Question 14641 — health

Summary

Ms. Claire Pitollat draws the attention of the Minister of Solidarity and Health to the consistency of pricing for the activity of health establishments, with the objective stated by the national health transformation strategy, of increasing the rate of outpatient medicine to 55% on substitutable hospital stays by 2022. The ambulatory shift, in surgery as in medicine, allows for an improvement in quality of care and patient comfort, while mobilizing fewer resources for care. The outpatient shift in surgery has seen a significant effort in recent years (from 43.3% in 2010 to 54.1% in 2016), thanks to an incentive pricing policy consisting in particular of overbilling for outpatient surgery stays, compared to the costs actually incurred. Ambulatory medicine remains far below objectives affected by surgery. The regulations struggle to precisely define, and therefore distinguish, medical procedures performed in hospital, preventing them from being updated in the outpatient setting. In addition, outpatient medicine does not have the incentive rates that are applied to outpatient surgery. This results in prices that struggle to cover the real costs incurred. Also, faced with this observation, and in order to allow health establishments to resolutely commit to ambulatory medicine, in favor of the quality of care, for the benefit of more efficient health spending, and in line with the challenges of the national strategy initiated, it asks what policies it intends to implement.

Machine translation from French. The official text remains authoritative.

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