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

Get real time updates directly on you device, subscribe now.

LThe waltz of Emmanuel Macron’s well being ministers continues. Catherine Vautrin will subsequently be the 7e Minister of Health for the reason that first election of Emmanuel Macron in 2017, she succeeds Agnès Firmin le Bodo who took over as interim following the resounding resignation of Aurélien Rousseau. The latter slammed the door after the vote on the immigration regulation, to the nice chagrin of well being professionals who appreciated a correspondent open to dialogue and respectful of everybody’s sensitivities. The challenges awaiting this new minister – additionally answerable for Labor and Solidarity – are quite a few, she should be skillful to persuade well being professionals whose nerves are on edge and plenty of of whom oscillate between discouragement and exhaustion.

The political publication

Every Thursday at 7:30 a.m.

Receive a preview of knowledge and political analyzes from the Point editorial employees.

Your registration has been taken into consideration with the e-mail handle:

To uncover all our different newsletters, go right here: MyAccount

By registering, you settle for the overall situations of use and our confidentiality coverage.

Medical desertification

Will the brand new Minister of Health discover the magic method in opposition to medical deserts? The figures are alarming, 30% of French folks stay in a medical desert and 6 million of our fellow residents would not have an everyday physician. Measures have been taken to strive to reply to this main public well being drawback.

Thus, a number of employment retirement is feasible for retired docs wishing to proceed a consulting exercise, a fourth yr of internship for future common practitioners has been established, college students being inspired to hold it out in under-resourced territories. In addition, the hiring of medical assistants is inspired in an effort to liberate medical time and the creation of 4,000 well being properties has been introduced in the summertime of 2023.

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.

Treat the sick hospital

The hospital is in a deep and structural disaster and the Grenelle well being measures haven’t stopped the deterioration of working situations. The causes of the disaster are intrinsic: lack of economic sources and employees shortages which result in an explosion within the workload of hospital employees.

In addition, there are various extrinsic components: the getting old of the inhabitants liable for an inexorable improve within the demand for care and even the shortage of personal docs which forces sufferers to go to hospital in an effort to be handled. burden and which causes congestion in emergency providers.

The regulation on the tip of life lastly handed… or buried?

This is the stone within the president’s shoe. The end-of-life regulation, carried by outgoing minister Agnès Firmin le Bodo, is awaiting ultimate arbitration from Emmanuel Macron. The French mannequin of end-of-life assist should be primarily based on two pillars. The first is the strengthening of the supply of palliative care of which many territories are right now disadvantaged. The second ought to be the institution of lively help in dying, the contours of which don’t but appear clearly outlined right now.

The president should arbitrate between assisted suicide and lively euthanasia, except he surprises by proposing to manage the 2 actions in an effort to reply to specific conditions. But Emmanuel Macron is consistently pushing again the deadline; the regulation was initially purported to see the sunshine of day on the finish of the summer season, then in February. Will she go away when Agnès Firmin le Bodo’s packing containers are moved? Catherine Vautrin should rapidly share her place on this delicate situation anticipated by the French.