Question 14359 — health

Summary

Ms. Tiffany Joncour draws the attention of the Minister of Health, Families, Autonomy and People with Disabilities to the persistent dysfunctions affecting the dental regulation integrated into the access to care service, a device that is nevertheless essential to the continuity of care and the relief of hospital emergency services. While this system constitutes a strategic lever for organizing unscheduled care, many health professionals report major structural weaknesses compromising its sustainability. Since the end of the experiment carried out within the framework of article 51 of the social security financing law for 2018 relating to health experiments, dental regulators have been faced with a return to complex and heterogeneous administrative procedures as well as significant payment delays that could exceed two months. Furthermore, a manifest inequality of treatment persists between dental surgeons and medical regulators, particularly in terms of compensation, even though the responsibilities exercised and the organizational constraints are comparable. This situation weakens the attractiveness of the system and compromises its proper functioning. Added to this is the lack of harmonization of tax and social systems as well as the lack of funding dedicated to the training of regulators, which is nevertheless essential to the quality and safety of care. In the absence of rapid corrective measures, these dysfunctions could lead to a disengagement of professionals, an increase in tension on emergency services and a deterioration of access to care, particularly in already fragile territories. In this context, she asks him what concrete measures the Government intends to implement to guarantee rapid and secure payment deadlines, restore fairness of treatment between health professionals, simplify management and declaration tools and ensure a stable financial, fiscal and organizational framework allowing dental regulation to be effectively sustained within the access to care service.

Machine translation from French. The official text remains authoritative.

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