Question 30318 — maternity health insurance

Summary

Mr. Guillaume Vuilletet draws the attention of the Minister of Solidarity and Health to the need for a price increase for home medical visits. If the use of teleconsultation as an exception in the context of the Covid-19 epidemic and an emergency increase (UM) for each medical visit carried out within an nursing home are advances which deserve to be underlined, the MP thinks that an increase in price of the home visit, especially in the covid-19 context that France is experiencing, would find its relevance. Even today, in this very particular period of deconfinement, the elderly and fragile people prefer to stay at home. It is therefore appropriate to have the capacity to send doctors to their bedside. The home visit therefore has irreplaceable value for patients who cannot travel. This contextual aspect is added to a more structural aspect: the fall in the number of home visits, which is already worrying. Over the past twenty years, all so-called “comfort” visits have been eliminated, to make way for essential visits. The organization of care was disrupted, and this contributed to a saturation of emergencies. The home visit is a complex act (kilometres to travel, pathologies and possible complications), for an often elderly audience. However, it is carried out at the price of the simple procedure, 35 euros compared to 25 for the consultation, which is not profitable for doctors, because a visit regularly lasts three-quarters of an hour, or even an hour. As work begins on the renovation of the CCAM, the MP thinks that a new conventional negotiation relating to medical prices must be put on the agenda. These prices must once again become incentives, to prevent a certain disengagement of doctors who, after ten years of study, deserve to be paid a fair price. The establishment of new consultations or complex visits should also be considered. He wants to know his position on the subject.

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