Question 12332 — health professions

Summary

Mr. Eric Liégeon draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the opportunity to generalize the Asalée system (liberal team health action) which is based on an innovative organization of primary care bringing together general practitioners and nurses in advanced or delegated practice. For more than twenty years, Asalée has demonstrated that coordinated care, based on Therapeutic education, long-term monitoring and prevention can significantly improve the quality of care while rationalizing the use of community care. A study combining an independent evaluation carried out in 2016 and more than 250 scientific works published between 2016 and 2025, covering more than a million patients, highlights a drop of around 10% in the consumption of community healthcare for patients. monitored in this framework, with significantly higher quality indicators. According to those behind the system, a gradual generalization of this model could represent potential annual savings estimated between 15 and 18 billion euros for health insurance, for an operating cost estimated at around 800 million euros per year, corresponding to the deployment of around 8,000 nurses working in teams with doctors. The net gain for social finances would thus be substantial and immediately reinvestable for the benefit of the hospital, community medicine and patients. Furthermore, Asalée's recent initiative to structure itself in the form of a cooperative society of collective interest (SCIC), associating caregivers, patients and caregivers in its governance, aims to preserve this model from any logic of financialization and to guarantee that the value created remains fully oriented towards care. Consequently, given the persistent tensions over access to care, the shortage of health professionals and the necessary search for savings within the framework of the social security budget, he would like to know what follow-up the Government intends to give to these results and whether it is considering scaling up and generalizing the Asalée system throughout the territory.

Machine translation from French. The official text remains authoritative.

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