Question 16367 — health professions

Summary

Mr. Jean-Pierre Door draws the attention of the Minister of Solidarity and Health to the crisis in the visual sector. Indeed, access to care in this area is not always guaranteed or involves excessively long waiting times. It would therefore be desirable to open up the possibility for orthoptists to renew and adapt optical corrections under the same conditions as those practiced by eyewear opticians. THE orthoptists, already authorized to carry out screenings, assessments and to take charge of rehabilitation, have in fact all the necessary skills in this regard. In the current state of the regulations, orthoptists can carry out a visual assessment as part of the renewal or adaptation of optical corrections. However, the prescribing doctor remains solely competent to write the prescription corresponding to the orthoptic diagnosis. This results in the mobilization of several health professionals, which involves numerous return trips and generates additional financial costs borne by the patient and Health Insurance. The reorganization of the visual sector would make it possible to relieve congestion in ophthalmology practices, reduce the cost of orthoptist consultations and promote prevention in visual health. This solution would have the merit to be compatible with the health system transformation plan “My health 2022” announced by the President of the Republic in November 2018 and to respond to the latest recommendations from the Court of Auditors. In its latest report on the application of social security financing laws, the Court clearly called for a change in the distribution of skills between the different players in the visual sector. and, more specifically, the granting of authorization for orthoptists to carry out visual assessments and simple consultations and to prescribe optical equipment. He asks her to clarify the Government's position on this extension of the skills exercised by orthoptists and whether she plans to introduce this measure of reorganization of the visual sector in the bill soon to be tabled in application of the plan. health.

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