2023-06-15 22:28:35
Reinforcement of the permanence of care, creation of the function of referent nurse or even encouragement to practice in medical deserts: the National Assembly voted Thursday, June 15 in the evening a series of additional measures to promote access to care. The deputies adopted several amendments to the bill by Frédéric Valletoux (Horizons group), examined since Monday at first reading.
This text aims to promote “the territorial commitment of professionals” of health, without, however, providing for the regulation of doctors’ facilities. In particular, it provides that private clinics and their practitioners will have to participate more in the “permanent care” evenings and weekends. All caregivers “participate” to this permanent care, added the deputies on Thursday, some welcoming a “paradigm shift”.
But the Minister of Health, François Braun, interpreted this vote as a ” incentive “ to participate in the continuity of care, to which he is in favor, and not as a « obligation ». These guards are currently provided by a minority of liberal doctors.
“A real step forward” for the Nursing Order
The National Assembly also validated an amendment by the transpartisan working group on medical deserts launched by Guillaume Garot (Socialist Party) which opens up, from the second year of study, the possibility for doctors to sign “public service contracts” providing a monthly allowance against a commitment in a medical desert. In addition, to promote internships for general medicine students in under-resourced areas, these internships should be filled first.
In addition, while the working conditions of interns have often been pointed out, the rapporteur for the Social Security budget, Stéphanie Rist (Renaissance), added that the entity (doctor or establishment) where the internship is carried out of the student must take “the necessary measures to ensure his safety and protect his physical and mental health”.
MEPs from different sides have also created the function of“referral nurse”, chosen by the patient. He will have a mission of prevention, follow-up, renewal of nursing care prescriptions for chronic patients, in conjunction with the attending physician. The Nursing Order welcomed this vote, which “represents a real step forward”.
To avoid a double penalty for certain patients, the Assembly finally voted unanimously for a transpartisan amendment which abolishes the tariff increase likely to be applied by Health Insurance during the year following the retirement of their attending physician or when the latter changes departments.
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