2023-04-24 03:30:34
No single measure can respond to the worsening medical desertification. The finding is consensus among health actors and resonates to the Ministry of Health. Nevertheless, a year following having made access to healthcare a flagship campaign promise, Emmanuel Macron can hardly, at this stage, claim concrete progress. The “medical convention” has failed, doctors’ strikes have multiplied, legal texts have targeted the profession, elected officials continue to agitate the « red rag » of a constraint to the installation…
In an interview with the readers of ParisianSunday, April 23, the Head of State was worried regarding not « plus [avoir] enough caregivers in the country,” before invoking a “multifactorial response” on health, through, among other things, the training of more professionals.
A new chapter is to open on Monday with the presentation to city medicine unions of the “arbitral settlement” – a sort of minimum agreement between private doctors and Medicare – pending further negotiations. Overview of the avenues drawn by the government to fight once morest medical deserts, and the blocking points encountered.
A doctor for every chronic patient
Not a patient with a long-term illness (ALD) without an attending physician. The President of the Republic made the promise during his greetings to the world of health, on January 6. Mired in the pension crisis, he once more put it forward, during his televised address on April 17: “By the end of this year, 600,000 chronically ill patients who have no attending physician will have it. » Medicare even counts 714,000, a figure that might rise to 800,000 by the end of 2023, if nothing is done, she warns.
Since the beginning of April, the institution has started a movement: each primary health insurance fund must contact patients and organize, with the doctors of the territory, a response on a case-by-case basis. This “canvassing” begins to prove itself in experimental departments. Seine-Saint-Denis, which has 24,000 ALD patients without an attending physician – a record – is one of them. Since January, some 5,800 patients have been able to find a referring doctor. Half of them were already seeing a doctor from time to time, without having a registered doctor, the other half might not find one.
“This cannot be the only solution, but it is a ‘bold action’ to stop a worrying dynamic”argues Marguerite Cazeneuve, the number 2 of Medicare, who recalls “the difficult transition period” that it is necessary to succeed in passing while waiting for the effects of the reform, initiated in 2020, of opening of the numerus clausus to train more doctors. Some 6 million people in total have no attending physician.
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