Question 14624 — health professions

Summary

Ms. Séverine Gipson draws the attention of the Minister of Solidarity and Health to the place of liberal nurses in health policy, mainly in the area of ​​perpetuation and revaluation of care acts in medical deserts. Eure suffers greatly from an under-density of primary care offers, being ranked penultimate in medical deserts. Sometimes in competition with pharmacists pharmacies or ignored in their grievances by Health Insurance, we feel discontent and disappointment emerging among liberal nurses. The threat of general mobilization could take the form of a strike if concrete responses are not quickly provided. Liberal nurses constitute one of the leading healthcare providers in rural areas in France and they are essential players in local care. THE Self-employed health professionals, and particularly nurses, need to be heard and reassured because the conventional negotiations begun more than a year ago with Health Insurance have not yet made it possible to find common ground. Staggering the implementation of the agreed measures until 2021 must really focus on the involvement of private nurses to encourage a shift in ambulatory care. It therefore remains to be resolved, among others, questions such as the updating of nursing zoning, the development of the nursing care assessment for elderly people losing their autonomy or even medication compliance and the reduction of iatrogenics. Home care for chronic illnesses or monitoring of long illnesses has two advantages: on the one hand, it allows the patient to convalesce close to his family, at home. him, with a supporting social network and on the other hand, they incur a lower cost for public finances. It clearly appears that the future of the health system must be built with the network of independent nurses well distributed over a territory, by further evolving the nomenclature of acts to match the efforts made towards other professions (general practitioners, pharmacists and nurses). dental surgeons). For around ten years, nurses have been somewhat forgotten by the various reforms which have allowed other players in the health sector to see their working conditions evolve. Beyond the recognized competence of these professionals, this coverage of care for the entire territory is fundamental, in a period where we complain of medical deserts. At a time when we are wondering, just title, on the health system in general and on the care pathway, she would like to know her intentions to allow nurses to be reassured by the future measures on the revaluation of liberal practice.

Machine translation from French. The official text remains authoritative.

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