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L'agence régionale de santé précise les modalités de suivi et d'évaluation des dispositions prévues par le schéma, notamment en ce qui concerne l'efficience de ses dispositions.
\n
Le schéma régional de santé est révisé, après évaluation de l'atteinte de ses objectifs au moins tous les cinq ans.

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Le schéma régional d'organisation médico-sociale a pour objet de prévoir et de susciter les évolutions nécessaires de l'offre des établissements et services médico-sociaux mentionnés aux 2°, 3°, 5°, 6°, 7°, 11° et 12° du I de l'article L. 312-1 et à l'article L. 314-3-3 du code de l'action sociale et des familles, afin notamment de répondre aux besoins de prises en charge et d'accompagnements médico-sociaux de la population handicapée ou en perte d'autonomie.

Ce schéma veille à l'articulation au niveau régional de l'offre sanitaire et médico-sociale relevant de la compétence de l'agence régionale de santé. Pour les établissements et services mentionnés aux 6°, 7° et 12° du I de l'article L. 312-1 du code de l'action sociale et des familles, ce schéma régional est établi et actualisé au regard des schémas départementaux d'organisation sociale et médico-sociale relatifs aux personnes handicapées ou en perte d'autonomie arrêtés par les conseils généraux de la région et mentionnés à l'article L. 312-5 du même code.

Le schéma d'organisation médico-sociale et le programme prévu à l'article L. 312-5-1 du même code qui l'accompagne sont élaborés et arrêtés par le directeur général de l'agence régionale de santé après consultation de la commission de coordination compétente prévue à l'article L. 1432-1 du présent code et avis des présidents des conseils généraux compétents.

Pour la prévention des handicaps et de la perte d'autonomie, il prévoit la concertation avec chaque conseil général concerné pour une meilleure connaissance des besoins rencontrés par les personnes âgées dépendantes et les personnes handicapées.

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Ce schéma veille à l'articulation au niveau régional de l'offre sanitaire et médico-sociale relevant de la compétence de l'agence régionale de santé. Pour les établissements et services mentionnés aux 6°, 7° et 12° du I de l'article L. 312-1 du code de l'action sociale et des familles, ce schéma régional est établi et actualisé au regard des schémas départementaux d'organisation sociale et médico-sociale relatifs aux personnes handicapées ou en perte d'autonomie arrêtés par les conseils départementaux de la région et mentionnés à l'article L. 312-5 du même code.

Pour la prévention des handicaps et de la perte d'autonomie, il prévoit la concertation avec chaque conseil départemental concerné pour une meilleure connaissance des besoins rencontrés par les personnes âgées dépendantes et les personnes handicapées.

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Afin d'assurer une meilleure coordination de leur action et ainsi concourir à la structuration des parcours de santé mentionnés à l'article L. 1411-1 et à la réalisation des objectifs du projet régional de santé mentionné à l'article L. 1434-1, des professionnels de santé peuvent décider de se constituer en communauté professionnelle territoriale de santé.
\n
La communauté professionnelle territoriale de santé est composée de professionnels de santé regroupés, le cas échéant, sous la forme d'une ou de plusieurs équipes de soins primaires, d'acteurs assurant des soins de premier ou de deuxième recours, définis, respectivement, aux articles L. 1411-11 et L. 1411-12 et d'acteurs médico-sociaux et sociaux concourant à la réalisation des objectifs du projet régional de santé.
\n
Les membres de la communauté professionnelle territoriale de santé formalisent, à cet effet, un projet de santé, qu'ils transmettent à l'agence régionale de santé.
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Le projet de santé précise en particulier le territoire d'action de la communauté professionnelle territoriale de santé.
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A défaut d'initiative des professionnels, l'agence régionale de santé prend, en concertation avec les unions régionales des professionnels de santé et les représentants des centres de santé, les initiatives nécessaires à la constitution de communautés professionnelles territoriales de santé.

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R1434-5 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000032947851", "@num": "R1434-6", "#text": "Code de la santé publique - art. R1434-6 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000032947848", "@num": "R1434-7", "#text": "Code de la santé publique - art. R1434-7 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000032947839", "@num": "R1434-8", "#text": "Code de la santé publique - art. R1434-8 (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000032947830", "@num": "R1434-9", "#text": "Code de la santé publique - art. 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A abrogé les dispositions suivantes :

- Code de la santé publique
\n Art. R1434-4-1\n
\n

\n
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A modifié les dispositions suivantes :

- Code de la santé publique
Art. R1434-2, Art. R1434-3, Art. R1434-4, Art. R1434-5, Art. R1434-6, Art. R1434-7, Art. R1434-8, Art. R1434-9, Art. R1434-10, Art. R1434-11, Art. R1434-12, Sct. Chapitre IV : Territorialisation de la politique de santé, Sct. Sous-section 1 : Cadre d'orientation stratégique, Sct. Sous-section 2 : Schéma régional de santé, Sct. Sous-section 3 : Schéma interrégional de santé et schéma régional de santé spécifique, Sct. Sous-section 4 : Programme régional d'accès à la prévention et aux soins des personnes les plus démunies, Sct. Sous-section 5 : Coopération avec les pays voisins, Art. R1434-1\n
\n

\n
\n
A abrogé les dispositions suivantes :

- Code de la santé publique
\n Sct. Sous-section 6 : Dispositions diverses\n
\n

\n
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Au terme du diagnostic mentionné à l'article R. 1434-4, l'agence régionale de santé élabore un schéma régional de santé en cohérence avec le cadre d'orientation stratégique et avec les dispositions des lois de financement de la sécurité sociale.
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Le schéma tient compte :
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1° Des exigences d'accessibilité, de qualité, de sécurité, de permanence, de continuité des prises en charge ;
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2° Des exigences d'efficience du service rendu et d'optimisation de la ressource publique ;
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3° Des spécificités des quartiers prioritaires de la politique de la ville, des zones de revitalisation rurale et des zones mentionnées au 1° de l'article L. 1434-4 ;
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4° Des orientations des plans ou programmes nationaux de santé ;
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5° Des objectifs du programme coordonné élaboré par les conférences départementales des financeurs de la prévention de la perte d'autonomie prévues par l'article L. 233-1 du code de l'action sociale et des familles.

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La communauté professionnelle territoriale de santé est composée de professionnels de santé regroupés, le cas échéant, sous la forme d'une ou de plusieurs équipes de soins primaires, d'acteurs assurant des soins de premier ou de deuxième recours, définis, respectivement, aux articles L. 1411-11 et L. 1411-12 et d'acteurs médico-sociaux et sociaux concourant à la réalisation des objectifs du projet régional de santé.

Les membres de la communauté professionnelle territoriale de santé formalisent, à cet effet, un projet de santé, qu'ils transmettent à l'agence régionale de santé.

Le projet de santé précise en particulier le territoire d'action de la communauté professionnelle territoriale de santé.

A défaut d'initiative des professionnels, l'agence régionale de santé prend, en concertation avec les unions régionales des professionnels de santé et les représentants des centres de santé, les initiatives nécessaires à la constitution de communautés professionnelles territoriales de santé.

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Les membres de la communauté professionnelle territoriale de santé formalisent, à cet effet, un projet de santé, qu'ils transmettent à l'agence régionale de santé.

Le projet de santé précise en particulier le territoire d'action de la communauté professionnelle territoriale de santé. Le projet de santé est réputé validé, sauf si le directeur général de l'agence régionale de santé s'y oppose dans un délai de deux mois en se fondant sur l'absence de respect des objectifs du projet régional de santé mentionné à l'article L. 1434-1 ou sur la pertinence du territoire d'action de la communauté professionnelle territoriale de santé.

" } }, "LEGIARTI000043893979": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L1434-12", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2023-12-29", "DATE_DEBUT": "2022-03-31" } }, "META_COMMUN": { "ID": "LEGIARTI000043893979", "URL": "article/LEGI/ARTI/00/00/43/89/39/LEGIARTI000043893979.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément au I de l’article 40 de la loi n° 2021-1018 du 2 août 2021, ces dispositions entrent en vigueur le 31 mars 2022. Se reporter aux conditions d’application prévues par le II de l’article susmentionné.

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La communauté professionnelle territoriale de santé est composée de professionnels de santé regroupés, le cas échéant, sous la forme d'une ou de plusieurs équipes de soins primaires, d'acteurs assurant des soins de premier ou de deuxième recours, définis, respectivement, aux articles L. 1411-11 et L. 1411-12 et d'acteurs médico-sociaux et sociaux ainsi que de services de prévention et de santé au travail, concourant à la réalisation des objectifs du projet régional de santé.

Les membres de la communauté professionnelle territoriale de santé formalisent, à cet effet, un projet de santé, qu'ils transmettent à l'agence régionale de santé.

" } }, "LEGIARTI000045213723": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L1434-12", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2022-03-31", "DATE_DEBUT": "2022-02-23" } }, "META_COMMUN": { "ID": "LEGIARTI000045213723", "URL": "article/LEGI/ARTI/00/00/45/21/37/LEGIARTI000045213723.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "
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Les membres de la communauté professionnelle territoriale de santé formalisent, à cet effet, un projet de santé, qu'ils transmettent à l'agence régionale de santé.

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La communauté professionnelle territoriale de santé est composée de professionnels de santé regroupés, le cas échéant, sous la forme d'une ou de plusieurs équipes de soins primaires, d'acteurs assurant des soins de premier ou de deuxième recours, définis, respectivement, aux articles L. 1411-11 et L. 1411-12 et d'acteurs médico-sociaux et sociaux, dont des professionnels de la santé scolaire, ainsi que de services de prévention et de santé au travail, concourant à la réalisation des objectifs du projet régional de santé.

Les membres de la communauté professionnelle territoriale de santé formalisent, à cet effet, un projet de santé, qu'ils transmettent à l'agence régionale de santé.

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Article R1434-8 AUTONOME VIGUEUR, en vigueur depuis le 29/07/2016 (Code de la santé publique)