2023-12-08 05:54:46
Some progress. Deputies and senators found common ground on Thursday on a sensitive bill on access to care in the territories, a text which notably rebalances the responsibility for night shifts between public and private establishments. The bill from Horizons MP Frédéric Valletoux had sparked intense debates in the Assembly and in the Senate, on subjects closely scrutinized by doctors’ unions such as the fight against medical desertification.
During a joint committee on Thursday, parliamentarians found an agreement on the last points under discussion, with a view to adoption on December 12 in the National Assembly and on the 18th in the Senate for a final vote without suspense. “This does not resolve the great challenge of training doctors or medical time, but with each text there are small advances,” said Senator LR Corinne Imbert, citing in particular the creation of “referent nurses” who will practice a mission to monitor and renew prescriptions for chronic patients, “an expectation of the profession”.
The text of the law aims in particular to make doctors in the territories responsible, but parliamentarians like the government took care to remain measured on the issue this fall, against the backdrop of conventional negotiations with the unions of private doctors with a view to a price increase. . Thus, the text does not address the question of regulating the installation of practitioners through restrictive measures to combat medical deserts, a strong demand from the left.
Several hot files
The tense issue of night and weekend shifts in hospitals has been resolved with a mechanism which will strengthen the responsibility of private clinics in the organization of ongoing care. “In the event of a deficiency, the Regional Health Agency (ARS) has increased power to require this or that establishment” to provide these services, indicates Frédéric Valletoux.
Another hot point, the automatic membership of doctors in professional territorial health communities (CPTS) supposed to facilitate coordination at the territorial level was not retained in the final version, explained Ms. Imbert, who had removed in the Senate. On the other hand, the deputies obtained a certain “strengthening of the missions of the territorial health council” (CTS), she added.
Parliamentarians also reversed course on the replacement of the medical certificate for sick child leave with a sworn certificate, voted by the Senate.
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