{"id":9596,"date":"2019-08-01T07:50:52","date_gmt":"2019-08-01T17:50:52","guid":{"rendered":"https:\/\/www.service-public.pf\/dsp\/?p=9596"},"modified":"2020-06-23T11:07:47","modified_gmt":"2020-06-23T21:07:47","slug":"promulgation-loi-cancers-gynecologiques","status":"publish","type":"post","link":"https:\/\/www.service-public.pf\/dsp\/2019\/08\/01\/promulgation-loi-cancers-gynecologiques\/","title":{"rendered":"Promulgation de la loi du pays sur les cancers gyn\u00e9cologiques"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-right:4%;--awb-padding-left:4%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:34;line-height:1.4;\">Promulgation de la loi du pays sur le d\u00e9pistage des cancers gyn\u00e9cologiques<\/h1><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><p><strong>La <a href=\"http:\/\/lexpol.cloud.pf\/LexpolAfficheTexte.php?texte=535620\">loi du Pays n\u00b02019-17 APF<\/a> promulgu\u00e9e le 13 juin 2019 apporte des changements \u00e0 la d\u00e9lib\u00e9ration n\u00b02003-176 APF du 6 novembre 2003 instituant un d\u00e9pistage gratuit des cancers gyn\u00e9cologiques.<\/strong><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:-15px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_4_5 4_5 fusion-four-fifth fusion-column-first\" style=\"--awb-padding-left:50px;--awb-bg-size:cover;--awb-border-color:#3bafbf;--awb-border-style:solid;width:80%;width:calc(80% - ( ( 4% ) * 0.8 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-text fusion-text-2\"><div class=\"fusion-image-element fusion-image-align-left in-legacy-container\" style=\"text-align:left;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\" style=\"margin-right:25px;float:left;\"><img decoding=\"async\" width=\"300\" height=\"220\" alt=\"Image Article Loi Cancers Gyneco\" title=\"Image Article Loi Cancers Gyneco\" src=\"https:\/\/www.service-public.pf\/dsp\/wp-content\/uploads\/sites\/12\/2019\/07\/directionsantepf-image-article-loi-cancers-gyneco-300x220.jpg\" class=\"img-responsive wp-image-9754\" srcset=\"https:\/\/www.service-public.pf\/dsp\/wp-content\/uploads\/sites\/12\/2019\/07\/directionsantepf-image-article-loi-cancers-gyneco-200x146.jpg 200w, https:\/\/www.service-public.pf\/dsp\/wp-content\/uploads\/sites\/12\/2019\/07\/directionsantepf-image-article-loi-cancers-gyneco-400x293.jpg 400w, https:\/\/www.service-public.pf\/dsp\/wp-content\/uploads\/sites\/12\/2019\/07\/directionsantepf-image-article-loi-cancers-gyneco-600x439.jpg 600w, https:\/\/www.service-public.pf\/dsp\/wp-content\/uploads\/sites\/12\/2019\/07\/directionsantepf-image-article-loi-cancers-gyneco-800x586.jpg 800w, https:\/\/www.service-public.pf\/dsp\/wp-content\/uploads\/sites\/12\/2019\/07\/directionsantepf-image-article-loi-cancers-gyneco-1200x878.jpg 1200w\" sizes=\"(max-width: 1100px) 100vw, 800px\" \/><\/span><\/div>\n<p>Elle pr\u00e9voit deux modifications majeures qui entrent en vigueur \u00e0 compter du <strong>31 juillet 2019<\/strong> :<\/p>\n<ul>\n<li>la modification de l&rsquo;\u00e2ge des populations cibles pour le d\u00e9pistage des cancers du sein et du col de l&rsquo;ut\u00e9rus ;<\/li>\n<li>la prise en charge par la Direction de la sant\u00e9, de l&rsquo;\u00e9chographie mammaire dans le cadre du d\u00e9pistage du cancer du sein.<\/li>\n<\/ul>\n<h2>Modification de l&rsquo;\u00e2ge des populations cibles pour le cancer du sein et du col de l&rsquo;ut\u00e9rus :<\/h2>\n<p>L\u2019efficacit\u00e9 d\u2019un programme de d\u00e9pistage d\u00e9pend, entre autre, de la d\u00e9finition de la population cible \u00e0 laquelle s\u2019adresse le d\u00e9pistage en ne ciblant que les personnes \u00e0 partir d\u2019un \u00e2ge o\u00f9 l\u2019incidence de la maladie ou, ses pr\u00e9curseurs, le justifie et en limitant l\u2019\u00e2ge au-del\u00e0 duquel il n\u2019est plus pertinent d\u2019offrir le d\u00e9pistage sur une base populationnelle, le b\u00e9n\u00e9fice \u00e9tant fond\u00e9 sur le potentiel d\u2019ann\u00e9es de vie (de qualit\u00e9) sauv\u00e9es.<\/p>\n<p>Les recommandations internationales, de la Haute Autorit\u00e9 de Sant\u00e9 (HAS) et du <a href=\"https:\/\/www.service-public.pf\/dsp\/wp-content\/uploads\/sites\/12\/2017\/07\/Plan-cancer-polyn%C3%A9sien-2018_2022_21juin.pdf\">plan cancer polyn\u00e9sien 2018-2022<\/a>, ont rendu n\u00e9cessaire l\u2019actualisation de la r\u00e9glementation applicable en Polyn\u00e9sie fran\u00e7aise (Pf) en r\u00e9\u00e9valuant l\u2019\u00e2ge des femmes devant \u00eatre int\u00e9gr\u00e9es dans le d\u00e9pistage du cancer du sein et du col de l\u2019ut\u00e9rus. Ainsi, dans le cadre du programme de d\u00e9pistage intensifi\u00e9 des cancers gyn\u00e9cologiques, l\u2019\u00e2ge de prise en charge des examens de d\u00e9pistage par la Direction de la sant\u00e9 est modifi\u00e9 \u00e0 compter du 31 juillet 2019\u00a0comme suit :<\/p>\n<ul>\n<li><strong>de 50 \u00e0 74 ans r\u00e9volus pour le d\u00e9pistage du cancer du sein<\/strong> (au lieu de \u00ab d\u00e8s l&rsquo;\u00e2ge de 50 ans \u00bb) ;<\/li>\n<li><strong>de 25 \u00e0 64 ans r\u00e9volus pour le d\u00e9pistage du cancer du col de l&rsquo;ut\u00e9rus<\/strong> (au lieu de \u00ab d\u00e8s l&rsquo;\u00e2ge de 20 ans \u00bb).<\/li>\n<\/ul>\n<p>En dehors de ces tranches d&rsquo;\u00e2ge,\u00a0les examens de d\u00e9pistage ne sont pas pris en charge par la Direction de la sant\u00e9.<\/p>\n<h2>Prise en charge de l&rsquo;\u00e9chographie mammaire pour le cancer du sein :<\/h2>\n<p>La HAS recommande, depuis 2012 en m\u00e9tropole, la prise en charge \u00e0 100 % de l\u2019\u00e9chographie mammaire dans le cadre du d\u00e9pistage organis\u00e9 du cancer du sein. La non-gratuit\u00e9 de l\u2019\u00e9chographie mammaire est l\u2019un des freins \u00e0 la participation des femmes au d\u00e9pistage du cancer du sein en Pf. Afin de lever ce frein et augmenter le taux de participation des femmes au d\u00e9pistage du cancer du sein en Pf, <strong>la Direction de la sant\u00e9 prend en charge au 31 juillet 2019 l\u2019\u00e9chographie mammaire, r\u00e9alis\u00e9e par les radiologues participant au programme de d\u00e9pistage, lorsqu\u2019elle s\u2019av\u00e8re n\u00e9cessaire suite \u00e0 la mammographie de d\u00e9pistage.<\/strong><\/p>\n<\/div><div class=\"fusion-reading-box-container reading-box-container-1\" style=\"--awb-title-color:#333333;--awb-margin-top:0px;--awb-margin-bottom:84px;\"><div class=\"reading-box\" style=\"background-color:#f6f6f6;border-width:1px;border-color:#f6f6f6;border-left-width:3px;border-left-color:var(--primary_color);border-style:solid;\"><div class=\"reading-box-additional\">\n<p>En r\u00e9sum\u00e9, <strong>\u00e0 compter du 31 juillet 2019<\/strong> :<\/p>\n<ul>\n<li>les femmes, r\u00e9sidant en Pf, \u00e2g\u00e9es de <strong>50 \u00e0 74 ans r\u00e9volus<\/strong>, b\u00e9n\u00e9ficient gratuitement, <strong>tous les deux ans<\/strong>, d&rsquo;une <strong>mammographie de d\u00e9pistage avec \u00e9chographie si n\u00e9cessaire<\/strong> dans le cadre du programme de d\u00e9pistage du cancer du sein ;<\/li>\n<li>les femmes, r\u00e9sidant en Pf, \u00e2g\u00e9es de <strong>25 \u00e0 64 ans r\u00e9volus<\/strong>, b\u00e9n\u00e9ficient gratuitement de <strong>l&rsquo;analyse d&rsquo;un frottis cervico-ut\u00e9rin tous les trois ans, apr\u00e8s deux frottis normaux \u00e0 un an d&rsquo;intervalle,<\/strong> dans le cadre du d\u00e9pistage du cancer du col de l&rsquo;ut\u00e9rus.<\/li>\n<\/ul>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_5 1_5 fusion-one-fifth fusion-column-last\" style=\"--awb-padding-right:20px;--awb-bg-size:cover;--awb-margin-bottom:0px;width:20%;width:calc(20% - ( ( 4% ) * 0.2 ) );\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:28;line-height:1.5;\">En savoir plus<\/h2><\/div><div class=\"fusion-align-block\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-1 fusion-button-span-yes fusion-button-default-type\" style=\"--button_accent_color:#ffe09e;--button_accent_hover_color:#ffbb27;--button_border_hover_color:#ffbb27;--button_gradient_top_color:#1d9bac;--button_gradient_bottom_color:#1d9bac;--button_gradient_top_color_hover:#037f90;--button_gradient_bottom_color_hover:#037f90;\" target=\"_self\" href=\"http:\/\/lexpol.cloud.pf\/LexpolAfficheTexte.php?texte=535620\"><span class=\"fusion-button-icon-divider button-icon-divider-left\"><i class=\" fa fa-external-link\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-button-text fusion-button-text-left\">Loi du pays n\u00b0 2019-17<\/span><\/a><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:1%;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-align-block\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-2 fusion-button-span-yes fusion-button-default-type\" style=\"--button_accent_color:#ffe09e;--button_accent_hover_color:#ffbb27;--button_border_hover_color:#ffbb27;--button_gradient_top_color:#1d9bac;--button_gradient_bottom_color:#1d9bac;--button_gradient_top_color_hover:#037f90;--button_gradient_bottom_color_hover:#037f90;\" target=\"_self\" href=\"https:\/\/www.service-public.pf\/dsp\/wp-content\/uploads\/sites\/12\/2017\/07\/Plan-cancer-polyn%C3%A9sien-2018_2022_21juin.pdf\"><span class=\"fusion-button-icon-divider button-icon-divider-left\"><i class=\" fa fa-file-text-o\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-button-text fusion-button-text-left\">PLAN CANCER POLYN\u00c9SIEN<\/span><\/a><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:6%;margin-bottom:6%;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:28;line-height:1.5;\">Nous suivre<\/h2><\/div><div class=\"fusion-widget-area awb-widget-area-element fusion-widget-area-1 fusion-content-widget-area\" style=\"--awb-title-color:#333333;--awb-padding:0px 0px 0px 0px;\"><div class=\"fusion-additional-widget-content\"><\/div><\/div><div class=\"fusion-sharing-box fusion-sharing-box-1 boxed-icons has-taglines layout-floated layout-medium-floated layout-small-floated\" style=\"background-color:#f6f6f6;--awb-layout:row;--awb-alignment-small:space-between;\" data-title=\"Promulgation de la loi du pays sur le d\u00e9pistage des cancers gyn\u00e9cologiques\" data-description=\"Promulgation de la loi du pays sur le d\u00e9pistage des cancers gyn\u00e9cologiques \r\n\r\nLa loi du Pays n\u00b02019-17 APF promulgu\u00e9e le 13 juin 2019 apporte des changements \u00e0 la d\u00e9lib\u00e9ration n\u00b02003-176 APF du 6 novembre 2003 instituant un d\u00e9pistage gratuit des cancers gyn\u00e9cologiques.  \r\n\r\nElle pr\u00e9voit deux modifications majeures qui entrent en\" 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