“The paramedical professions must evolve because this progression is pulling the entire health system upwards”

Tribune. The social security financing bill for 2022 proposes advances for our health system and for the French. If it still has to be adopted in the Senate and then in the National Assembly, we welcome the proposals it contains in particular simple and inexpensive measures aimed at giving certain paramedical professions some additional fields of intervention within the framework of experiments already entering into the reality of the exercise.

These measures will make it possible to act effectively against medical deserts, by trusting health professionals. Unfortunately, they gave rise to medical outcry. What is it about ? Facilitate direct access to certain paramedical professions – orthoptists, speech therapists, nurses in advanced practice or physiotherapists – who would also be responsible for some delegations of tasks.

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Strictly supervised provisions, synonymous with improved chances of rapid treatment for patients. Hardly had the National Assembly adopted the corresponding amendments, which were rather narrow in scope but with beneficial effects for the patient, than certain corporatist reflexes took over, leading to sending alarmist letters to parliamentarians raising fears of a misuse. brutal and complete of the French health system!

For the general interest

Cooperation between health professionals is a requirement and a reality; it is effective in the field. We, professional orders, guarantee this on a daily basis. But if some unions which represent a minority of doctors systematically oppose the only entry by the doctor to any evolution in the care of patients, we fear to see there the sign of corporatist reflexes taking precedence over the objectives of public health and of pursuit of the general interest.

The fight against medical deserts, the reduction of patient care times, in emergencies for example, and the improvement of the care path must take precedence over disputes over territories that the French do not understand. They expect a significant optimization of access to care, and ask us to collectively take the means.

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The few doctors who oppose these advances invoke uncoordinated measures. This is incorrect. They were, but automatically aroused oppositions almost stemming from a Pavlovian reflex. However, there is no valid reason to fight against a legitimate skill gain from another profession.

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