Question 15108 — health

Summary

Mrs. Sandrine Runel alerts the Minister of Health, Families, Autonomy and People with Disabilities to the worrying situation in which the nurses of the Asalée system (liberal team health action) find themselves. This system, created in 2004 to improve the quality of care for patients with chronic illnesses, is based on increased cooperation between general practitioners and nurses. It now constitutes a recognized tool for strengthening access to care, particularly in areas facing a shortage of health professionals. The Asalée system has 2,000 nurses and more than 9,000 doctors in the region, united around the values ​​of horizontality, cooperation and flexibility in care time to co-construct with the patient an adapted care pathway. However, since the end from 2025, health insurance suspended funding for the Asalée system, on the grounds that the recommendations made by an IGAS report aimed at strengthening the governance and transparency of the system had not been implemented. This suspension of financing by health insurance led the association supporting the system to declare a cessation of payment, thus delaying the payment of the costs by several months. salaries of professionals. Beyond the social consequences for the healthcare personnel concerned, this situation poses a direct threat to access to care for thousands of patients, particularly in areas already weakened by medical deserts. In this context, she asks her to please specify the measures she intends to take to ensure the sustainability of the Asalée system and its work values ​​and to secure its financing.

Machine translation from French. The official text remains authoritative.

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