L’hôpital du futur (14) - 2025-2026

The conference provides a comprehensive and data-driven overview of the challenges that hospital systems face due to population aging. Professor Jeandel, a recognized expert in geriatrics, presents a compelling argument for a paradigm shift from a disease-centered to a patient-centered, functional model. He supports his claims with national data (PMSI) and references to established concepts like the ‘biopsychosocial model’ and ‘geriatric care pathways’. The presentation is well-structured, moving from demographic and epidemiological trends to their impact on hospital activity, and then to potential solutions. However, the talk is primarily an expert opinion rather than a systematic review or original research. While the data are likely reliable, specific sources are not cited in detail, and some claims (e.g., the 16% readmission rate) are presented without direct references. The speaker’s recommendations, such as using the TRST tool and developing geriatric units, are evidence-based but not exhaustively justified. The title accurately reflects the content, and the talk is highly relevant for healthcare professionals and policymakers. The main strength is the clear articulation of the problem and the urgent need for action. The main weakness is the lack of detailed citations and the potential for bias as the speaker is a strong advocate for geriatric care. Overall, the content is scientifically sound and valuable, but it would benefit from more explicit references to support the data and recommendations.

The title accurately reflects the content, which focuses on the future hospital in the context of population aging.

8/10

The speaker is a recognized expert in geriatrics, and the content is based on official data (PMSI, national statistics). The presentation is well-structured and references established concepts. However, it is an opinion/expert talk without peer-reviewed citations, and some claims lack direct references.

Markers derived by PSI from the transcript: the creator did not define chapters.

• 02:00Introduction: two transitions - demographic and epidemiological
• 05:00Impact on hospital: increase in hospitalizations, mainly in patients over 70
• 08:00Analysis of hospital stays: longer stays, more comorbidities, and higher severity in elderly
• 10:00Preventable causes of hospitalization: medication iatrogenesis, malnutrition, depression, falls
• 12:00Unplanned hospitalizations via emergency departments: 3 million admissions, mainly elderly
• 14:00The hospital creates dependency: increase in dependent elderly, especially after 2030
• 16:00Geriatric care pathways (filières gériatriques) and recommendations
• 18:00Optimizing emergency admission and using screening tools like TRST
• 20:00Conclusion: need to prepare for the '2030 shock' and adapt the hospital system

• Collège de France - Avenir Commun Durable — Initiative under which the conference was organized
• Collège de France - L'hôpital du futur — Page for the event, with recordings and presentation text
• YouTube Playlist - L'hôpital du futur — Playlist of the conference recordings
• Fondation du Collège de France - Charte éthique — Ethics charter of the foundation supporting the initiative

• Collège de France - Avenir Commun Durable — Initiative supporting the conference, aligned with the topic of sustainable future.

• www.fondation-cdf.fr
• fr.linkedin.com
• www.threads.net