Question 17889 — health establishments

Summary

Ms. Marie-Pierre Rixain draws the attention of the Minister of Solidarity and Health to the operation and method of financing hospital emergencies. Indeed, the recommendations issued by the Court in its annual report, published on February 6, 2019, point to a continued increase in the use of emergency services and the need to reform these structures in order to improve their efficiency. With a 15% increase in recourse to emergencies for 4 years, and 10 to 20% of visits which could be avoided because they fall under general medicine and do not require additional medical treatment, a reform of the functioning of these structures appears necessary. The Court of Auditors in fact recommends developing alternatives to visits to the emergency room, in particular by strengthening community medicine or unscheduled care centers, based on the model of the Consultation Center and urgent corners of the town of Longjumeau, linked to liberal medicine, an innovative structure adapted to fight against medical desertification equipped with a mobile emergency service. In addition, as emergency visits are priced at 148 euros for health insurance, the activity allows hospitals to maintain their budgetary balance and does not encourage them to regulate emergency visits. This is why the Court of Auditors is proposing a reform of the pricing of emergency services based on the cost differentials between hospital care and care in town. Thus, she asks the Minister how these recommendations from the Court of Auditors will be taken into account and integrated into the development of a future reform of the health system.

Machine translation from French. The official text remains authoritative.

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