{"id":74150002,"date":"2026-01-09T11:29:02","date_gmt":"2026-01-09T10:29:02","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=74150002"},"modified":"2026-01-09T17:00:59","modified_gmt":"2026-01-09T16:00:59","slug":"la-readaptation-en-hospitalisation-a-domicile","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/la-readaptation-en-hospitalisation-a-domicile\/","title":{"rendered":"La r\u00e9adaptation en hospitalisation \u00e0 domicile"},"content":{"rendered":"\n<p>Avec la r\u00e9forme, l&#8217;hospitalisation \u00e0 domicile (HAD) peut d\u00e9sormais offrir des prises en charge diversifi\u00e9es et complexes \u00e0 domicile. \u00ab<em> Il y a, tout d\u2019abord, et ce depuis plusieurs ann\u00e9es, l&#8217;HAD polyvalente qui repr\u00e9sente le socle du service. Suite \u00e0 la r\u00e9forme, l&#8217;offre a \u00e9t\u00e9 r\u00e9cemment \u00e9tendue par l&#8217;ajout de trois nouvelles mentions sp\u00e9cialis\u00e9es : l&#8217;HAD p\u00e9diatrique, l&#8217;HAD ante et post-partum, et l&#8217;HAD en m\u00e9decine physique et de r\u00e9adaptation (HAD-R), dont le lancement est programm\u00e9 au CHU de Poitiers pour d\u00e9but 2026 <\/em>\u00bb, explique le Dr. Imane Saleh, cheffe du service de l\u2019HAD et porteuse du projet de mise en \u0153uvre de l\u2019HAD-R. Elle est associ\u00e9e dans ce projet au Dr L\u00e9na Avoyan, m\u00e9decin en m\u00e9decine physique et de r\u00e9adaptation, qui a int\u00e9gr\u00e9 le CHU en juin 2025.<\/p>\n<p>Le Dr L\u00e9na Avoyan pr\u00e9cise l&#8217;int\u00e9r\u00eat de cette nouvelle mention : <em>\u00ab La m\u00e9decine physique et de r\u00e9adaptation offre un large \u00e9ventail de soins, incluant l&#8217;hospitalisation compl\u00e8te, l&#8217;hospitalisation de semaine, l&#8217;hospitalisation de jour et les consultations externes. Il y manquait une voie permettant aux patients hospitalis\u00e9s de b\u00e9n\u00e9ficier d&#8217;une r\u00e9\u00e9ducation intensive directement \u00e0 domicile. Elle favorise la r\u00e9adaptation dans le milieu r\u00e9el et familier du patient, ce qui est essentiel \u00e0 son autonomie, tout en lib\u00e9rant des lits dans les services hospitaliers\u00a0<\/em>\u00bb.<\/p>\n<p>L&#8217;HAD-R s&#8217;adresse \u00e0 des patients n\u00e9cessitant une r\u00e9adaptation technique complexe qui peuvent rester \u00e0 domicile, dans un environnement s\u00e9curis\u00e9 et assist\u00e9s par un aidant. \u00ab <em>L\u2019HAD-R prodiguera des soins complexes qui ne n\u00e9cessitent pas tous les moyens du plateau technique<\/em> \u00bb, pr\u00e9cise le Dr Avoyan. <em>Cela concerne, par exemple, les patients avec des pathologies neurologiques, les patients amput\u00e9s, ceux souffrant d&#8217;une impotence fonctionnelle aigu\u00eb, ou ceux en r\u00e9adaptation intensive suite \u00e0 des injections de toxine ou apr\u00e8s une chirurgie du handicap n\u00e9cessitant une r\u00e9\u00e9ducation rapide\u00a0\u00bb.<\/em><\/p>\n<p>La prise en charge en HAD-R\u00e9adaptation est strictement encadr\u00e9e pour garantir son efficacit\u00e9 et sa conformit\u00e9. Concernant la dur\u00e9e, elle variera en fonction des objectifs \u00e9tablis avec le patient, allant de 2 \u00e0 3 semaines et jusqu\u2019\u00e0 6 semaines, et celle-ci sera selon l&#8217;atteinte des objectifs fix\u00e9s. La r\u00e9\u00e9ducation doit obligatoirement inclure un minimum de cinq s\u00e9ances par semaine, dispens\u00e9es au domicile du patient par au moins trois professionnels de sant\u00e9 diff\u00e9rents. Pour le suivi, chaque hospitalisation fait l&#8217;objet d&#8217;objectifs pr\u00e9cis et d&#8217;un contrat \u00e9tabli entre le patient et le service d&#8217;HAD. L&#8217;\u00e9volution est r\u00e9guli\u00e8rement suivie dans le cadre d\u2019une synth\u00e8se hebdomadaire pluridisciplinaire qui permet de v\u00e9rifier l&#8217;atteinte des objectifs et d&#8217;affiner la prise en charge. Enfin, la validation du m\u00e9decin traitant est un pr\u00e9requis indispensable.<\/p>\n<p>L\u2019HAD-R se donne comme objectif initial de prendre en charge quinze patients par jour, avec une mont\u00e9e en charge progressive par la suite.<\/p>\n<p>Un axe majeur du fonctionnement de l\u2019HAD-R reposera sur l&#8217;\u00e9tablissement de collaborations \u00e9troites avec les acteurs lib\u00e9raux et les associations pour assurer la continuit\u00e9 de la r\u00e9adaptation au-del\u00e0 de l\u2019HAD-R.<\/p>\n<p>En d\u00e9pla\u00e7ant une expertise hospitali\u00e8re complexe \u00e0 domicile, le service d\u2019HAD apporte une r\u00e9ponse concr\u00e8te aux enjeux de gestion des lits et de qualit\u00e9 de vie des patients. Cette voie de r\u00e9adaptation hautement encadr\u00e9e, valid\u00e9e par le m\u00e9decin traitant, fait de l\u2019HAD un v\u00e9ritable pilier de la continuit\u00e9 des soins sur le territoire.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Le CHU de Poitiers annonce l&#8217;ouverture officielle de sa nouvelle mention hospitalisation \u00e0 domicile-r\u00e9adaptation (HAD-R), le 19 janvier 2026.\u2026","protected":false},"author":12,"featured_media":74150017,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-74150002","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>La r\u00e9adaptation en hospitalisation \u00e0 domicile - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/la-readaptation-en-hospitalisation-a-domicile\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La r\u00e9adaptation en hospitalisation \u00e0 domicile - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Le CHU de Poitiers annonce l&#039;ouverture officielle de sa nouvelle mention hospitalisation \u00e0 domicile-r\u00e9adaptation (HAD-R), le 19 janvier 2026. Cette initiative est la concr\u00e9tisation locale de la r\u00e9forme de l&#039;HAD qui a \u00e9rig\u00e9 celle-ci en activit\u00e9 de soins \u00e0 part enti\u00e8re, une activit\u00e9 sp\u00e9cialis\u00e9e qui renforce plus encore la place de l&#039;HAD du CHU de Poitiers sur son territoire.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.chu-poitiers.fr\/la-readaptation-en-hospitalisation-a-domicile\/\" \/>\n<meta property=\"og:site_name\" content=\"Site du CHU de Poitiers\" \/>\n<meta property=\"article:published_time\" content=\"2026-01-09T10:29:02+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-09T16:00:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2026\/01\/HADR-MPR.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"900\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Morgane Pr\u00e9maud\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Morgane Pr\u00e9maud\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"NewsArticle\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/la-readaptation-en-hospitalisation-a-domicile\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/la-readaptation-en-hospitalisation-a-domicile\\\/\"},\"author\":{\"name\":\"Morgane Pr\u00e9maud\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#\\\/schema\\\/person\\\/c3b1c950cff7a774b33177b5cdabb2cb\"},\"headline\":\"La r\u00e9adaptation en hospitalisation \u00e0 domicile\",\"datePublished\":\"2026-01-09T10:29:02+00:00\",\"dateModified\":\"2026-01-09T16:00:59+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/la-readaptation-en-hospitalisation-a-domicile\\\/\"},\"wordCount\":617,\"publisher\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/la-readaptation-en-hospitalisation-a-domicile\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/wp-content\\\/uploads\\\/2026\\\/01\\\/HADR-MPR.jpg\",\"articleSection\":[\"Non classifi\u00e9(e)\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/la-readaptation-en-hospitalisation-a-domicile\\\/\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/la-readaptation-en-hospitalisation-a-domicile\\\/\",\"name\":\"La r\u00e9adaptation en hospitalisation \u00e0 domicile - 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