The Élysée had promised “very concrete” measures. This Friday, Emmanuel Macron sent his wishes to the caregivers of a hospital in Corbeil-Essonnes (Essonne), while the health sector is going through an unprecedented crisis in France.
Between the strike of the liberal doctors and the crisis that the hospital emergency services are going through throughout the territory, the head of state was expected on duty. In introducing his speech, he showed his desire to “get out of this day of endless crisis.”
• Recruit 6,000 medical assistants
First announcement from the Head of State: the hiring of thousands of new medical assistants. The latter, created in 2018, should allow doctors to free up medical time to focus on care, recalls the health insurance site.
Emmanuel Macron therefore promised to “accelerate” his hiring. While there are nearly 4,000 today, they are expected to rise to 10,000 across the territory “by the end of next year,” Emmanuel Macron said.
“It is a true success” of the “My Health 2022” plan presented at the beginning of the previous five-year period, “freeing up medical time” so that caregivers can follow their patients, said the head of state.
• Reorganize work in the hospital
“By June 1”, Emmanuel Macron wants a reorganization of work at the hospital, in order to make jobs in the health sector more attractive, but also to avoid resignations.
“We must do everything possible to keep the carers,” said Emmanuel Macron. Among the projects mentioned: “hyper-rigidity” in the 35-hour application, which leads to a system that “only works with overtime,” according to him.
• A medical/administrative duo at the head of the hospitals
It is a “project” unveiled by Emmanuel Macron this Friday. That of placing an “administrative and medical” tandem in front of the hospitals.
“For a long time we said ‘it should not be the caregivers who run the hospital, it should be the administrators.’ Then we said that the problem is the administrators who run it,” he observed the caregivers during his wishes.
“I wish we could (…) put an administrative and medical tandem in charge of our hospitals, a real tandem based on a project,” he insisted.
• Get out of activity-based pricing
Criticized by many carers, activity-based pricing in care services is about to disappear, as Emmanuel Macron said this Friday during his wishes to carers.
He announced the “exit” of this system from the next Social Security budget, in favor of financing “on public health objectives.”
“For the public hospital, there must be a structuring part of the remuneration that is based on public health objectives that are negotiated at the level of a territory,” declared the head of state.
• Better pay doctors who provide on-call services
Although he presented his wishes from a hospital, Emmanuel Macron wanted to support the role of general practitioners, some of whom have been on strike since the end of December to demand a doubling of the price of the consultation.
The head of state said he wanted “better salaries” for the city’s doctors who provide continuous care and “take care of new patients”, so that the French “can easily find a doctor on call”.
“We are going to pay better the doctors who ensure the permanence of care and those who see new patients,” explained the president.
• A general practitioner for all French people with a chronic illness
All patients suffering from a chronic illness and who currently do not have a treating doctor will be offered one “before the end of the year”, Emmanuel Macron finally announced.
“We have 600,000 patients with chronic diseases who do not have a family doctor and that is a real problem,” lamented the head of state.
These patients “will be offered a treating physician before the end of the year” or, failing that, “a treating team,” he added.
Source: BFM TV
