{"id":44090,"date":"2026-05-11T23:00:00","date_gmt":"2026-05-11T21:00:00","guid":{"rendered":"https:\/\/www.efk.admin.ch\/?post_type=audit&p=44090"},"modified":"2026-05-07T10:25:35","modified_gmt":"2026-05-07T08:25:35","slug":"couts-de-la-sante-dans-les-centres-federaux-pour-requerants-dasile","status":"publish","type":"audit","link":"https:\/\/www.efk.admin.ch\/fr\/audit\/couts-de-la-sante-dans-les-centres-federaux-pour-requerants-dasile\/","title":{"rendered":"Co\u00fbts de la sant\u00e9 dans les centres f\u00e9d\u00e9raux pour requ\u00e9rants d\u2019asile"},"content":{"rendered":"\n

Le Contr\u00f4le f\u00e9d\u00e9ral des finances (CDF) a audit\u00e9 les facteurs impactant les co\u00fbts de la sant\u00e9 dans les centres f\u00e9d\u00e9raux pour requ\u00e9rants d\u2019asile (CFA). En 2023, les d\u00e9penses de sant\u00e9 se sont \u00e9lev\u00e9es \u00e0 65,5 millions de francs, soit environ 14 % des co\u00fbts totaux des CFA (461 millions). Cette somme couvre le personnel infirmier, les primes d\u2019assurance, les soins non pris en charge par l\u2019assurance-maladie et les co\u00fbts de fonctionnement en relation avec la sant\u00e9. Le Secr\u00e9tariat d\u2019\u00c9tat aux migrations (SEM) g\u00e8re ces d\u00e9penses pour l\u2019ensemble des centres. Il conclut les contrats d\u2019assurance, finance les soins m\u00e9dicaux et supervise les prestataires charg\u00e9s de la gestion quotidienne.

L\u2019audit montre que le SEM dispose d\u2019un cadre solide pour garantir l\u2019acc\u00e8s aux soins, mais qu\u2019il reste trop d\u00e9pendant de son assureur-maladie et qu\u2019il manque d\u2019outils fiables pour piloter les co\u00fbts et \u00e9valuer l\u2019efficacit\u00e9 de ses d\u00e9cisions. Le CDF recommande au SEM de renforcer la qualit\u00e9 de ses donn\u00e9es afin de mieux d\u00e9fendre ses int\u00e9r\u00eats vis-\u00e0-vis des assureurs et d\u2019\u00eatre plus efficace dans le contr\u00f4le des d\u00e9penses de sant\u00e9. La diffusion, dans l\u2019ensemble des CFA, des approches \u00e9prouv\u00e9es en mati\u00e8re d\u2019organisation des soins et de gestion des co\u00fbts renforcera \u00e9galement la ma\u00eetrise des d\u00e9penses de sant\u00e9.<\/p>\n","protected":false},"featured_media":0,"menu_order":0,"template":"","audit_category":[82],"audit_type":[52],"class_list":["post-44090","audit","type-audit","status-publish","hentry","audit_category-justice-et-police","audit_type-audit-fr"],"acf":{"audit_lang":null,"audit_numbers":[{"audit_number":"25281"}],"audit_office":[7918],"audit_office_text":"","audit_date":"20260511","bgo":false,"keywords":"","audit_office_local":"SEM"},"yoast_head":"\nCo\u00fbts de la sant\u00e9 dans les centres f\u00e9d\u00e9raux pour requ\u00e9rants d\u2019asile - Contr\u00f4le f\u00e9d\u00e9ral des finances (CDF)<\/title>\n<meta name=\"description\" content=\"Co\u00fbts de la sant\u00e9 dans les centres f\u00e9d\u00e9raux pour requ\u00e9rants d\u2019asile\" \/>\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.efk.admin.ch\/fr\/audit\/couts-de-la-sante-dans-les-centres-federaux-pour-requerants-dasile\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Co\u00fbts de la sant\u00e9 dans les centres f\u00e9d\u00e9raux pour requ\u00e9rants d\u2019asile\" \/>\n<meta property=\"og:description\" content=\"Co\u00fbts de la sant\u00e9 dans les centres f\u00e9d\u00e9raux pour requ\u00e9rants d\u2019asile\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.efk.admin.ch\/fr\/audit\/couts-de-la-sante-dans-les-centres-federaux-pour-requerants-dasile\/\" \/>\n<meta property=\"og:site_name\" content=\"Contr\u00f4le f\u00e9d\u00e9ral des finances (CDF)\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.efk.admin.ch\/wp-content\/uploads\/test\/palais.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"750\" \/>\n\t<meta property=\"og:image:height\" content=\"500\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.efk.admin.ch\\\/fr\\\/audit\\\/couts-de-la-sante-dans-les-centres-federaux-pour-requerants-dasile\\\/\",\"url\":\"https:\\\/\\\/www.efk.admin.ch\\\/fr\\\/audit\\\/couts-de-la-sante-dans-les-centres-federaux-pour-requerants-dasile\\\/\",\"name\":\"Co\u00fbts de la sant\u00e9 dans les centres f\u00e9d\u00e9raux pour requ\u00e9rants d\u2019asile - 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