The president of the regional council of the College of Physicians is the guest of the Interview à la Une, the Nice-Matin video program in partnership with Radio Emotion.
On the bill, brought by Renaissance MP Stéphanie Rist, which provides direct access to paramedics:
“Doctors contest this bill because their profession must remain the gateway to care. When a patient has a health problem, he has the right to consult a doctor. It is the latter who must establish a diagnosis. , then possibly a therapeutic project and a course of care. The main point of divergence of this bill is the question of the first consultation. That is to say the first contact of a patient with the world From a quality and safety of care point of view, we can only be once morest direct access to paramedics.”
On the question of the delegation of skills from the doctor to another health professional (physiotherapist, speech therapist, etc.):
“Yes to the delegation of skills as long as it is part of an exercise coordinated and led by a doctor. The paramedical professions have a fundamental role in the organization of care. I am thinking in particular of the advanced practice nurse (APN). But if you look at the texts, their work is coordinated by a doctor and they have an assistance role.”
On the health insurance proposal to increase the consultation with liberal general practitioners by 1.50 euros:
“ I consider that 25 euros for a consultation with a doctor – who has 40 to 50% charges – is indecent. The health insurance proposal to increase the consultation by 1.50 euros is provocation. Doctors demand the means to be able to practice their profession. For this, you need a medical act remunerated at its fair value. I would add that a single consultation for medical acts makes no sense. We do not spend the same time on the diagnosis of a pathology as for a prescription renewal.
On the problem of medical deserts:
“The situation of medical deserts is a problem of regional planning. I am once morest an obligation to install doctors. Indeed, all care professions suffer from a problem of attractiveness. There are certain sectors that matter only 2 or 3 doctors. They work an average of 55 hours a week. Requiring them to go to a territory is not the solution.”
On the number of formations:
“At the end of the 1990s, 3,500 doctors were trained per year. Currently, there are 10,500 training courses per year, that’s three times more! We cannot yet see the effects of this increase, because in reality, these young people are still studying and they are not yet on the market. So, while waiting for the new generations to arrive, we have to think together regarding a new way of organizing care.”
