Question 17755 — health establishments

Summary

Mr. Jean-Pierre Taite draws the attention of the Minister of Labor, Health and Solidarity to the worsening deficit of private health establishments. Private hospitalization treats 9 million people per year and represents 35% of hospital activity in the country, for only 18% of health insurance expenditure. With 1,030 health establishments, the profession provides a local territorial network throughout France: 55 Millions of French people live less than 30 minutes from a private clinic. But today, the sector is going through an unprecedented crisis: the impacts of inflation on the financial balance of health establishments have not been compensated for the challenges, while more than 90% of resources depend on the State. In addition, the recent tariff campaign increases resources by 4.3% for the public hospital but makes them stagnate at 0.3 % for the private hospital in a context of inflation of 4%. The result is already there: for the private sector alone, the share of health establishments in deficit increased from 25 to 40% between 2021 and 2023 and forecasts for 2024 expect more than 60% of private hospitals to be in deficit. Also, the difference in salary between private and public caregivers will increase thanks to this stagnation of resources, in particular for the working nights and weekends to reach, for example, for a night nurse after 10 years of practice, a 36% difference! Weakening the private hospital will not help the public hospital, but will harm the population's access to care, leading to delays in care and a loss of opportunity for patients. Services, maternity wards and emergency services are now in danger. This is why he asks him what arrangements it intends to take action to put an end to this discrimination which risks dragging this major sector of care provision towards the worst, to the detriment of patients and if it intends to revise the arbitrations of the 2024 pricing campaign.

Machine translation from French. The official text remains authoritative.

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