At a time when six million French people are without attending physician, health orders – doctors, nurses, pharmacists … – think about how to develop the care path of patients.
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Can we fight against medical deserts and improve access to care, erected in political priority at the start of the second five-year Macron, playing the card of better “coordination” in the field?
The sharing strategy (or even delegation) of skills between doctors, medical and paramedical staff no longer makes, at first glance, a figure of “red cloth”. Less, in any case, than coercion to the installation defended by certain elected officials but rejected, in block, by doctors. She also has the favors of the Ministry of Health and, officially also, of players in the field. On the principle, everyone seems to agree to better “coordinate” and free up “nursing time” – rare are those, in any case, who say against, at a time when six million French people have No attending physician.
But in fact? Difficult to understand, at this stage, which is ready to delegate what. More than two months after their meeting in the Liaison Committee for Ordinal Institutions, the health orders concerned (doctors, nurses, pharmacists, physiotherapists, etc.) are slow to position themselves collectively. They had tightened the ranks this summer: in a press release dated July 20, they recalled the “importance of common work to develop the care path of patients and respond to difficulties in access to health professionals” . An “Autosaisine”, according to the shared version. Autosaisine “very supported”, we breathe avenue de Ségur.
“Take responsibility”
Their copy was expected for the end of September. It should be formalized “incessantly shortly,” said the ranks of the said committee. “Two weeks late, with regard to changes in debate, that is to be put into perspective,” justifies a participant.
Time is running out. On the sidelines of the inauguration of the “health” component of the National Refoundation Council, on October 3 at Le Mans, the Minister of Health and Prevention, François Braun, said that the government was ready to “take its responsibility “In the absence of agreement between the caregivers. Faced with an audience of Sarthois health actors, François Braun recalled the dead end situation in which many French people find themselves. In a department like Sarthe, the number of liberal general practitioners is 59 per 100,000 inhabitants, compared to 85 per 100,000 on the national average.
Now, “levers” exist, defended the minister. Lever of “medical assistants”, these personnel who, by taking care of administrative tasks and technical gestures, make it possible to accommodate up to 10 % more patients per doctor. Their number should be brought to 10,000 by 2025 – compared to just under 4,000 to date – has promised the minister. Other levers invoked, health homes and local health communities that promote “coordinated exercise”, according to the agreed expression, and make it possible to attract health personnel in isolated territories. The ministry has set itself the objective, by the end of 2023, to “mesh” the whole territory. “This is the organization by which we will win the bet of collective responsibility,” insisted François Braun.
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