2023-04-26 05:15:25
Laying a rabbit hole is not correct, even less when it disrupts the work of health professionals, already under strain. “Too much medical time is wasted by an excess of improvidence, casualness, in particular with appointments not honored”, had already affirmed the President of the Republic during his wishes to the world of health, at the beginning of January. In The ParisianApril 23, Emmanuel Macron went furtherensuring: “Those who do not come to the meetings, we will punish them a little. » It remains to be seen how.
In a joint statement published on January 26, the National Council of the Order of Physicians and the Academy of Medicine had mentioned “several studies” according to which missed appointments would cause doctors to lose two hours of work per week, representing, by extrapolation, 27 million consultations per year nationally. For its part, the specialist magazine The Generalist surveyed, in March, 344 doctors, mainly liberal general practitioners. From this little survey shows that 55% of practitioners deplore at least four missed appointments per week. These incidents are primarily caused by new patients, and secondarily by patients who made an appointment using an Internet platform.
The sanction of unscrupulous has been for five years a hobbyhorse of the French Union for a free-union medicine (UFMLS). Its president, Jérôme Marty, paints their composite portrait: “These are rather young working people who live at a hundred miles an hour, have no doctor or flit around. They make a first appointment fifteen kilometers from their home, before finding another seven kilometers away, before finding a third downstairs. They honor that one without nullifying the previous two. »
The trade unionist denounces the shortfall for professionals, but also the impact on access to care. According to him, everything that makes it possible to fight once morest doctors’ downtime contributes in particular to relieving congestion in the emergency room, where “15% to 30% of passages” are due to patients who simply might not find an appointment with a city doctor.
The challenge: improving access to care
The Senate echoed these concerns. In February, as part of the review of the Rist law on improving access to care, senators Corinne Imbert (related to Les Républicains) and Elisabeth Doineau (Union centriste) had an amendment adopted opening the possibility of compensate doctors within the framework of their agreement with Medicare. This amendment was however rejected by the joint committee of deputies and senators and is therefore not in the text which will be submitted to the vote of the two chambers on May 9 and 10.
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