As the mobilizations multiply, the Head of State spoke this Friday during a visit to the South Ile-de-France Hospital Center, in Corbeil-Essonnes to send his wishes to the medical staff.
It is an understatement to say that the announcements of Emmanuel Macron, this Friday, were expected at the turn. Laboratories, hospital staff, general practitioners… Mobilizations have been multiplying, in recent weeks, to alert to the disintegration of the tricolor health system and the exhaustion of the teams. The Élysée recognized, moreover, on Thursday evening, the “very strong tensionsweighing on the entire sector and professionals, exhausted by the epidemic, and whose problems were already well known before the emergence of Covid-19.
The Head of State spoke at the end of the morning, on the occasion of his wishes to caregivers, at the South Ile-de-France Hospital Center, in Corbeil-Essonnes. Purpose : “Give caregivers a course, allow the French to have access to care, and caregivers to find meaning in their work“, explained Thursday evening the entourage of the President of the Republic. The announcements must allow the health system to get out of a perpetual emergency logic, as well as the white coats to hold on while waiting for the students who have benefited from the end of the numerus clausus to complete their training. Enough to provide much-awaited reinforcements on the ground… But not for several years. Here is what to remember from the words of Emmanuel Macron:
The Head of State to professionals: “You held»
Beginning his speech half an hour late, Emmanuel Macron paid tribute to white coats. Despite two years marked by Covid, as well as the triple epidemic that hit France this winter, “you continue to hold firm, and you arouse, by your efforts, the esteem of the Nation“Launched the Head of State. He also acknowledged “worry, anguish […]personal and collective exhaustion” of health personnel, and said he wanted “get out of this day of endless crisisthat the healthcare system is experiencing.
The health system is experiencing a “multifactorial crisis»
The President of the Republic then listed the many shortcomings from which the tricolor health system suffers. Numerus clausus having limited training, administrative heaviness, partitioning between the city and the hospital, 35 hours having “deeply disturbed the hospital“, societal changes, demographic aging… The list is long, and “it will take a decadeto improve the situation, said Emmanuel Macron.
10,000 medical assistants by the end of 2024
Avoid burying white coats under administration: this is one of the objectives pursued by the government. During his speech, Emmanuel Macron praised the role of medical assistants, of whom 4,000 have been recruited so far: a “real success“, which must be continued, bringing their number to 10,000 by the end of next year, announced the Head of State. A goal that must be achieved byfurther inciting», thanks to increased funding.
SEE ALSO – “10,000 medical assistants by the end of 2023 is doable” announces Emmanuel Macron
Review health studies
The Head of State also called for rethinking health studies, as many young people leave training or fail along the way. He therefore wishesimprove the Parcoursup system», and review the functioning of the studies. One “construction to be completed by summer“. In addition, Emmanuel Macron wants “a more empowering system upon graduation», to fight against the massive recourse to temporary work.
Reorganization of the hospital by June 1
At the same time, administrative and technical staff will also be transferred to similar functions at the hospital to free up care time. The short-term goal is to do everything to keep the staff “. This reorganization work must be established by 1er June in order to “strengthen teams at the bedside of patients “. The schedules of each department will thus be reorganized under the guidance of the managers. The distribution of this new working time will in fact entail ” an allocation of remuneration “Assured the Head of State.
Towards a doctor/administrative duo at the head of hospitals
Against red tape, Emmanuel Macron wants to review the management of hospitals. He thus countsthat we can put at the head of our hospitals an administrative and medical tandem». A way to restore power to white coats.
“To go out» fee-for-service in hospital
The Head of State wants to transform the way in which health establishments are financed, by quickly moving away from fee-for-service pricing. Objective: to establish aremuneration based on public health objectives“, part of which”structuringmust be based on the achievement or not of objectives at the local level, adapted to the reality of the territories. This new financing will have to be put in place as of the next social security financing project (PLFSS).
Towards suitable housing for caregivers
To help health personnel working in areas where housing is particularly expensive, the Head of State wants, by next summer, a “shared action plan“. One “dedicated housing stockmust be defined for the professionals concerned, outside social housing, so that they can live close to their place of work, and avoid significant travel time.
Change the pricing of doctors
The President of the Republic wishes to review the pricing of doctors. First, he callsto a project on the remuneration of night work», in particular for caregivers working in hospital emergency rooms. “The emergency measures planned until March will be maintained“, he added. The difficulty of the missions” will also be at the heart of this reorganization.
Doctors taking on new patients will be paid more
Regarding doctors in town, Emmanuel Macron no longer wants “ they get more exhausted “. “We are going to better remunerate doctors who provide ongoing care and those who take on new patients“, as well as those who agree to train young people, he said. “We are coming out of fee-for-service funding to promote the mission and provide a health response to the population”, he justified himself.
The French will be able to go see other professionals for certain acts
The Head of State wishes to see the delegation of daily acts reinforced, in order to relieve doctors who are already overstretched. This can for example be effective for vaccinations, certain certificates or the renewal of prescriptions for chronic diseases.
Patients with chronic disease but without a doctor must be helped by the end of the year
The Head of State ensures that the 600,000 French people with chronic illnesses but who do not have a doctor will be offered one by the end of 2023. In the most serious and urgent cases, Emmanuel Macron also wants generalize “healthcare access service“: a patient in difficulty, without a doctor or whose doctor is not available must be able to call 15, in order to be directed behind.
One “work» pitched against rabbits at doctor’s appointments
Emmanuel Macron was also offended by the French who do not honor their medical appointments, denouncing their “casually“. “As health no longer has a price, it therefore no longer has a valuefor some, he was annoyed. One “work“will therefore be launched with Medicare for”put an end to this irresponsibility“, he announced.
SEE ALSO – Reorganization of the hospital by June 1: the “most ambitious and most necessary” objective, according to Cyrille Vanlerberghe