The government’s plan to fight against medical deserts

The government wants to “facilitate” local initiatives ” and “innovative organizations” in each territory to fight against the medical deserts, announced by the Prime minister Edouard Philippe and the minister of Health, Agnes Buzyn, unveiling their plan Friday at Chalus (Haute-Vienne). “Access to care is at the heart of the social pact”, said the Prime minister, came to inaugurate a home health care in a region facing like many others the lack of doctors.

“Trust,” and “administrative simplification”

The government is relying on the “confidence” of the health professionals and local initiatives and on the “administrative simplification”. “New ways to exercise between the city and the hospital”, “telemedicine”, “advanced practices” (e.g. allowing nurses to perform acts usually reserved for physicians, ed) are avenues to follow for Mr. Philip.

© Laurence SAUBADU, Paul DEFOSSEUX / AFP

A panel of solutions adaptable to each territory

This is to “ensure equal access to health care” in France, according to Agnès Buzyn, quoted in the press kit. But it “would be illusory to announce definitive measures, or focus our efforts on the single subject of the installation of health professionals,” she said. Instead, the government proposes “a panel of solutions adaptable to every territory, “measures for simplification of legislation or regulations” to “support innovative organizations”, which will see a dedicated fund.

As expected, the plan act the goal of doubling the number of home health (910 reported in march 2017) on the five year devoting to 400 million euros. In addition, the accumulated employment-retirement of physicians can be facilitated with an advantage extended in the area of assessment in areas of tension.

A material of tele-consultation in all long-term care facilities by 2020

The physicians will be encouraged to work part-time in areas under-equipped thanks to a revaluation of their premiums, and the “consultations” advanced (for example, a cardiologist hospital patients once a week in a house of health) should be promoted. New training courses will be offered from September 2018 to enable carers to acquire new skills, “then recognized by the compensation-specific”.

The development of telemedicine will pass him by negotiations between the sickness Insurance and the doctors early 2018 to fix the rates. A material of tele-consultation is also promised to all long-term care facilities (accommodation facilities for dependent elderly people) by 2020. In addition, the minister will chair a “committee on national monitoring of local actions to be” loaded “to identify the devices that work, assess, and adapt the measures implemented”.

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