The reform of the “local hospitals” of 2019, modifying their funds to “leave” the prices of the acts, “gave air” to these establishments to develop the supply of the first appeal care in vulnerable territories, according to a mission of parliamentary evaluation.
Adopted in 2019, but really established in 2022, this reform provided the labeling of 500 “local hospitals” in the 3,000 existing hospitals and clinics, renamed in general medicine, geriatrics and rehabilitation, which also have to offer specialized consultations and technical images and platforms of medical biology.
These “local hospitals” must also conclude agreements with “couples of territory” (establishments, municipal medicine, communities …). Once labeled, they are no longer financed according to the number of events carried out as most hospitals, but through a “endowment of guaranteed global sum,” Santuarized for three years. They also receive a smaller envelope (5% of their resources) to finance specific missions, in relation to the city. Three years later, 327 establishments are labeled (276 audiences, 38 deprived of collective interest and 13 clinics).
“Perpetuate an offer of first appeal care”
This “multiple years” financing model has generally allowed them to “get their heads from the water, anticipate, establish a real strategy” and “perpetuate a first level care offer”, particularly in the medical deserts, is delighted with the AFP, the communist deputy Yannick Monnet, in charge of an evaluation mission, presented on Tuesday before the Social Commission of the Social Affairs of the National Assembly.
“It works and shows that health needs financial stability, planning,” he argues, asking more widely inspiration.
“Lack of financial attraction” of the hospital for liberals
The model also pushed medicine and the city’s hospital to “work together”, allowing “advanced consultations” of liberals or “coordinated care path” (in oncology, heart failure …), even if the development is “unequal in the territory,” says Yannick Monnet.
The deputy, however, alerts the financing of the great aging. Ehpad, help at home, “services” SMR (medical care and rehabilitation), which are subject to specific funds, “draw these hospitals down.” He still observes the “lack of financial attraction” for liberals, which strongly limits mixed exercise.
Source: BFM TV
