Question 33435 — health

Summary

Mr. Jean François Mbaye questions the Minister of Solidarity and Health on the provision of treatment for the hepatitis C virus (HCV) in psychiatric settings. In a press release dated May 20, 2019, the Ministry of Solidarity and Health recalled that the elimination of HCV in France by 2025 constituted one of the measures of the 2018-2022 priority prevention plan. However, the figures available to date show a prevalence high rate of HCV in psychiatric settings: 5 to 7% of patients hospitalized in France are affected. This prevalence can be explained, among other things, by the significant interactions between injecting drug consumption and psychiatric pathologies. It is also explained by a form of promiscuity implied by long-term hospitalizations (exchanges of toothbrushes, razor blades, etc.). However, the costs relating to Drug treatments provided to these hospitalized patients are currently left to the responsibility of health structures, which use their overall operating allocation to finance them. These costs are particularly high and constitute a significant burden for the establishments concerned (around 25,000 euros per year per patient). Local solutions exist but strongly depend on the particularities specific to each regional health agency; no national system currently makes it possible to overcome what constitutes an obstacle to the care of these patients suffering from HCV but hospitalized for another reason. If a decree of April 16, 2019 allows private establishments to have these costs covered by social security, no similar system exists for public establishments. Also, he wants to question him about the opportunity to extend the existing system to public psychiatric establishments in order to optimize the means of combating the hepatitis C virus in France.

Machine translation from French. The official text remains authoritative.

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