Question 8168 — health

Summary

Ms. Cyrielle Chatelain questions the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, on the means that the Government intends to mobilize to ensure the sustainability and development of health centers, particularly non-profit ones, in a context of access to care crisis. While the medical shortage increasingly weakens the territories, the health centers appear to be essential players in the provision of local care, particularly in working-class neighborhoods and under-dense areas. Through their operation without excess fees, their coordinated and multi-professional approach and their strong involvement in prevention and public health actions, they constitute a fundamental lever for responding to social and territorial health inequalities. However, many of them today find themselves in great difficulty, sometimes even forced to close, due to lack of sufficient financial and regulatory support. The predominantly fee-for-service financing, unsuitable for the reality of their missions, puts them in constant tension. Added to this are inequalities in treatment with liberal structures in access to installation aid or innovative experiments (SECPA, PEPS, IPEP), as well as the financial impact of the application of Ségur de la santé, without compensation for associative centers. In a context where the national agreement which governs their relations with health insurance is being renegotiated, she would like to know what precise guidelines the Government has given to the CNAM to guarantee that this new agreement meets the challenges of accessibility, quality and coordination of care ; she would also like to know what specific funding is planned to enable associative health centers to meet their obligations arising from Ségur and, finally, what place it intends to give to health centers in the national strategy to combat inequalities in access to care.

Machine translation from French. The official text remains authoritative.

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