2023-06-14 22:14:08
Is tele-expertise the tele-health tool that will make it possible to reduce, in part, the medical deserts? In any case, this is what Health Insurance hopes, which has generalized this act to all health professionals in 2022. In the meantime, what exactly is teleexpertise? This act was defined in the decree of October 19, 2010 « relating to telemedicine » [1].
Remote solicitation
The teleexpertise aims to allow a medical professional to remotely seek the opinion of one or more medical professionals because of their training or their particular skills, on the basis of medical information related to the care of a patient “. Needless to say, in times of shortage of specialists, tele-expertise is of prime importance: it allows, for example, a general practitioner, located in a medical desert, to take up the attachment of a specialist, remotely, in order to be able to make an informed diagnosis of his patient.
Until 2018, telemedicine procedures, including teleexpertise, were deployed on an experimental basis. It was necessary to wait amendment 6 to the medical agreement [2] so that tele-expertise comes under common law in order to benefit from proper coverage by Health Insurance.
Billing in 2019
Thus, in February 2019, doctors had the possibility of being able to invoice teleexpertise acts for certain patients, including patients with long-term illnesses (ALD). In 2019, there was still a distinction between simple tele-expertise, called level 1, invoiced at 12 euros, and complex tele-expertise, called level 2, invoiced at 20 euros. The requesting doctor is paid 5 euros per tele-expertise, at a rate of 500 euros maximum per year.
Generalization since 2022
But since 1is April 2022, thanks to the implementation of endorsement 9 of the medical agreement [3]remote expertise has been simplified and generalised.
Now all patients can benefit from tele-expertise, and all healthcare professionals can request or respond to tele-expertise. Their rates have also been revised upwards: the required healthcare professional is paid 20 euros, and the requesting healthcare professional receives a remuneration of 12 euros. Hoping that this will take off the number of teleexpertise, because the first figures from Health Insurance were hardly encouraging. Between February and September 2019, only 779 tele-expertise had been reimbursed by Health Insurance. Since then, according to Baptiste Truchot, general manager of Omnidoc, a start-up specializing in the creation of tele-expertise applications, there would be at least 20,000 tele-expertise per month, however Health Insurance has not confirmed this data. .
Tele-expertise desk
Nevertheless, many hospitals located in medial deserts have chosen to develop this type of consultation to compensate for the lack of specialists. As in Chartres, where the hospital has installed a remote expertise counter since June 2022. Eighteen specialties were immediately included in this new system. ” I wanted to ensure that there was a single point of entry for the tele-expertise consultation of specialists from the CH de Chartres. The primary objective was to simplify access to tele-expertise for general practitioners, but also to put an end to the exchange of informal advice between doctors, over the telephone or via messaging, which advice is by nature untraceable. We have signed agreements with the Council of the Order of Eure-et-Loir, but also with the 6 CPTS (territorial professional health communities)”, explains Christophe Laure, deputy director in charge of research and innovation at Chartres hospitals. The doctor who requests a tele-expertise can use the unique number assigned to this service, send a message via his secure messaging service, or use the tele-expertise application. Currently, 28 specialties are involved in tele-expertise, and two new structures participate in this one-stop shop: the Dreux hospital center and the Eure-et-Loir private hospital. Each month, 70 tele-expertise are delivered. The recent choice of a new application should attract new establishments and liberal health professionals, thinks Christophe Laure.
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