the management of the medical interim worries

by time news

€1,170 gross and not a penny more. Since the Touraine law of 2016, this is the maximum amount that an interim doctor can receive for twenty-four hours of hospital care. In principle at least, knowing that the difficulties of recruitment in health establishments have raised the stakes, in particular since the Covid. “It can go up to €5,000 for a guard, or even €6,000 in times of great tension like Christmas”, we say to the office of the Minister of Health, François Braun.

Risks of lawsuits

From April 3, the date of entry into force of article 33 of the Rist law, this cap will have to be a reality. “All contracts signed from this date will be checked”, specifies the cabinet of the ministry. In the event of an infraction, the hospitals incur legal proceedings. The objective is clear: to bring “a fatal blow” aux drifts of the medical interim, according to the formula of Olivier Véran, spokesperson for the government.

Because in addition to draining the coffers of hospitals – the interim would cost between 1.5 and 2 million euros per year -, this « mercenariat » night at “team cohesion”. “Young practitioners are paid for a month what temporary workers earn in twenty-four hours. This creates equity issues,” underlines the entourage of the minister, which however insists: “There is no question of removing thebut to put an end to its excesses. »

While most hospital unions recognize the need to better regulate medical nomadism, they believe that the Rist law attacks the symptom rather than the evil itself, namely the lack of attractiveness of the public hospital. . “Practitioners were disappointed with the Ségur de la santé and did not obtain any revaluation of the continuity of care worthy of the name. As a result, they leave to practice in the private sector or do something else, ” summarizes Dr. Anne Geffroy-Wernet, president of the National Union of Expanded Anaesthesiologists-Resuscitators Hospital Practitioners (Snphare).

“Planning with holes”

Like many, the doctor fears that the situation will worsen on April 3. “Today, all the major university hospitals already have schedules with gaps. We have to close emergency services, maternity wards, operating theatres. » For the Association of Emergency Physicians of France, no doubt: “Hundreds of guard lines will be removed in a few days. » “A wave of closures of local units but also of other services in larger hospital structures seems to be looming”, for its part warns the union Actions practitioners hospital.

The private sector willing to help

Will the catastrophe announced by the unions take place? Not for Thomas Duvernoy, director of development at Samsic medical, a temporary health agency. “There will certainly be difficulties in certain territories, but the mercenaries who run after the money do not represent the majority of the temporary workers. Most go through agencies like ours who work within the framework of public procurement and already comply with the cap imposed by law,” he explains.

François Braun, who was to meet with the interim companies on Friday March 17, does not intend to back down. Aware of the difficulties that could arise in certain establishments, the Minister is calling on the solidarity of the private sector, which has also expressed its willingness to lend a hand to public establishments. In the event of real difficulties in accessing care, the minister will not refrain from requisitioning caregivers from the liberal sector, confides his entourage.

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