Question 13027 — health

Summary

Mr. Paul Christophle alerts the Minister of Health, Families, Autonomy and People with Disabilities on the sustainability of the SecPa system (Participatory coordinated exercise structures). This system set up within the framework of the Segur de la santé has made it possible to develop 26 structures across the national territory in order to offer comprehensive support for patients who are often excluded from the health system. In Drôme, there are 2,500 patients in active queue who are followed by the Protestant Diaconate health center, 75% of whom are in a precarious situation. Currently, the center offers medical care, but also psycho-social support, interpreting for the non-speaking public, mediation and social assistance. The cessation of the SecPa system would call into question the continuation of this non-medical and yet essential support in the journey of global care. This judgment could also discourage healthcare professionals who would face numerous difficulties in carrying out their healthcare missions, while the experiment launched in 2021 has proven itself. A direct consequence would be the cessation of care for some and the congestion of already overloaded emergency services. The solution presented with the France santé label with common law funding not arrows would not guarantee teams the coordinated approach implemented by these structures engaged in patient participation, prevention and reduction of social inequalities in health. Also, he asks for clarifications and wishes to know his commitments on maintaining dedicated funding at a sufficient level for all structures, on the sustainability of this system and the recognition of their missions in terms of access and global care pathways.

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