’s really informative. I am going to watch out for brussels.
    I’ll be grateful if you happen to proceed this in future.
    Lots of people will probably be benefited from your writing.
    Cheers!

  22. mp3 songs dit :

    Very neat post.Really thank you! Really Cool.

  23. bookmyshow dit :

    Thanks-a-mundo for the article.Really thank you!

  24. The thing that Harley does not realise yet, although hopefully he will eventually, is that those who work hard and make original things get smarter and more skilled, while those who simply plagiarise and try to have an easy life just get dumber and lazier.

  25. More stories, that’s what schools need! Full length books if possible, but if not, short stories, read aloud by a good reader or told by a good storyteller. I used to do a lot of storytelling in schools – folk and fairy tales – and I never ever had any problems with the kids – they always sat around like lambs and listened and listened. What annoys me is that children are expected to learn to read – which is hard – without having the pleasures of reading demonstrated to them first. So why ever should they bother?

  26. Still not sure about this product I was not impressed by the Green Smoke packaging when it arrived. To be honest, it is bland and boring, almost like an after thought to me. That aside, the actual product is not so bad and I think I might actually like it once I get used to it. If I were buying it off of a shelf, I would probably walk on past because it does not grab your attention, but as a product I bought online, the packaging is a lesser concern.AverageOverallPresentation & PackagingFlavorFlavor VarietyVapor VolumeBattery LifeValueShipping3 people found this review helpful.Was this review helpful to you?/

  27. For the reason that the admin of this site is working, no uncertainty very quickly it will be renowned, due to its feature contents.|

  28. I expect Judge Hudson to rule the mandate unconstitutional and set up conflict juristdiction for the Supreme Court. The SC will ultimately hear the case anyway but that might speed it up.

  29. That’s a slick answer to a challenging question

  30. You could definitely see your expertise in the work you write. The world hopes for even more passionate writers like you who are not afraid to say how they believe. Always go after your heart.

  31. Jordana Freire comentou em 20 de agosto de 2011 às 23:08. Juliaaaaaaaaaaaaa linda.Amo o blog e amo o Base Aliada.Gostaria de saber qual a marca do baby liss. Achei ele incrível.Tem algum e-commerce que venda ?Um beijo querida,você é uma inspiração.

  32. Klaus dit :

    This info is worth everyone’s attention. How can I find
    out more?

  33. I have been absent for some time, but now I remember why I used to love this site. Thank you, I will try and check back more often. How frequently you update your web site?

  34. 100% kona coffee

    […]the time to study or go to the material or internet sites we’ve linked to below the[…]

  35. For latest news you have to go to see the web and on the web I found this web site as a best site for most up-to-date updates.|

  36. Thanks a lot for the article.Thanks Again. Fantastic.

  37. I thank you humbly for sharing your wisdom JJWY

  38. Good web site you have here.. It’s hard to find high-quality writing like yours these days.
    I honestly appreciate individuals like you! Take care!!

  39. business plan dit :

    Fantastic site. A lot of helpful info here. I’m sending it to a few buddies ans also sharing in delicious.

    And certainly, thanks to your sweat!

  40. Thanks so much for an additional post. I am pleased to be able to get that kind of information.

  41. I am glad that I found this website, I got exactly the
    best information that I was trying to find!

  42. Oh my goodness! a fantastic article dude. Thanks a ton!

  43. usually posts some incredibly intriguing stuff like this. If youre new to this site

  44. I simply wanna input that you have a very good site and
    I enjoy the design and artcles in it.

  45. asknow dit :

    Good post. I learn some thing hard on distinct blogs everyday.
    It will always be inspiring to read content of fantastic writers
    like you. I’d choose to use some content in my small weblog in case you don’t mind.
    Naturally I’ll provide a link on your own internet weblog.
    Thank you for sharing.

  46. AntioneEBehn dit :

    I really like it whenever people get together and share opinions.
    Great blog, stay with it!

  47. Salut, je viens de tomber sur ce blog vachement intéressant et fort méconnu. Bref, je pense que ca valais le coup de laisser un commentaire.C’est assez effrayant ce qu’on y lit, mais c’est également très instructif. Bref, je reviendrais.V.

  48. we came across a cool web-site that you simply may well enjoy. Take a appear when you want

  49. This is a great content! I’m swept away by your presentation and
    one of a kind opinions. I agree with so much.
    I’ll keep coming back for more very good posts.

  50. Tremendous things here. I am very happy to see your article. Thanks a lot and I am taking a look ahead to contact you. Will you kindly drop me a mail?

  51. Hi Chad, is that chart your results or from somewhere else? I tried the trial of Backlink Indexer and I got about a 50% indexing rate from 30 links which was pretty impressive. I’m doing some more testing though to see how consistent the results are.

  52. Google dit :

    Just beneath, are numerous entirely not related web-sites to ours, having said that, they are certainly worth going over.

  53. Ah, i see. Well that’s not too tricky at all! »

  54. A big thank you for your post.Thanks Again. Really Great.

  55. Lots of superb writing here. I wish I saw it found the website sooner.
    Congrats!

  56. click here dit :

    Tirage en croix du tarot de marseille horoscope femme

  57. Aw, this was an incredibly good post. Taking the time and
    actual effort to produce a very good article… but what can I say… I put things off a whole lot and don’t manage to get nearly anything done.

  58. This is actually fascinating, you are a very professional blogger.
    I’ve joined your rss feed and sit up for searching for more of your excellent post.Also, I have shared your site in my social networks!

  59. Unparalleled accuracy, unequivocal clarity, and undeniable importance!

Leave A Reply