Question 29938 — maternity health insurance

Summary

Mr. Antoine Savignat alerts the Minister of Solidarity and Health to the situation of the 63 SOS Médecins associations spread across the territory which have been very responsive to the health crisis. They have adapted by setting up “covid-19” channels, by developing teleconsultation, by increasing their capacities for telephone advice, by reorganizing their on-call front, etc., to respond effectively to the needs of their long-standing partners which are the Samu, the treating doctors with whom they work in complementarity, the nursing homes, the medico-social establishments, and in order to continue to go to the bedside of patients, adapting the home visit to the health challenges. Data from SOS Médecins is an element making it possible to monitor the epidemiological evolution of covid-19 on a day-to-day basis, a development that will need to be closely monitored. carefully in the deconfinement phase discussed. Several decisions were taken and validated following discussions between his ministry, the general directorate of health and the National Health Insurance Fund. These decisions aimed to optimize the means of support: the possibility of using, as an exception in the Covid-19 context, teleconsultation and, in the absence of sufficient digital infrastructure, the telephone to treat patients, at a price equivalent to a face-to-face consultation (25 euros). Recently, an increase for visits to nursing homes was put in place. These initiatives are going in the right direction, but the lack of understanding regarding the lack of promotion of home visits is real and unacceptable. The home visit during this period once again proves its relevance during confinement, when patients were stuck at home, but even today while the elderly and the frail prefer not to go out. The ability to send doctors to patients' bedsides is a considerable asset for the French health system. The home visit allows for an optimized examination, especially in the covid-19 context. In addition to measuring oxygen saturation, there is pulmonary auscultation, electrocardiogram or ultrasound, capillary blood glucose. These additional examinations are fundamental and make it possible to leave a patient at home and not overload the emergency services because the resolution of doubts is of very high quality. These doctors are present 365 days a year and 24 hours a day and have increased their schedules since the start of the health crisis. They examined more than 46,000 patients in France whose symptoms were linked to covid-19, and this continues. The city medical consultation has three modalities which are: office consultation, telephone medical advice and home visit. SOS Médecins practices all three and recently teleconsultation. All these modalities have their relevance, their advantages and their disadvantages; however, the home visit has irreplaceable value for patients who cannot travel to all kinds of reasons or for those who want a quick consultation but also because it informs the doctor about the health and social context of the patient (home, family, etc.) which is so useful in this period of deconfinement. Given the valuable services it provides, the home visit must be valued at least as much as the teleconsultation at an hourly rate. He therefore asks him if he intends to urgently implement a fair revaluation of the home visit; This pricing injustice must not be the cause of a disengagement of doctors in the field.

Machine translation from French. The official text remains authoritative.

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