What challenges await the brand new Minister of Health Catherine Vautrin? | EUROtoday

Finally, the State needs to depend on the CPTS in an effort to enhance coordination between well being professionals. Unfortunately, on the bottom the scenario appears very removed from bettering. Existing well being facilities wrestle to recruit docs, the CPTS resemble administrative gasoline factories whose curiosity escapes the well being professionals who be part of them.

A wave of retirement of docs within the subsequent ten years is predicted, it is not going to be compensated by the arrival of younger docs, medical desertification may develop into vital over the following decade. In order to compensate for the shortage of docs in sure territories that are fully devoid of them, sure expertise have been entrusted to pharmacists, nurses and even physiotherapists due to direct entry below sure situations. But this switch of expertise makes docs’ unions cringe who see it as a lack of alternative for sufferers. The process guarantees to be tough for Catherine Vautrin to persuade well being professionals to alter their practices and their territorial group.

The finish of fee-for-service?

President Emmanuel Macron strongly criticized the fee-for-service remuneration of docs throughout an interview on the present “C à vous” on December 20. The level is evident and unambiguous: “we must tell health professionals: you are paid too much on a fee-for-service basis, which sometimes encourages you to do unnecessary things, this is not the right method. We are a country where we consume too many medications and where we consume too much care, it’s true. When there is too much consumption of care, we must regulate intelligently. We need to take responsibility, do more prevention, work with healthcare professionals.”

Emmanuel Macron desires to maneuver in direction of capitation-based remuneration – primarily based on the variety of sufferers handled – reasonably than per process as is the case right now. Will the brand new Minister of Health be liable for implementing this transition? The functioning of French non-public medication is traditionally structured round fee-for-service fee and unions denounce capitation-based remuneration as it’s practiced in England, fearing an acceleration within the deterioration of the standard of care and particularly of the accessibility to care. The topic is explosive and the reluctance of the unions main, it’ll take Catherine Vautrin lots of talent to go the tablet.